Surgical retrieval pulmonary and inferior vena cava embolism caused by cement leakage after percutaneous vertebroplasty : case report and literature review

Osteoporotic vertebral fracture is becoming increasingly risk factor of the aging population. Percutaneous vertebroplasty is a widely used treatment for the vertebral fracture. However this procedure may carry complication about cement leakage. Here we report a case of a 66-year-old woman who had developed the inferior vena cava and pulmonary embolism after PVP with bone cement leakage. This patient subsequently underwent a combination surgery to remove the embolus. This case discussed the therapeutic methods to treat pulmonary cement embolism.

[1]  A. Shah,et al.  Right ventricular perforation and pulmonary embolism with polymethylmethacrylate cement after percutaneous kyphoplasty. , 2013, Circulation.

[2]  Liang Chen,et al.  Pulmonary Cement Embolism Associated with Percutaneous Vertebroplasty or Kyphoplasty: A Systematic Review , 2012, Orthopaedic surgery.

[3]  W. Klepetko,et al.  Removal of a large cement embolus from the right pulmonary artery 4 years after kyphoplasty: consideration of thrombogenicity. , 2012, The Journal of thoracic and cardiovascular surgery.

[4]  J. de Vries,et al.  Percutaneous Vertebroplasty and Pulmonary Cement Embolism: Results from VERTOS II , 2010, American Journal of Neuroradiology.

[5]  James W Choi,et al.  Successful percutaneous retrieval of methyl methacrylate orthopedic cement embolism from the pulmonary artery , 2010, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[6]  Paul John Clark,et al.  Prevention of cardiopulmonary embolization of polymethylmethacrylate cement fragment after kyphoplasty with insertion of inferior vena cava filter. , 2010, Journal of vascular surgery.

[7]  S. Ruchholtz,et al.  Management of pulmonary cement embolism after percutaneous vertebroplasty and kyphoplasty: a systematic review of the literature , 2009, European Spine Journal.

[8]  Heung Sik Kang,et al.  Pulmonary cement embolism after percutaneous vertebroplasty in osteoporotic vertebral compression fractures: incidence, characteristics, and risk factors. , 2009, Radiology.

[9]  M Freitag,et al.  Pulmonary embolism caused by polymethylmethacrylate during percutaneous vertebroplasty in orthopaedic surgery , 2006, Acta anaesthesiologica Scandinavica.

[10]  Seongtae Jeong,et al.  Acute Respiratory Distress Syndrome Associated With Pulmonary Cement Embolism Following Percutaneous Vertebroplasty With Polymethylmethacrylate , 2004, Spine.

[11]  J. Takala,et al.  Severe Hypercapnia Due to Pulmonary Embolism of Polymethylmethacrylate During Vertebroplasty , 2004, Anesthesia and analgesia.

[12]  Y. Taeymans,et al.  Successful management of a large pulmonary cement embolus after percutaneous vertebroplasty: a case report. , 2003, Spine.

[13]  N. Beauchamp,et al.  Is percutaneous vertebroplasty without pretreatment venography safe? Evaluation of 205 consecutives procedures. , 2002, AJNR. American journal of neuroradiology.

[14]  W. Hayes,et al.  An evidence-based evaluation of percutaneous vertebroplasty. , 2000, Managed care.