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与镍过敏相关的偏头痛样头痛，需要移除房间隔缺损封堵装置。

Migraine-like headaches associated with nickel allergy requiring removal of atrial septal defect closure device.

作者信息

Sadasivan Nair Prasanth, Jaya Joseph Swaminadan, Comella Andrea, Smith Julian Anderson, Harper Richard, Joshi Prashant Prakash

机构信息

Department of Cardiothoracic Surgery, Monash Medical Centre, Level 3, 246 Clayton Road, Clayton, Victoria 3168 Australia.

Monash Heart, Monash Medical Centre, Level 2, 246 Clayton Road, Clayton, Victoria 3168 Australia.

出版信息

Indian J Thorac Cardiovasc Surg. 2021 May;37(3):299-302. doi: 10.1007/s12055-021-01155-8. Epub 2021 Mar 1.

DOI:10.1007/s12055-021-01155-8
PMID:33958838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8079502/
Abstract

There is a deficit of literature regarding the association between nickel allergy-induced symptoms and implanted devices. This report describes a case of nickel allergy causing debilitating migraine-like symptoms, failing to resolve with medical therapy, requiring surgical removal of the device and repair of the defect.

摘要

关于镍过敏引起的症状与植入装置之间的关联，相关文献较少。本报告描述了一例镍过敏导致使人衰弱的偏头痛样症状的病例，该症状经药物治疗未能缓解，需要手术取出装置并修复缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ca/8079502/be252afeee48/12055_2021_1155_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ca/8079502/fbc0301ff53c/12055_2021_1155_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ca/8079502/0cec85b7757a/12055_2021_1155_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ca/8079502/be252afeee48/12055_2021_1155_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ca/8079502/fbc0301ff53c/12055_2021_1155_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ca/8079502/0cec85b7757a/12055_2021_1155_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4ca/8079502/be252afeee48/12055_2021_1155_Fig3_HTML.jpg

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本文引用的文献

1
Surgical explantation of atrial septal closure devices for refractory nickel allergy symptoms.因镍过敏症状难治而行房间隔封堵装置外科取出。
J Thorac Cardiovasc Surg. 2020 Aug;160(2):502-509.e1. doi: 10.1016/j.jtcvs.2019.10.177. Epub 2019 Nov 21.
2
A case of nitinol allergy causing pericardial tamponade.一例因镍钛合金过敏导致心包填塞的病例。
J Invasive Cardiol. 2013 Sep;25(9):E180-2.
3
Metal allergy to Amplatzer occluder device presented as severe bronchospasm.金属对 Amplatzer 封堵器的过敏反应表现为严重的支气管痉挛。
Ann Thorac Surg. 2009 Dec;88(6):2021-2. doi: 10.1016/j.athoracsur.2009.05.044.
4
Unusual presentation of nickel allergy requiring explantation of an Amplatzer atrial septal occluder device.镍过敏的罕见表现，需要取出Amplatzer房间隔封堵器。
Clin Cardiol. 2009 Aug;32(8):E55-7. doi: 10.1002/clc.20427.
5
Hypersensitivity reactions associated with endovascular devices.与血管内装置相关的超敏反应。
Contact Dermatitis. 2008 Jul;59(1):7-22. doi: 10.1111/j.1600-0536.2008.01351.x. Epub 2008 Jun 1.
6
Adverse events associated with nickel allergy in patients undergoing percutaneous atrial septal defect or patent foramen ovale closure.
J Am Coll Cardiol. 2006 Mar 21;47(6):1226-7. doi: 10.1016/j.jacc.2005.12.017. Epub 2006 Feb 28.
7
Nickel allergy and the amplatzer septal occluder.镍过敏与Amplatzer房间隔封堵器
J Invasive Cardiol. 2004 Nov;16(11):681-2.
8
Efficacy of clopidogrel in the treatment of post-ASD closure migraines.氯吡格雷治疗房间隔缺损封堵术后偏头痛的疗效
Catheter Cardiovasc Interv. 2004 Oct;63(2):255. doi: 10.1002/ccd.20144.
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Nickel release after implantation of the Amplatzer occluder.植入Amplatzer封堵器后的镍释放情况。
Am Heart J. 2003 Apr;145(4):737-41. doi: 10.1067/mhj.2003.7.
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Systemic allergic reaction to the percutaneous patent foramen ovale occluder.经皮卵圆孔未闭封堵器的全身性过敏反应。
J Thorac Cardiovasc Surg. 2003 Jan;125(1):213-4. doi: 10.1067/mtc.2003.125.