Abstract

Background

Anaphylaxis caused by a catheter itself used for endovascular surgery is rare, and a method for detection of a causative catheter has not been established. We report a case of catheter-induced anaphylaxis in which the causative catheter was successfully detected.

Case presentation

A 47-year-old male underwent neuroendovascular surgery. During surgery, blood pressure suddenly dropped and the level of tryptase indicated the occurrence of anaphylaxis. There were 24 candidate agents for the cause of anaphylaxis including 8 catheters. We performed the basophil activation test by directly mixing the catheter with blood. One catheter coated with a hyaluronic acid product showed a positive reaction, and we confirmed the result by a modified skin test using an elution solution of the catheter. Later, we successfully completed the neuroendovascular surgery without the catheter.

Conclusions

The methods used in this case can be useful for the detection of the causative agent in catheter-induced anaphylaxis.

Details

Title
Catheter-induced anaphylaxis and determination of the causative catheter in a patient undergoing neuroendovascular surgery: a case report
Author
Sugiyama Yuki 1   VIAFID ORCID Logo  ; Numata Kaori 1 ; Watanabe Natsuko 1 ; Urasawa Masatoshi 1 ; Murakami Toru 1 ; Murakami Ikuko 1 ; Koyama Jun-Ichi 2 ; Kawamata Mikito 1 

1  Shinshu University School of Medicine, Department of Anesthesiology and Resuscitology, Matsumoto, Japan (GRID:grid.263518.b) (ISNI:0000 0001 1507 4692) 
2  Shinshu University Hospital, Neuroendovascular Therapy Center, Matsumoto, Japan (GRID:grid.412568.c) (ISNI:0000 0004 0447 9995) 
Publication year
2021
Publication date
Dec 2021
Publisher
Springer Nature B.V.
e-ISSN
23639024
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s40981-021-00463-7
ProQuest document ID
2556905480
Copyright
© The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.