Document Detail


Successful management of a large pulmonary cement embolus after percutaneous vertebroplasty: a case report.
MedLine Citation:
PMID:  14560098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous vertebroplasty is increasingly used for the treatment of vertebral compression fractures. Local leakage of polymethylmethacrylate cement into the perivertebral space is a common complication, but important systemic effects have rarely been reported. The authors describe the case of a 52-year-old patient with central pulmonary embolism after percutaneous vertebroplasty of the eleventh thoracic vertebral body. The large cement embolus was removed from the right pulmonary artery with a hybrid technique combining an interventional catheter procedure with an open heart operation. The patient made an uneventful recovery. The authors review how appropriate arthroplasty techniques might minimize the risk of this dreadful complication.
Authors:
Katrien François; Yves Taeymans; Bart Poffyn; Guido Van Nooten
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  28     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-15     Completed Date:  2005-06-13     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E424-5     Citation Subset:  IM    
Affiliation:
The Cardiac Center, University Hospital, Gent, Belgium. Katrien.Francois@UGent.be
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MeSH Terms
Descriptor/Qualifier:
Acenocoumarol / therapeutic use
Anticoagulants / therapeutic use
Bone Cements / metabolism
Dyspnea / etiology
Female
Humans
Middle Aged
Polymethyl Methacrylate / metabolism
Postoperative Complications / etiology
Pulmonary Embolism / drug therapy,  etiology,  surgery*
Spinal Fractures / etiology,  surgery*
Surgical Procedures, Operative / adverse effects,  methods
Thoracic Vertebrae / injuries,  surgery*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Bone Cements; 152-72-7/Acenocoumarol; 9011-14-7/Polymethyl Methacrylate

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


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