Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, United Kingdom; National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, United Kingdom; National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Ann Thorac Surg. 2019 Sep;108(3):e183-e184. doi: 10.1016/j.athoracsur.2019.01.034. Epub 2019 Feb 19.
Few patients experience migraines after transcatheter closure of secundum atrial septal defects with nitinol devices. These migraines are usually treated with analgesics and resolve after a few months as the device endothelializes. This report describes the case of a 16-year-old male patient who required surgical explantation of the device 6 years after closure because of debilitating headaches. He had a grade 1 reaction to nickel after skin testing. Intraoperatively, the device had not fully endothelialized. Immediately after removal of the device, his headaches completely resolved. Long-term nickel allergy may cause severe migraine secondary to a lack of endothelialization of a device. Patients with extreme cases may require surgical removal of the device.
很少有患者在使用镍钛诺装置经导管闭合继发孔型房间隔缺损后出现偏头痛。这些偏头痛通常通过镇痛药治疗，随着装置内皮化，几个月后即可缓解。本报告描述了一例 16 岁男性患者的病例，他在 6 年前因严重头痛而需要手术取出该装置。他的皮肤试验对镍呈 1 级反应。术中发现装置尚未完全内皮化。装置取出后，他的头痛立即完全缓解。长期镍过敏可能导致因装置内皮化不良而引起严重偏头痛。对于严重病例的患者，可能需要手术取出装置。
