Evidence map›Paper›PMID 41117380›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2025

Pediatric Implant of a Gold-Coated Defibrillator due to Persistent Metal Hypersensitivity: Case Report.

Marcos Javier Duarte-Sau, José Cruz Arzola-Hernández, Anwar Hazael Gutiérrez-García, Amalia Castro-Rodríguez, Diana Rosales-Mendoza

Abstract readCase Reports
In one paragraph

Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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 · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marcos Javier Duarte-SauDepartment of Electrophysiology, Cardiology Hospital, 21st Century National Medical Center, Mexican Institute for Social Security, Mexico City, Mexico.ORCID 0009-0002-5215-4629
José Cruz Arzola-HernándezDepartment of Electrophysiology, Cardiology Hospital #34, "Dr. Alfonso J. Treviño Treviño", Mexican Institute of Social Security, Monterrey, Mexico.
Anwar Hazael Gutiérrez-GarcíaDepartment of Cardiology, Cardiology Hospital #34, "Dr. Alfonso J. Treviño Treviño", Mexican Institute of Social Security, Monterrey, Mexico.
Amalia Castro-RodríguezDepartment of Pathology, Cardiology Hospital #34, "Dr. Alfonso J. Treviño Treviño", Mexican Institute of Social Security, Monterrey, Mexico.
Diana Rosales-MendozaDepartment of Pediatric Cardiology, Cardiology Hospital #34, "Dr. Alfonso J. Treviño Treviño", Mexican Institute of Social Security, Monterrey, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 9-year-old boy presented with repeated exteriorization of four implantable cardioverter-defibrillators (ICDs), despite changes in implantation site and the use of antimicrobial or polymeric envelopes. The initial device was placed following an episode of ventricular fibrillation, with imaging revealing non-obstructive hypertrophic cardiomyopathy. Over subsequent procedures, he developed hypertrophic incisional scarring and granulomatous inflammation. Titanium hypersensitivity was confirmed via dermal testing, though all wound and blood cultures remained negative. After partial exteriorization of a fifth device, a gold-coated ICD was implanted, with improved wound healing. This case underscores the need to consider allergic reactions to device materials when managing recurrent pocket complications.

Indexed as

Defibrillators, ImplantableGoldHypersensitivityChildDevice RemovalHumansMaleGoldCIED infectiongold‐coated defibrillatorhypertrophic incisional scarringICD generator exposuremetal hypersensitivity

Identifiers

PMID41117380
PMCPMC12538622

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.