Cement pulmonary embolism after vertebroplasty

被引：16

作者：

Sifuentes Giraldo, Walter Alberto ^{[1
]}

Lamua Riazuelo, Jose Ramon ^{[1
]}

Gallego Rivera, Jose Ignacio ^{[2
]}

Vazquez Diaz, Monica ^{[1
]}

机构：

[1] Hosp Univ Ramon & Cajal, Serv Reumatol, Madrid, Spain

[2] Hosp Univ Ramon & Cajal, Serv Radiodiag, Madrid, Spain

来源：

REUMATOLOGIA CLINICA | 2013年 / 9卷 / 04期

关键词：

Osteoporosis; Vertebral compression fracture; Vertebroplasty; Cement pulmonary embolism;

D O I：

10.1016/j.reuma.2012.07.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In recent years, the use of vertebral cementing techniques for vertebroplasty and kyphoplasty has spread for the treatment of pain associated with osteoporotic vertebral compression fractures. This is also associated with the increased incidence of complications related with these procedures, the most frequent being originated by leakage of cementation material. Cement can escape into the vertebral venous system and reach the pulmonary circulation through the azygous system and cava vein, producing a cement embolism. This is a frequent complication, occurring in up to 26% of patients undergoing vertebroplasty but, since most patients have no clinical or hemodynamical repercussion, this event usually goes unnoticed. However, some serious, and even fatal cases, have been reported. We report the case of a 74-year-old male patient who underwent vertebroplasty for persistent pain associated with osteoporotic L3 vertebral fracture and who developed a cement leak into the cava vein and right pulmonary artery during the procedure. Although he developed a pulmonary cement embolism, the patient remained asymptomatic and did not present complications during follow-up. (C) 2012 Elsevier Espana, S.L. All rights reserved.

引用

页码：239 / 242

页数：4

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