Document Detail


Cement embolization into the vena cava and pulmonal arteries after vertebroplasty: interdisciplinary management.
MedLine Citation:
PMID:  16376118     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report interdisciplinary management in a case of cement embolization into the inferior vena cava and peripheral pulmonary arteries after percutaneous vertebroplasty. CASE REPORT: A 50-year-old female patient with an osteoporotic compression fracture of the second lumbar vertebra underwent percutaneous vertebroplasty with polymethylmetaacrylate. Thereafter, CT scanning revealed small asymptomatic cement emboli in peripheral pulmonary arteries, along with a hook-shaped cement fragment in the inferior vena cava. Due to the risk that the large cement fragment could migrate to the pulmonary arteries and cause serious complications, they were retrieved from the inferior vena cava by an endovascular technique and extracted through a surgical groin incision. The patient received anticoagulant treatment for 3 months and is free of complaints after 1 year. CONCLUSION: This case shows that this rare complication following vertebroplasty can be successfully managed with an interdisciplinary approach.
Authors:
A Baumann; J Tauss; G Baumann; M Tomka; M Hessinger; K Tiesenhausen
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-12-22
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  31     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-24     Completed Date:  2006-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  558-61     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, University Hospital Graz, Graz, Austria. anneliese.baumann@meduni-graz.at
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MeSH Terms
Descriptor/Qualifier:
Bone Cements*
Embolism / diagnosis,  etiology*,  therapy*
Female
Humans
Lumbar Vertebrae / injuries
Middle Aged
Polymethyl Methacrylate*
Postoperative Complications*
Spinal Fractures / surgery
Vena Cava, Inferior*
Chemical
Reg. No./Substance:
0/Bone Cements; 9011-14-7/Polymethyl Methacrylate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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