Document Detail


Prevention of cardiopulmonary embolization of polymethylmethacrylate cement fragment after kyphoplasty with insertion of inferior vena cava filter.
MedLine Citation:
PMID:  19837540     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 51-year-old woman who underwent kyphoplasty with polymethylmethacrylate for painful compression fracture of the third lumbar vertebra. Infiltration of cement into the inferior vena cava, noted intraoperatively, was confirmed with postoperative CT scan. A Greenfield filter was placed to prevent cardiopulmonary embolization of the fragment. On follow-up x-rays, the cement fragment was found to have detached and embolized into the vena cava filter. Endovascular technique was used to retrieve it to the common femoral vein with subsequent successful removal of the crescent-like fragment with operative exploration. Patient was asymptomatic at four-week follow-up visit.
Authors:
Mouchammed Agko; Mustafa Nazzal; Tahir Jamil; Mario Castillo-Sang; Paul Clark; Gregory Kasper
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-10-17
Journal Detail:
Title:  Journal of vascular surgery     Volume:  51     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-02-23     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  210-3     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Surgery, The University of Toledo Medical Center, Toledo, Ohio 43614, USA. ago77@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Bone Cements / adverse effects*
Embolism / etiology,  radiography,  therapy*
Female
Fractures, Compression / surgery
Heart Diseases / etiology,  prevention & control*
Humans
Lumbar Vertebrae / injuries,  surgery
Middle Aged
Phlebography / methods
Polymethyl Methacrylate / adverse effects*
Pulmonary Embolism / etiology,  prevention & control*
Spinal Fractures / surgery
Tomography, X-Ray Computed
Treatment Outcome
Vena Cava Filters*
Vena Cava, Inferior* / radiography
Vertebroplasty / adverse effects*,  methods
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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