Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent
نویسندگان
چکیده
We present the case of a patient who developed a full-body desquamating macular-papular, pruritic rash after endovascular placement of a popliteal artery nitinol stent for acute limb ischemia. The rash was resistant to high-dose steroid and immunosuppressive treatment and intensive topical treatment. Patch testing revealed nickel allergy. The stented arterial segment was removed, with significant improvement in his symptoms that allowed the cessation of prednisone and topical treatments. The epidemiology, pathophysiology, and clinical effect of nickel allergy are discussed in addition to the use of nickel-alloy stents.
منابع مشابه
Dynamic Forces in the SFA and Popliteal Artery During Knee Flexion
T he superficial femoral artery (SFA) lies largely within the adductor canal, where it is surrounded by a double layer of fascia of the firm muscles of the thigh. After passing the adductor hiatus, the termination of the adductor canal, the SFA becomes known as the popliteal artery and enters the soft fatty tissue of the popliteal fossa. The SFA is hypothesized to undergo dramatic nonpulsatile ...
متن کاملTreatment of complex atherosclerotic popliteal artery disease with a new self-expanding interwoven nitinol stent: 12-month results of the Leipzig SUPERA popliteal artery stent registry.
OBJECTIVES We examined the efficacy and durability of a new interwoven self-expanding nitinol stent system in the treatment of complex popliteal artery lesions in unselected patients. BACKGROUND The optimal endovascular treatment strategy for atherosclerotic popliteal artery disease is not known. METHODS We retrospectively analyzed the data gathered in 101 consecutive patients presenting wi...
متن کاملOutcomes of the Use of a Superflexible Nitinol Stent in the Popliteal Artery
Background: The long-term primary patency rates for percutaneous transluminal angioplasty using first and second generation stents for the treatment of the popliteal artery have been disappointing. However, results with the new nitinol stents seem promising. Our objective was to evaluate short-term clinical outcomes using the superflexible nitinol stent in the treatment of atherosclerotic lesio...
متن کاملRelative No - Stent Zones in the Femoropopliteal Arteries
A s endovascular therapy has revolutionized the treatment of lower extremity peripheral arterial disease (PAD) over the past decade, no single therapy has emerged as the clear gold standard. Acceptance of endovascular therapy has been quick among practitioners, but there remains question about which technology is best and most durable in any particular vascular bed. As techniques and technology...
متن کاملTwo-month angioscopic evaluation of superficial femoral artery treated with paclitaxel-coated nitinol drug-eluting stent.
A 76-year-old woman presented with life-limiting claudication in the left leg. Ankle brachial index (ABI) was 1.07/0.63 (right/left). Duplex ultrasound showed a decreased flow pattern of the left popliteal artery with normal flow pattern in the common femoral artery (CFA), and stenosis or occlusion of the left SFA was strongly suspected. Angiography 1 month later showed severe stenosis in the o...
متن کامل