title: Gold-coated pacemaker implantation for a patient with type IV allergy to titanium.
abstract: A 65-year-old man was scheduled for pacemaker implantation for symptomatic sick-sinus-syndrome (SSS). He suffered from multiple drug-allergies and allergies to several metals like quicksilver and titanium. Gold-coated pacemaker generators and polyurethane leads are effective in avoiding allergic reactions to pacing system components. Therefore, we decided to implant a custom-made gold-coated DDDR-pacemaker generator and polyurethane leads.
authors.affiliation: Department of Cardiology, Linz General Hospital, Johannes Kepler University School of Medicine, Linz, Austria.
authors.forename: Alexander
authors.initials: A
authors.lastname: Kypta
authors.affiliation: Department of Cardiology, Linz General Hospital, Johannes Kepler University School of Medicine, Linz, Austria.
authors.forename: Hermann
authors.initials: H
authors.lastname: Blessberger
authors.affiliation: Department of Cardiology, Clinic of Internal Medicine II, Paracelsus Medical University of Salzburg, Salzburg, Austria.
authors.forename: Michael
authors.initials: M
authors.lastname: Lichtenauer
authors.affiliation: Department of Cardiology, Linz General Hospital, Johannes Kepler University School of Medicine, Linz, Austria.
authors.forename: Thomas
authors.initials: T
authors.lastname: Lambert
authors.affiliation: Department of Cardiology, Linz General Hospital, Johannes Kepler University School of Medicine, Linz, Austria.
authors.forename: Juergen
authors.initials: J
authors.lastname: Kammler
authors.affiliation: Department of Cardiology, Linz General Hospital, Johannes Kepler University School of Medicine, Linz, Austria.
authors.forename: Clemens
authors.initials: C
authors.lastname: Steinwender
keywords: Allergy; Gold coated; Permanent pacemaker; Titanium