scholarly journals Bedside echocardiography for diagnosis of intracardiac cement embolism after percutaneous vertebroplasty: A case report

2021 ◽  
Author(s):  
Panpan Yin ◽  
Junli Hu ◽  
Shaochun Wang ◽  
Guiling Sui ◽  
Guozhen Yuan ◽  
...  
Keyword(s):  
Case Report ◽  
Percutaneous Vertebroplasty ◽  
Bedside Echocardiography ◽  
Cement Embolism

scholarly journals A spear to the heart—the accidental discovery of a giant cement embolism in the right heart: a case report

2021 ◽  
Author(s):  
Moritz Lambers ◽  
Oliver Bruder ◽  
Heinrich Wieneke ◽  
Kai Nassenstein
Keyword(s):  
Case Report ◽  
Diagnostic Tests ◽  
Percutaneous Vertebroplasty ◽  
Pulmonary Arteries ◽  
Exertional Dyspnoea ◽  
Right Heart ◽  
Potential Harm ◽  
Case Summary ◽  
Cement Embolism ◽  
The Right

Abstract Background The incidence of recognized cardiopulmonary cement embolism in the context of percutaneous vertebroplasty varies between 0-23%. In most cases, only small fragments embolize in the pulmonary arteries or the right heart cavities. The latter can cause potential harm by right ventricular perforation. Case summary A 57-year-old patient was admitted to our department of cardiology due to exertional dyspnoea and chest pain. In the course of further diagnostic tests a huge cement embolus was accidentally discovered in the right ventricle. The unusual size and length and the threat of ventricular perforation make this case so unique. Discussion Large cement embolisms in kyphoplasty settings are possible and associated with the risk of fulminant complications.

scholarly journals Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Girolamo Geraci ◽  
Giorgio Lo Iacono ◽  
Chiara Lo Nigro ◽  
Fabio Cannizzaro ◽  
Massimo Cajozzo ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Case Report ◽  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Correct Diagnosis ◽  
Cement Leakage ◽  
Close Monitoring ◽  
Cement Embolism ◽  
Malignant Lesions ◽  
Vertebral Bodies

Introduction. Acrylic cement pulmonary embolism is a potentially serious complication following vertebroplasty.Case Report. A 70-year-old male patient was treated with percutaneous vertebroplasty for osteoporotic nontraumatic vertebral collapse of L5-S1. Asymptomatic pulmonary cement embolism was detected on routine postoperative chest radiogram and the patient was treated with enoxaparin, amoxicillin, and dexamethasone. At the followup CT scan no further migration of any cement material was reported; and the course was uneventful.Discussion. The frequency of local leakage of bone cement is relatively high (about 80–90%), moreover, the rate of cement leakage into the perivertebral veins (seen in up to 24% of vertebral bodies treated) with consequent pulmonary cement embolism varies from 4.6 to 6.8% (up to 26% in radiologic studies); the risk of embolism is increased with the liquid consistency of the cement and with the treatment of some malignant lesions. Patients may remain asymptomatic and develop no known long-term sequelae.Conclusions. Our ancedotal case illustrates the need for close monitoring of patients undergoing percutaneous vertebroplasty and emphasizes the importance of prompt and correct diagnosis and treatment, even if actually there is no agreement regarding the therapeutic strategy.

scholarly journals Bedside echocardiography for diagnosis of Intracardiac cement embolism after percutaneous vertebroplasty: A case report

2021 ◽  
Author(s):  
Panpan Yin ◽  
Junli Hu ◽  
Shaochun Wang ◽  
Guiling Sui ◽  
Guozhen Yuan ◽  
...  
Keyword(s):  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Pulmonary Arteries ◽  
High Density ◽  
History Of Surgery ◽  
Right Heart ◽  
Bedside Echocardiography ◽  
Cement Embolism ◽  
History Of ◽  
The Right

Abstract The purpose of this paper is to report a case diagnosed by bedside echocardiography in which bone cement infiltrated into the paravertebral vein system after percutaneous vertebroplasty (PVP) and caused intracardiac cement embolism (ICE). A 79-year-old female patient had suddenly become unconscious 14 hours after PVP. Emergency bedside echocardiogram showed that the patient had a strong echo in the right heart with a small amount of pericardial effusion, suspected of causing cardiogenic shock. Computed tomography (CT) showed high density in the distal branches of both pulmonary arteries and a high density in the right heart.Combined with the history of surgery, the clinician considers the foreign body as bone cement and the diagnosis was ICE. The bone cement in the heart was removed under emergency cardiopulmonary bypass. The patient recovered and was discharged smoothly.

Pathological Fractures from Craniocervical Polyostotic Fibrous Dysplasia Treated with Percutaneous Vertebroplasty: Case Report

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
Mirza Baig ◽  
David Dang ◽  
Gregory Christoforidis ◽  
Antonio Chiocca ◽  
Gabriel Josue
Keyword(s):  
Case Report ◽  
Fibrous Dysplasia ◽  
Percutaneous Vertebroplasty ◽  
Polyostotic Fibrous Dysplasia ◽  
Pathological Fractures

scholarly journals P686 Right atrial, right ventricular and pulmonary cement embolism: a rare complication of percutaneous vertebroplasty

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Akhunova ◽  
R Khayrullin ◽  
N Stekolshchikova ◽  
M Samigullin ◽  
V Padiryakov
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricle ◽  
Right Atrium ◽  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Clinical Manifestations ◽  
Stable Condition ◽  
Right Atrial ◽  
Cement Embolism ◽  
The Right

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.

Pulmonary Cement Embolism Following Percutaneous Vertebroplasty

CHEST Journal ◽  
2004 ◽  
Vol 126 (4) ◽  
pp. 956S
Author(s):  
Jaime Simon Grahe ◽  
Larry Casey ◽  
Gregory White
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Cement Embolism

Root Injury after Percutaneous Vertebroplasty in Compression Fracture - Case Report -

2001 ◽  
Vol 8 (2) ◽  
pp. 181 ◽  
Author(s):  
Ki-Tack Kim ◽  
Kyung-Soo Suk ◽  
Jin-Moon Kim ◽  
Kyung-Chan Park
Keyword(s):  
Case Report ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Root Injury

scholarly journals Percutaneous vertebroplasty at C7 for the treatment of painful metastases -A case report-

2013 ◽  
Vol 64 (3) ◽  
pp. 276 ◽  
Author(s):  
Sung-Suk Seo ◽  
Dong-Heon Lee ◽  
Hae-Jin Kim ◽  
Ji-Wook Yoon ◽  
Oh-Sun Kwon ◽  
...  
Keyword(s):  
Case Report ◽  
Percutaneous Vertebroplasty
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