Gold-coated pacemaker implantation for a patient with type IV allergy to titanium

Alexander Kypta; Hermann Blessberger; Michael Lichtenauer; Thomas Lambert; Juergen Kammler; Clemens Steinwender

doi:10.1016/j.ipej.2016.02.009

Gold-coated pacemaker implantation for a patient with type IV allergy to titanium

Indian Pacing Electrophysiol J. 2016 Feb 23;15(6):291-2. doi: 10.1016/j.ipej.2016.02.009. eCollection 2015 Nov-Dec.

Authors

Alexander Kypta¹, Hermann Blessberger¹, Michael Lichtenauer², Thomas Lambert¹, Juergen Kammler¹, Clemens Steinwender¹

Affiliations

¹ Department of Cardiology, Linz General Hospital, Johannes Kepler University School of Medicine, Linz, Austria.
² Department of Cardiology, Clinic of Internal Medicine II, Paracelsus Medical University of Salzburg, Salzburg, Austria.

Abstract

A 65-year-old man was scheduled for pacemaker implantation for symptomatic sick-sinus-syndrome (SSS). He suffered from multiple drug-allergies and allergies to several metals like quicksilver and titanium. Gold-coated pacemaker generators and polyurethane leads are effective in avoiding allergic reactions to pacing system components. Therefore, we decided to implant a custom-made gold-coated DDDR-pacemaker generator and polyurethane leads.

Keywords: Allergy; Gold coated; Permanent pacemaker; Titanium.