title: Superficial femoral artery nitinol stent in a patient with nickel allergy.
abstract: We present a case of a patient who developed a systemic allergic reaction following placement of a nitnol stent in the superficial femoral artery for claudication symptoms. Shortly after, he was tested for contact dermatitis and found to have a severe reaction to nickel. His symptoms of severe itch and generalized rash resolved within days following stent explantation and reconstruction with a vein graft. The epidemiology and clinical significance of nickel allergy and the concomitant use of nickel-alloy stents are discussed.
authors.affiliation: Division of Vascular and Endovascular Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, Ontario, Canada. Electronic address: pjetty@ottawahospital.on.ca.
authors.forename: Prasad
authors.initials: P
authors.lastname: Jetty
authors.forename: Srinidhi
authors.initials: S
authors.lastname: Jayaram
authors.forename: John
authors.initials: J
authors.lastname: Veinot
authors.forename: Melanie
authors.initials: M
authors.lastname: Pratt
mesh_terms: D017130:Angioplasty / Q000009:adverse effects* / Q000295:instrumentation; D003251:Constriction, Pathologic; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020878:Device Removal; D005263:Femoral Artery; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009532:Nickel / Q000009:adverse effects*; D058729:Peripheral Arterial Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D011474:Prosthesis Design; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D009532:Nickel