Safety of intracranial venous stenting in patients with nickel allergy.

Autor:	McGrath M; Neurological Surgery, University of Washington, Seattle, Washington, USA., Clarke J; Neurological Surgery, University of Washington, Seattle, Washington, USA., Midtlien JP; Neurological Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.; Radiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA., Fargen KM; Neurological Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.; Radiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA., Ali H; Radiology and Biomedical Imaging, University of California San Francisco School of Medicine, San Francisco, California, USA.; Neurological Surgery, University of California San Francisco School of Medicine, San Francisco, California, USA., Amans MR; Radiology and Biomedical Imaging, University of California San Francisco School of Medicine, San Francisco, California, USA.; Neurological Surgery, University of California San Francisco School of Medicine, San Francisco, California, USA., Hui F; Neurointerventional Surgery, The Queen's Medical Center, Honolulu, Hawaii, USA., Brinjikji W; Radiology, Mayo Clinic, Rochester, Minnesota, USA., Levitt MR; Neurological Surgery, University of Washington, Seattle, Washington, USA mlevitt@uw.edu.; Radiology, Neurology, Mechanical Engineering, Stroke & Applied Neuroscience Center, University of Washington School of Medicine, Seattle, Washington, USA.
Jazyk:	angličtina
Zdroj:	Journal of neurointerventional surgery [J Neurointerv Surg] 2024 Aug 03. Date of Electronic Publication: 2024 Aug 03.
DOI:	10.1136/jnis-2024-022094
Abstrakt:	Background: Nickel hypersensitivity is the most common metal related allergy. Nickel containing alloys are frequently used in endovascular devices. The use of intracranial stents in patients with nickel hypersensitivity appears to be safe, but these small series only evaluated arterial stent placement. This case series aimed to assess the safety of intracranial venous stent placement in patients with documented nickel allergy. Methods: In this retrospective multicenter case series, patients with idiopathic intracranial hypertension and documented nickel allergy underwent treatment with a permanently implanted nickel containing stent in the dural venous sinuses. Results: Nine patients with nickel allergy were included. All patients reported clinical improvement in their idiopathic intracranial hypertension symptoms. Of the five patients who had follow-up intracranial venous imaging, all stents remained patent. No patients experienced intraoperative, postoperative, or long term procedure related complications, with follow-up ranging from 1.8 weeks to 49.1 months. Conclusion: In this limited case series, the use of nickel containing stents in intracranial venous sinuses in patients with nickel allergy did not result in any allergic reaction or adverse outcome. Competing Interests: Competing interests: KMF: ownership interests in NeuroVenous Technologies and editorial board of Journal of NeuroInterventional Surgery. MRA: consultant for Stryker; data safety monitoring board for Microvention; consultant, equity, and board of directors for VS3 Medical; equity VDF Industries; editorial board of Journal of NeuroInterventional Surgery; and board of directors of Society of NeuroInterventional Surgery. FH: unrestricted educational grants from Stryker and Microvention (grant No not available); equity interests in Bendit and NeuroVenous Technologies; and data safety monitoring board for Microvention. WB: editorial board of Interventional Neuroradiology. MRL: unrestricted educational grants from Medtronic and Stryker (grant numbers not available); equity interest in Proprio, Synchron, Hyperion Surgical, Stroke Diagnostics, Fluid Biomed, and Apertur; consulting for Aeaean Advisers, Metis Innovative, Genomadix, and Stereotaxis; data safety monitoring board of Arsenal Medical; and editorial board of Journal of NeuroInterventional Surgery. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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