ArticleIndian pacing and electrophysiology journal
Contact allergy to a subcutaneous implantable cardiac defibrillator - A rare problem with a golden solution.
Article in Indian pacing and electrophysiology journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- A Case of Silicone Allergy Induced by a Subcutaneous Implantable Cardioverter Defibrillator.Journal of arrhythmia · 2026Article
- Implanting a gold-coated cardioverter-defibrillator as a solution to cardiac implantable device hypersensitivity: a case report.European heart journal. Case reports · 2025Article
- Pediatric Implant of a Gold-Coated Defibrillator due to Persistent Metal Hypersensitivity: Case Report.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025Article
- Extravascular implantable cardioverter-defibrillator implantation in a patient with nickel and cobalt allergies.HeartRhythm case reports · 2025Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Contact allergy to implantable cardiac defibrillators (ICD) is an uncommon and underdiagnosed complication. We report a case of a 20-years-old man patient that was resuscitated from sudden cardiac death. Workup imaging study was unremarkable, but genetic testing identified a mutation in the KCNH2 gene of uncertain significance. The patient underwent a subcutaneous implantable cardiac defibrillator (S-ICD) implantation, with no complications. The patient suffered two hospital re-admissions due to a device-related inflammatory reaction, leading to two device re-implantations. At the first time, it was considered a bacterial infection and the S-ICD was replaced by an endovascular device. At the second time, a tissue-device interaction, with hypersensitivity reaction and device rejection was suspected. The skin patch-tests were inconclusive, but it was decided to implant a custom-made gold-coated endovascular ICD. Indeed, the tendency is an initial misdiagnosis as an infection and a high clinical suspicion is essential to an early diagnosis.
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Registered trials
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