Aortic embolism of cement: a rare complication of lumbar percutaneous vertebroplasty

2007 ◽  
Vol 36 (7) ◽  
pp. 685-687 ◽  
Author(s):  
Nicolas Amoretti ◽  
Istvan Hovorka ◽  
Pierre-Yves Marcy ◽  
Anne Grimaud ◽  
Philippe Brunner ◽  
...  
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Aortic 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.

scholarly journals Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Guido Zarattini ◽  
Adam Farrier ◽  
Federico Sibona
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Cement Leakage ◽  
Clonic Seizure ◽  
Tonic Clonic Seizure ◽  
Leg Pain ◽  
Compression Fractures ◽  
First Case ◽  
Seizure Syndrome ◽  
Osteoporotic Compression Fractures

Background Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty.Purpose. We herein report the first case of ascending tonic clonic seizure syndrome following epidural cement leakage after percutaneous vertebroplasty in a patient with multiple osteoporotic compression fractures.Study Design. Case report.Methods. A 64-year-old woman with T8, T10, L2, and L4 osteoporotic compression fractures underwent percutaneous vertebroplasty using polymethylmethacrylate. 40 minutes after the procedure the patient started suffering back and leg pain, having repetitive myoclonic jerks lasting 15 seconds of the lower extremities, spasm of the back, dyspnea, sinus tachycardia, hypoxemia, and metabolic acidosis.Results. The patient recovered completely due to a combination of early effective resuscitation and considered definitive management.Conclusions. Percutaneous vertebroplasty with polymethylmethacrylate is relatively safe but has few dangerous complications, which should be prevented by a meticulous technique and excellent image quality.

scholarly journals Late onset sciatalgia as a rare complication of percutaneous vertebroplasty; a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 7960 ◽  
Author(s):  
Farzad Omidi-Kashani ◽  
Mohamadhosein Ebrahimzadeh ◽  
Mohamadtaghi Peivandy
Keyword(s):  
Case Report ◽  
Percutaneous Vertebroplasty ◽  
Late Onset ◽  
Rare Complication

Intradural cement leakage: a rare complication of percutaneous vertebroplasty

2008 ◽  
Vol 150 (8) ◽  
pp. 811-815 ◽  
Author(s):  
H. Sabuncuoğlu ◽  
D. Dinçer ◽  
B. Güçlü ◽  
E. Erdoğan ◽  
H. G. Hatipoğlu ◽  
...  
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Cement Leakage

Cardiac Perforation Caused by Acrylic Cement: A Rare Complication of Percutaneous Vertebroplasty

2005 ◽  
Vol 185 (5) ◽  
pp. 1245-1247 ◽  
Author(s):  
So Yeon Kim ◽  
Joon Beom Seo ◽  
Kyung-Hyun Do ◽  
Jin Seong Lee ◽  
Koun-Sik Song ◽  
...  
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Cardiac Perforation ◽  
Acrylic Cement

scholarly journals A sword-like foreign body lodged in the ventricular septum: a rare complication of percutaneous vertebroplasty

2009 ◽  
Vol 31 (8) ◽  
pp. 1006-1006 ◽  
Author(s):  
Mi-Na Kim ◽  
Jae-Seung Jung ◽  
Sun-Won Kim ◽  
Yong-Hyun Kim ◽  
Seong-Mi Park ◽  
...  
Keyword(s):  
Foreign Body ◽  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Ventricular Septum

scholarly journals Acute nontraumatic subdural intracranial hematoma: rare complication of percutaneous vertebroplasty

2017 ◽  
Vol 0 (2) ◽  
pp. 57-60
Author(s):  
Elbek S. Halikulov ◽  
Kamaliddin N. Jumanov ◽  
Eduard S. Juraev
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Intracranial Hematoma

scholarly journals Percutaneous Vertebroplasty-Induced Adjacent Vertebral Compression Fracture

2012 ◽  
Vol 4;15 (4;8) ◽  
pp. E527-E532
Author(s):  
Ki Seong Eom
Keyword(s):  
Case Report ◽  
Vertebral Body ◽  
Vertebral Compression Fracture ◽  
Percutaneous Vertebroplasty ◽  
Single Case ◽  
Rare Complication ◽  
Compression Fracture ◽  
Fracture Line ◽  
Compression Fractures ◽  
First Case

Background: The risks associated with percutaneous vertebroplasty (PV) are low. Patients show marked improvement and are able to rapidly resume normal activities after PV. The sudden development of postoperative vertebral compression fracture (VCF) is a common complication, and additional PV is frequently performed in these cases. However, there have been no studies reporting acute compression fractures of an adjacent vertebra immediately after PV. Objective: This case report presents a rare case in which the patient had to undergo a second PV because of PV-induced adjacent VCF. Further, we review previous studies and discuss the possible pathogenesis of this rare complication. Study Design: Case report. Setting: Pain management clinic. Methods: A 62-year-old woman presented with a severe pain in the lower back, which started after she slipped. A radiograph showed severe vertebral collapse with a vertebral vacuum cleft in the T12 vertebral body. T1-weighted magnetic resonance imaging showed low signal intensity in T12, suggesting acute VCF, but the signals from the other vertebrae were normal. Results: The patient underwent PV at T12. When the cannula was inserted into the fracture line of the vertebral body, reduction of the collapsed T12 was developed. Although the postoperative course was uneventful, the patient’s pain did not resolve. Postoperative radiographic image obtained 4 hours after the PV showed reduction of T12 and adjacent acute VCF in T11. We performed a second PV at T11. However, 2 weeks later, adjacent acute VCF in L1 was developed and PV was performed. Limitations: This report describes a single case. Conclusion: To the best of our knowledge, this is the first case report of adjacent VCF that developed almost immediately after PV. Although the exact mechanism underlying this rare complication remains unclear, we assume that the VCF was induced by PV, although this was not proven. However, we suggest that the insertion of the cannula into the fracture line induced the iatrogenic dynamic mobility of the fractured vertebra. Reduction was caused by the cannula and positional gravity. The upward reduction may have had an effect on the upper and adjacent vertebrae. Key words: Compression fractures, vertebroplasty, cannula, complication.

Abstract #176: Myonecrosis: A Rare Complication of Diabetes

2006 ◽  
Vol 12 ◽  
pp. 11-12
Author(s):  
Lalitha Darbha ◽  
Howard Sweeney
Keyword(s):  
Rare Complication
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