{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T10:17:07Z","timestamp":1770891427153,"version":"3.50.1"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 9\u2010year\u2010old boy presented with repeated exteriorization of four implantable cardioverter\u2010defibrillators (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\u2010obstructive 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\u2010coated ICD was implanted, with improved wound healing. This case underscores the need to consider allergic reactions to device materials when managing recurrent pocket complications.<\/jats:p>","DOI":"10.1111\/anec.70120","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T16:02:20Z","timestamp":1761062540000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pediatric Implant of a Gold\u2010Coated Defibrillator due to Persistent Metal Hypersensitivity: Case Report"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5215-4629","authenticated-orcid":false,"given":"Marcos Javier","family":"Duarte\u2010Sau","sequence":"first","affiliation":[{"name":"Department of Electrophysiology Cardiology Hospital, 21st Century National Medical Center, Mexican Institute for Social Security  Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Cruz","family":"Arzola\u2010Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology Cardiology Hospital #34, \u201cDr. Alfonso J. Trevi\u00f1o Trevi\u00f1o\u201d, Mexican Institute of Social Security  Monterrey Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anwar Hazael","family":"Guti\u00e9rrez\u2010Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Cardiology Cardiology Hospital #34, \u201cDr. Alfonso J. Trevi\u00f1o Trevi\u00f1o\u201d, Mexican Institute of Social Security  Monterrey Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amalia","family":"Castro\u2010Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Pathology Cardiology Hospital #34, \u201cDr. Alfonso J. Trevi\u00f1o Trevi\u00f1o\u201d, Mexican Institute of Social Security  Monterrey Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Rosales\u2010Mendoza","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Cardiology Hospital #34, \u201cDr. Alfonso J. Trevi\u00f1o Trevi\u00f1o\u201d, Mexican Institute of Social Security  Monterrey Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460\u20109592.2002.t01\u20101\u201000863.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ipej.2022.10.002"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.19102\/icrm.2012.030908"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrcr.2020.02.004"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.15420\/aer.2022.23"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eux227"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrcr.2022.03.003"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.16014.1"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.70120","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T06:34:19Z","timestamp":1764138859000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.70120"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,21]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/anec.70120"],"URL":"https:\/\/doi.org\/10.1111\/anec.70120","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"value":"1082-720X","type":"print"},{"value":"1542-474X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,21]]},"assertion":[{"value":"2025-07-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70120"}}