Positive reactions to nickel on a patch test do not predict clinical outcome of nickel alloy-based atrial septal defect occluder implantation

Hee Joo Kim, Jung U. Shin, Jungsoo Lee, Hemin Lee, Shan Jin, Seo Hyeong Kim, Ji Yeon Noh, Kwang Hoon Lee

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

Background: Patch testing is thought to be necessary prior to metal device implantation to rule out metal allergy-related complications; however, there are controversies over the effects of nickel allergy on the outcome of nickel alloy-based device implantation. Objective: This study aimed to evaluate the adverse events in a Korean population of nickel allergy patients who underwent atrial septal defect (ASD) closure with a nickel-titanium alloy-based device. Methods: We retrospectively reviewed the medical records of patients who underwent ASD closure with a nitinol device. Results: Among 38 patients who had ASD closure, 4 of 5 nickel-allergic patients and 10 of the 33 non-nickel-allergic patients had post-closure complications. All patients fared well, without device failure culminating in device removal. Conclusion: In this study, positive reactions to nickel in a patch test were not associated with adverse early or late outcomes following ASD closure with a nickel alloy-based device.

Original languageEnglish
Pages (from-to)184-188
Number of pages5
JournalDermatology
Volume230
Issue number2
DOIs
Publication statusPublished - 2015 Mar 6

All Science Journal Classification (ASJC) codes

  • Dermatology

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