Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

Cement Pulmonary Embolism Due to Percutaneous Vertebroplasty

Author(s): Ali Zohra and Ugur Gonlugur*

Volume 17, Issue 4, 2021

Published on: 23 September, 2020

Page: [559 - 561] Pages: 3

DOI: 10.2174/1573405616666200923161922

Price: $65

Abstract

Background: Bone cement is an uncommon cause of foreign-body pulmonary embolism.

Case Presentation: A 65-year-old woman with wheeze presented with multiple linear opacities with bone density on chest x-ray. She reported percutaneous vertebroplasty 4 months prior. Non-- contrast chest computerized tomography showed peripheral cement emboli in the pulmonary arteries. The patient received conservative treatment.

Conclusion: Clinicians should be aware of this potential complication following vertebroplasty. It is necessary to perform a chest x-ray after the procedure.

Keywords: Vertebroplasty, pulmonary embolism, polymethyl methacrylate, foreign bodies, bone cements, prognosis.

Graphical Abstract

[1]
Rahimi B, Boroofeh B, Dinparastisaleh R, Nazifi H. Cement pulmonary embolism after percutaneous vertebroplasty in a patient with cushing’s syndrome: A case report. Respir Med Case Rep 2018; 25: 78-85.
[http://dx.doi.org/10.1016/j.rmcr.2018.06.009] [PMID: 30073141]
[2]
D’Errico S, Niballi S, Bonuccelli D. Fatal cardiac perforation and pulmonary embolism of leaked cement after percutaneous vertebroplasty. J Forensic Leg Med 2019; 63: 48-51.
[http://dx.doi.org/10.1016/j.jflm.2019.03.004] [PMID: 30861473]
[3]
Becker LC, Bergfeld WF, Belsito DV, et al. Final report of the Cosmetic Ingredient Review Expert Panel safety assessment of polymethyl methacrylate (PMMA), methyl methacrylate crosspolymer, and methyl methacrylate/glycol dimethacrylate crosspolymer. Int J Toxicol 2011; 30(Suppl 3): 54S-65S.
[http://dx.doi.org/10.1177/1091581811407352] [PMID: 21772027]
[4]
Venmans A, Klazen CA, Lohle PN, et al. Percutaneous vertebroplasty and pulmonary cement embolism: results from VERTOS II. AJNR Am J Neuroradiol 2010; 31(8): 1451-3.
[http://dx.doi.org/10.3174/ajnr.A2127] [PMID: 20488908]
[5]
Prokop A, Hägele M, Pfeilsticker U, Koll S, Chmielnicki M. [Pericardial perforation 2.5 years after kyphoplasty. A rare complication after cement extravasation]. Unfallchirurg 2013; 116(1): 80-4.
[http://dx.doi.org/10.1007/s00113-011-2136-1] [PMID: 22367516]
[6]
Fadili Hassani S, Cormier E, Shotar E, et al. Intracardiac cement embolism during percutaneous vertebroplasty: incidence, risk factors and clinical management. Eur Radiol 2019; 29(2): 663-73.
[http://dx.doi.org/10.1007/s00330-018-5647-0] [PMID: 30054794]
[7]
Blinc A, Bozic M, Vengust R, Stegnar M. Methyl-methacrylate bone cement surface does not promote platelet aggregation or plasma coagulation in vitro. Thromb Res 2004; 114(3): 179-84.
[http://dx.doi.org/10.1016/j.thromres.2004.05.010] [PMID: 15342214]
[8]
Jang EC, Ryu W, Woo SY, et al. Diagnosis of pulmonary cement embolism using only the bone window setting on computed tomography: a case report. J Int Med Res 2020; 48(5): 300060520926005.
[http://dx.doi.org/10.1177/0300060520926005] [PMID: 32466703]
[9]
Adu-Gyamfi KO, Patri S. Symptomatic cardiopulmonary cement embolism following vertebroplasty. BMJ Case Rep 2019; 12(7): e230603.
[http://dx.doi.org/10.1136/bcr-2019-230603] [PMID: 31311789]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy