Successful percutaneous retrieval of methyl methacrylate orthopedic cement embolism from the pulmonary artery

2010 ◽  
Vol 76 (2) ◽  
pp. 198-201 ◽  
Author(s):  
Rahul Bose ◽  
James W. Choi
2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Akhunova ◽  
R Khayrullin ◽  
N Stekolshchikova ◽  
M Samigullin ◽  
V Padiryakov

Abstract A 68-year-old man was admitted to the hospital with complaints of pain in the lumbar spine. He had L5 disc herniation, Spinal stenosis of the L5 root canal - S1 on the right in the past medical history. Percutaneous vertebroplasty at the level of L3 and Th8 vertebral bodies was performed six months ago due to painful vertebral hemangioma. The man is suffering from arterial hypertension, receives antihypertensive therapy. During routine transthoracic echocardiography, a hyperechoic structure with a size of 9.5 x 0.9 cm was found in the right atrium and right ventricle. Chest computed tomography with contrast enhancement revealed signs of bone cement in the right atrium and right ventricle, in the right upper lobe artery, in the branches of the upper lobe artery, in the paravertebral venous plexuses. Considering the duration of the disease, the stable condition, the absence of clinical manifestations and disorders of intracardiac hemodynamics, it was decided to refrain from surgical treatment. Antiplatelet therapy and dynamic observation were recommended. Conclusion Percutaneous vertebroplasty is a modern minimally invasive surgical procedure for the treatment of degenerative-dystrophic diseases of the spine. However, the cement can penetrate into the paravertebral veins and migrate to the right chambers of the heart and the pulmonary artery. This clinical case demonstrates asymptomatic cement embolism of the right chambers of the heart and pulmonary artery after percutaneous vertebroplasty, detected incidentally during routine echocardiography. Abstract P686 Figure.


2020 ◽  
Vol 75 (11) ◽  
pp. 2629
Author(s):  
Hardik M. Bhansali ◽  
Antonio Lewis Camargo ◽  
Nicholas Ghiloni ◽  
Nader Hanna ◽  
Luis Alonso Hernandez Mejia ◽  
...  

2007 ◽  
Vol 30 (5) ◽  
pp. 1082-1084 ◽  
Author(s):  
Luis Felipe Valenzuela-García ◽  
Manuel Almendro-Delia ◽  
Miguel González-Valdayo ◽  
Juan Muñoz-Campos ◽  
José C. Dorado-García ◽  
...  

2006 ◽  
Vol 19 (1) ◽  
pp. 81-86 ◽  
Author(s):  
ALESSANDRO MAUTONE ◽  
WALTER PITSCHEIDER ◽  
ROBERTO DESIATO

2015 ◽  
Vol 31 (8) ◽  
pp. 1402-1404
Author(s):  
Michifumi Tokuda ◽  
Teiichi Yamane ◽  
Shunichi Sadaoka ◽  
Kenichi Tokutake ◽  
Kenichi Yokoyama ◽  
...  

2002 ◽  
Vol 220 (2) ◽  
pp. 212-214 ◽  
Author(s):  
Dianne Little ◽  
Bruce W. Keene ◽  
Catherine Bruton ◽  
Luisa J. Smith ◽  
Susan Powell ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Juan Peng ◽  
Xiao-Ming Zhang ◽  
Lin Yang ◽  
Hao Xu ◽  
Nan-Dong Miao ◽  
...  

Objective. To report the experience of a percutaneous technique for retrieving fractured peripherally inserted central catheter (PICC) segments migrating into the heart or the pulmonary artery.Method. From April 2013 to July 2015, we performed percutaneous retrieval of fractured PICC segments migrating into the heart or the pulmonary artery in five cancer patients who had undergone chemotherapy via PICC. The fractures were diagnosed with chest plain radiography. The patients included three cases of breast cancer, one case of rectal cancer, and one case of lower limb Ewing’s tumor. The fractures were retained in the vessels of the patients for 1 to 3 days. All the fractures were retrieved by using a novel two-step technique in the digital subtraction angiography (DSA) suite. This two-step technique involves inserting a pigtail catheter to the heart or the pulmonary artery to grasp the fractured catheter fragment and bring it to the lower segment of the inferior vena cava, followed by grasping and removing the catheter fragment with a retrieval loop system of the vena cava filter retrieval set.Result. The fractured PICC segments were removed successfully in all five patients via unilateral (four patients) or bilateral (one patient) femoral vein access. No complications occurred during the interventional procedure.Conclusion. Percutaneous retrieval can be a safe, convenient, and minimally invasive method for the removal of fractured PICC segments. The technique reported in this paper will be applicable for the retrieval of fractured PICC segments and other catheter fragments migrating into the heart or the pulmonary artery.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
R. C. Zvavanjanja

In the published article [1] the statement under the subheading ‘Consent for publication’ is incorrect.


EP Europace ◽  
2011 ◽  
Vol 14 (4) ◽  
pp. 605-605
Author(s):  
Ahmet Guler ◽  
Can Yucel Karabay ◽  
Soe Moe Aung ◽  
Selcuk Pala ◽  
Cevat Kirma

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