scholarly journals Cardiac Perforation Caused by Cement Embolism after Percutaneous Vertebroplasty: A Report of Two Cases

2022 ◽  
Author(s):  
Yi Zhang ◽  
Xinmei Liu ◽  
Hongsheng Liu
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Cardiac Perforation ◽  
Cement Embolism

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

Pulmonary cement embolism: a complication of percutaneous vertebroplasty

2007 ◽  
Vol 48 (8) ◽  
pp. 854-859 ◽  
Author(s):  
C. Duran ◽  
M. Sirvanci ◽  
M. Aydoğan ◽  
E. Ozturk ◽  
C. Ozturk ◽  
...  
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Imaging Finding ◽  
Early Stage ◽  
Chest Radiographs ◽  
Vertebral Compression Fractures ◽  
Common Procedure ◽  
Compression Fractures ◽  
Branching Patterns ◽  
Cement Embolism

Background: Percutaneous vertebroplasty (PV) has recently become a very common procedure for vertebral compression fractures. Extravasation of cement, a common event associated with vertebroplasty, may lead to cement emboli in the lungs. Purpose: To determine the frequency of pulmonary cement embolism after percutaneous vertebroplasty. Material and Methods: Between 2002 and 2006, 128 percutaneous vertebroplasties were performed in 73 patients (56 women and 17 men) in our institution. Postprocedural chest radiographs were obtained for all patients and assessed for the presence of pulmonary cement emboli. Results: Pulmonary cement embolism was detected on chest radiographs and confirmed with chest computed tomography (CT) in four patients treated with percutaneous vertebroplasty for osteoporotic collapse and one patient treated for multiple myeloma. The imaging finding of pulmonary cement embolism was solitary or multiple fine radiodense lines with occasional branching patterns. The frequency of pulmonary cement embolism was 6.8%. Conclusion: An incidence of pulmonary cement embolism of 6.8% during PV was found. Close clinical follow-up, postprocedural chest radiographs, and chest CT scans, if necessary, are important for the detection of pulmonary cement embolism at an early stage.

scholarly journals Successful surgical treatment of intracardiac bone cement embolism after vertebroplasty of the L2 vertebral body

2020 ◽  
Vol 8 (4S) ◽  
pp. 130-134
Author(s):  
N. I. Zagorodnikov ◽  
I. K. Halivopulo ◽  
A. V. Sotnikov ◽  
E. I. Ardasheva
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Treatment ◽  
Bone Cement ◽  
Vertebral Body ◽  
Percutaneous Vertebroplasty ◽  
Treatment Options ◽  
Cord Injury ◽  
Cement Embolism ◽  
Bone Cement Embolism

Percutaneous Vertebroplasty (PVP) is the minimally invasive radiological procedure consisting in the transdermal injection of bone cement into the damaged vertebral body. PVP performing has a high risk of complications including vascular embolism which has value from 3.5 to 30 %. There is an example of cardioembolism with bone cement as a result of PVP complication after surgical treatment of a patient with a spinal cord injury after ancar accident and the successful extraction of this embolus is given in this clinical case.The authors describe the approaches to this problem, including the diagnosis of the condition and treatment options.

scholarly journals Glue masquerading as a catheter: Retrieval of embolized vertebroplasty cement

2018 ◽  
Vol 5 (3) ◽  
pp. 14
Author(s):  
Meena Rohini Narayanan ◽  
Ray Matthews
Keyword(s):  
Foreign Body ◽  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Optimal Management ◽  
Common Complication ◽  
Imaging Characteristics ◽  
Cement Embolism ◽  
Endovascular Approach

Identification of foreign body objects may be difficult based on imaging characteristics. History is essential to making a diagnosis. Cement leakage is a common complication of percutaneous vertebroplasty and the optimal management for cement embolism remains unknown. This report presents a case of a 72-year-old female with asymptomatic pulmonary cement embolism, which was partially retrieved via a percutaneous endovascular approach.

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