Repeated Failure of Nickel-Containing Prosthetic Heart Valves in a Patient Allergic to Nickel

Lyell, Alan; Bain, W H; Thomson, R. M.

doi:10.1016/s0140-6736(78)92763-0

Cited by 39 publications

(20 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the numerous 5) Nickel hypersensitivity to the Amplatzer occlude device was associated with pericarditis Köster et al (2000) 6) Higher frequency of in-stent restenosis in patients with hypersensitivity to metals than those without hypersensitivity Takazawa et al (2003) 7) A patient had a metal allergy to a stainless steel wire after coronary artery bypass grafting Lyell et al (1978) 8) Repeated failure of nickel-containing prosthetic heart valves in a patient who was allergic to nickel Takimoto et al (2013) 9) The metallic components that are included in aortic prosthetic valves Shomura et al (2009) 10) The metallic components that are included in mitral and tricuspid prosthetic valves Table 2 The metallic components that are included in the medical materials reported causes of PPP, the patient did not have any inciting cause except titanium allergy. In other words, it is worth considering that PPP caused by metal allergy may remain after removal of the cause.…”

Section: Discussionmentioning

confidence: 99%

Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium Allergy

Kono

Oda

Akaiwa

et al. 2020

ATCS

View full text Add to dashboard Cite

Metal allergy is an uncommon but crucial problem during surgery, which can lead to complicated skin diseases, such as palmoplantar pustulosis (PPP). 1) Among metal allergies, titanium allergy is said to be rare. 2) Here, we describe the rare case of a woman with titanium allergy and PPP who underwent coronary artery bypass grafting (CABG) under cardiopulmonary bypass (CPB) Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium AllergyTakanori Kono, MD, PhD, 1 Takeshi Oda, MD, PhD, 1 Keiichi Akaiwa, MD, PhD, 1 Katsuhiko Nakamura, MD, 1 Kenya Sasaoka, MD, 2 and Hiroyuki Tanaka, MD, PhD 3Metal allergy is an uncommon problem during surgery. Among them, titanium allergy is said to be rare, but can lead to serious complications, such as palmoplantar pustulosis (PPP). A 69-year-old woman was admitted to our hospital with a chief complaint of chest pain. Coronary angiography showed severe coronary artery disease that required coronary artery bypass grafting (CABG). The patient had a history of orthopedic surgery for left distal radius fracture 2 years previously, which resulted in inflammation on the left arm and PPP. We suspected titanium allergy based on results of skin patch tests and use of titanium alloy in the previous orthopedic operation. The patient underwent CABG without use of permanent metallic material. As a result, her PPP disappeared. In this rare case, it is difficult to identify the exact cause of the improvement in PPP; thus, further studies are required to clarify the mechanism of remission.

show abstract

Section: Discussionmentioning

confidence: 99%

Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium Allergy

Kono

Oda

Akaiwa

et al. 2020

ATCS

View full text Add to dashboard Cite

show abstract

“…However, the incidence of positive patch test was significantly higher in patients with restenosis following treatment of ISR compared with that without restenosis (39% vs. 12%; p = 0.02). new tissue around the metal [9][10][11]. Thomas et al reported a patient with aseptic loosening of an orthopaedic chromium/cobalt alloy, in whom patch testing showed sensitization to potassium dichromate and investigation of the peri-implantar tissue demonstrated an oligoclonal T-cell infiltrate and expression of a Th1-type cytokine profile [12].…”

Section: Discussionmentioning

confidence: 99%

The impact of metallic allergy on stent implantation

Iijima

Ikari

Amiya

et al. 2005

International Journal of Cardiology

View full text Add to dashboard Cite

“…Nickel, cobalt and chromium ions can be eluted from stainless-steel stents [42,43], and the actions of blood, saline, proteins and mechanical stress can increase release of these ions [44]. Inflammatory and allergic reactions to metal, particularly to nickel, have been found to occur in patients with orthopaedic, dental and other stainless-steel implants [45,46]. These reactions were associated with the formation of new tissue around the metal [47].…”

Section: Nickel and Restenosis Of Stentsmentioning

confidence: 99%

High nitrogen nickel-free austenitic stainless steel: A promising coronary stent material

Yang

Ren

Wan

2011

Sci. China Technol. Sci.

View full text Add to dashboard Cite

Currently commercialized coronary stents are mainly made of the medical 316L stainless steel and cobalt-based alloy (L605) due to their good combination of properties, especially excellent mechanical properties. However, the presence of high quantity of nickel and/or cobalt elements, the agents known to trigger the toxic and allergic responses, in these materials has caused many clinic concerns. The potential adverse effect of nickel ions release has prompted the development of high nitrogen nickel-free austenitic stainless steels for medical application. Nitrogen in steel is not only to replace the nickel but also improve the properties of steel. In this paper, the harmfulness and release of nickel from metallic stents, and the advantages in mechanical properties and hemocompatibility of high nitrogen nickel-free stainless steels for coronary stents are reviewed. Apart from the highlight of nickel-free, the superiority of high strength and better hemocompatibility of high nitrogen nickel-free stainless steels can guarantee to manufacture thinner strut coronary stents with remarkable anticoagulation ability. High nitrogen nickel-free stainless steels as a promising coronary stents material will attract more and more clinical doctors and stents makers to bring them into clinical application.high nitrogen steel, nickel-free, biocompatibility, coronary stent, restenosis Citation:Yang K, Ren Y B, Wan P. High nitrogen nickel-free austenitic stainless steel: A promising coronary stent material.

show abstract

Repeated Failure of Nickel-Containing Prosthetic Heart Valves in a Patient Allergic to Nickel

Cited by 39 publications

References 11 publications

Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium Allergy

Remission of Palmoplantar Pustulosis after On-Pump Coronary Artery Bypass Grafting in a Patient with Titanium Allergy

The impact of metallic allergy on stent implantation

High nitrogen nickel-free austenitic stainless steel: A promising coronary stent material

Contact Info

Product

Resources

About