{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:03:18Z","timestamp":1791295398259,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Allergic reactions associated with subcutaneous implantable cardioverter\u2010defibrillator (S\u2010ICD) are extremely rare, and silicone\u2010related cases are scarcely reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>A 54\u2010year\u2010old man with a transvenous implantable cardioverter\u2010defibrillator (TV\u2010ICD) for idiopathic ventricular fibrillation underwent removal of an infected TV\u2010ICD system, followed by S\u2010ICD implantation. Seven months later, a granulomatous lesion developed at the xiphoid incision site without signs of infection. Conservative management was initially selected; however, progressive wound deterioration and eventual device exposure necessitated complete system removal. Patch testing demonstrated a positive reaction to silicone, a device component corresponding to the lesion site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case highlights that silicone\u2010related hypersensitivity, although extremely rare, should be considered when evaluating noninfectious wound complications after S\u2010ICD implantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.70417","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T06:55:28Z","timestamp":1783925728000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Silicone Allergy Induced by a Subcutaneous Implantable Cardioverter Defibrillator"],"prefix":"10.1002","volume":"42","author":[{"given":"Wataru","family":"Shinkai","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Kitasato University School of Medicine  Sagamihara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Kishihara","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Kitasato University School of Medicine  Sagamihara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megumi","family":"Toraiwa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Kitasato University School of Medicine  Sagamihara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Arakawa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Kitasato University School of Medicine  Sagamihara 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Scientific \u201cEMBLEM S\u2010ICD System User Manual\u201d https:\/\/www.bostonscientific.com\/content\/dam\/elabeling\/crm\/92346913\u2010027_EMBLEM_S\u2010ICD_UM_en_S.pdf."},{"key":"e_1_2_9_13_1","unstructured":"Boston Scientific \u201cEMBLEM S\u2010ICD System Specifications\u201d https:\/\/www.bostonscientific.com\/content\/dam\/elabeling\/crm\/92346913\u2010027_EMBLEM_S\u2010ICD_UM_en_S.pdf."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.08.028"}],"container-title":["Journal of 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