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A New Solution to a Rare Problem of Implantable Cardiac Device Hypersensitivity
For this research, we have considered a case of a man aged 60 years who developed painless fluid accumulation in the implantable cardiac defibrillator (ICD) pocket site. The cardiovascular implantable electronic device initially appeared to be infected, but it was eventually determined that the caus...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502759/ https://www.ncbi.nlm.nih.gov/pubmed/34660081 http://dx.doi.org/10.7759/cureus.17882 |
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author | Al-Zakhari, Rana Aljammali, Safa Isber, Ryan Grigos, Angela Isber, Nidal |
author_facet | Al-Zakhari, Rana Aljammali, Safa Isber, Ryan Grigos, Angela Isber, Nidal |
author_sort | Al-Zakhari, Rana |
collection | PubMed |
description | For this research, we have considered a case of a man aged 60 years who developed painless fluid accumulation in the implantable cardiac defibrillator (ICD) pocket site. The cardiovascular implantable electronic device initially appeared to be infected, but it was eventually determined that the cause was an allergic reaction, and a novel solution was implemented. For patients with nickel allergies, treatment typically includes avoiding nickel or replacing with gold-plated devices with new leads. Because of the subclavian vein thrombosis, the gold-plated generator was not replaced. ICD generators were covered with antibiotic-coated envelopes while waiting for the replacement. Hypersensitivity to cardiac devices was effectively treated with this technique. By routinely using the envelope, the very rare incidence of device hypersensitivity could further be reduced. |
format | Online Article Text |
id | pubmed-8502759 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-85027592021-10-15 A New Solution to a Rare Problem of Implantable Cardiac Device Hypersensitivity Al-Zakhari, Rana Aljammali, Safa Isber, Ryan Grigos, Angela Isber, Nidal Cureus Cardiology For this research, we have considered a case of a man aged 60 years who developed painless fluid accumulation in the implantable cardiac defibrillator (ICD) pocket site. The cardiovascular implantable electronic device initially appeared to be infected, but it was eventually determined that the cause was an allergic reaction, and a novel solution was implemented. For patients with nickel allergies, treatment typically includes avoiding nickel or replacing with gold-plated devices with new leads. Because of the subclavian vein thrombosis, the gold-plated generator was not replaced. ICD generators were covered with antibiotic-coated envelopes while waiting for the replacement. Hypersensitivity to cardiac devices was effectively treated with this technique. By routinely using the envelope, the very rare incidence of device hypersensitivity could further be reduced. Cureus 2021-09-10 /pmc/articles/PMC8502759/ /pubmed/34660081 http://dx.doi.org/10.7759/cureus.17882 Text en Copyright © 2021, Al-Zakhari et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Al-Zakhari, Rana Aljammali, Safa Isber, Ryan Grigos, Angela Isber, Nidal A New Solution to a Rare Problem of Implantable Cardiac Device Hypersensitivity |
title | A New Solution to a Rare Problem of Implantable Cardiac Device Hypersensitivity |
title_full | A New Solution to a Rare Problem of Implantable Cardiac Device Hypersensitivity |
title_fullStr | A New Solution to a Rare Problem of Implantable Cardiac Device Hypersensitivity |
title_full_unstemmed | A New Solution to a Rare Problem of Implantable Cardiac Device Hypersensitivity |
title_short | A New Solution to a Rare Problem of Implantable Cardiac Device Hypersensitivity |
title_sort | new solution to a rare problem of implantable cardiac device hypersensitivity |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502759/ https://www.ncbi.nlm.nih.gov/pubmed/34660081 http://dx.doi.org/10.7759/cureus.17882 |
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