Top

Indian Journal of Thoracic and Cardiovascular Surgery

Published in:

01-05-2021 | Migraine | Case report

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

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

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 3/2021

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.

Fukahara K, Minami K, Reiss N, Fassbender D, Koerfer R. Systemic allergic reaction to the percutaneous patent foramen ovale occluder. J Thorac Cardiovasc Surg. 2003;125:213–4.CrossRef

Jain M, Singh S, Cadeiras M. A case of nitinol allergy causing pericardial tamponade. J Invasive Cardiol. 2013;25:E180–2.PubMed

Khodaverdian RA, Jones KW. Metal allergy to Amplatzer occluder device presented as severe bronchospasm. Ann Thorac Surg. 2009;88:2021–2.CrossRef

Sharifi M, Burks J. Efficacy of clopidogrel in the treatment of post-ASD closure migraines. Catheter Cardiovasc Interv. 2004;63:255.CrossRef

Singh HR, Turner DR, Forbes TJ. Nickel allergy and the amplatzer septal occluder. J Invasive Cardiol. 2004;16:681–2.PubMed

Sharma V, DeShazo RA, Skidmore CR, et al. Surgical explantation of atrial septal closure devices for refractory nickel allergy symptoms. J Thorac Cardiovasc Surg. 2020;160:502–9.e1.

Honari G, Ellis SG, Wilkoff BL, Aronica MA, Svensson LG, Taylor JS. Hypersensitivity reactions associated with endovascular devices. Contact Dermatitis. 2008;59:7–22.CrossRef

Rabkin DG, Whitehead KJ, Michaels AD, Powell DL, Karwande SV. Unusual presentation of nickel allergy requiring explantation of an Amplatzer atrial septal occluder device. Clin Cardiol. 2009;32:E55–7.CrossRef

Wertman B, Azarbal B, Riedl M, Tobis J. Adverse events associated with nickel allergy in patients undergoing percutaneous atrial septal defect or patent foramen ovale closure. J Am Coll Cardiol. 2006;47:1226–7.CrossRef

10.

Ries MW, Kampmann C, Rupprecht HJ, Hintereder G, Hafner G, Meyer J. Nickel release after implantation of the Amplatzer occluder. Am Heart J. 2003;145:737–41.CrossRef

Title: Migraine-like headaches associated with nickel allergy requiring removal of atrial septal defect closure device
Authors: Prasanth Sadasivan Nair
Joseph Swaminadan Jaya
Andrea Comella
Julian Anderson Smith
Richard Harper
Prashant Prakash Joshi
Publication date: 01-05-2021
Publisher: Springer Singapore
Keywords: Migraine
Atrial Septal Defect
Atrial Septal Defect
Headache
Published in: Indian Journal of Thoracic and Cardiovascular Surgery / Issue 3/2021
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI: https://doi.org/10.1007/s12055-021-01155-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

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

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2021

Increasing role of cardiac surgeons in managing cardiac perforations during ever-expanding percutaneous interventions: a mini-review

Recurrent ascending aortic pseudoaneurysms: rare but a feared complication

Extended resection for unexpected invasion of the left sided lung cancer into the liver: combined lung, diaphragm, and liver resection

Mitral valve leaflet diverticulum with vegetation—a rare complication in rheumatic heart disease

Cell-free DNA in the surveillance of heart transplant rejection

Frozen elephant trunk in acute type A aortic dissection: surgical techniques and the extracorporeal circuit management