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Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review

Introduction. Acrylic cement pulmonary embolism is a potentially serious complication following vertebroplasty. Case Report. A 70-year-old male patient was treated with percutaneous vertebroplasty for osteoporotic nontraumatic vertebral collapse of L5-S1. Asymptomatic pulmonary cement embolism was d...

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Autores principales: Geraci, Girolamo, Lo Iacono, Giorgio, Lo Nigro, Chiara, Cannizzaro, Fabio, Cajozzo, Massimo, Modica, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662203/
https://www.ncbi.nlm.nih.gov/pubmed/23738182
http://dx.doi.org/10.1155/2013/591432
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author Geraci, Girolamo
Lo Iacono, Giorgio
Lo Nigro, Chiara
Cannizzaro, Fabio
Cajozzo, Massimo
Modica, Giuseppe
author_facet Geraci, Girolamo
Lo Iacono, Giorgio
Lo Nigro, Chiara
Cannizzaro, Fabio
Cajozzo, Massimo
Modica, Giuseppe
author_sort Geraci, Girolamo
collection PubMed
description Introduction. Acrylic cement pulmonary embolism is a potentially serious complication following vertebroplasty. Case Report. A 70-year-old male patient was treated with percutaneous vertebroplasty for osteoporotic nontraumatic vertebral collapse of L5-S1. Asymptomatic pulmonary cement embolism was detected on routine postoperative chest radiogram and the patient was treated with enoxaparin, amoxicillin, and dexamethasone. At the followup CT scan no further migration of any cement material was reported; and the course was uneventful. Discussion. The frequency of local leakage of bone cement is relatively high (about 80–90%), moreover, the rate of cement leakage into the perivertebral veins (seen in up to 24% of vertebral bodies treated) with consequent pulmonary cement embolism varies from 4.6 to 6.8% (up to 26% in radiologic studies); the risk of embolism is increased with the liquid consistency of the cement and with the treatment of some malignant lesions. Patients may remain asymptomatic and develop no known long-term sequelae. Conclusions. Our ancedotal case illustrates the need for close monitoring of patients undergoing percutaneous vertebroplasty and emphasizes the importance of prompt and correct diagnosis and treatment, even if actually there is no agreement regarding the therapeutic strategy.
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spelling pubmed-36622032013-06-04 Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review Geraci, Girolamo Lo Iacono, Giorgio Lo Nigro, Chiara Cannizzaro, Fabio Cajozzo, Massimo Modica, Giuseppe Case Rep Surg Case Report Introduction. Acrylic cement pulmonary embolism is a potentially serious complication following vertebroplasty. Case Report. A 70-year-old male patient was treated with percutaneous vertebroplasty for osteoporotic nontraumatic vertebral collapse of L5-S1. Asymptomatic pulmonary cement embolism was detected on routine postoperative chest radiogram and the patient was treated with enoxaparin, amoxicillin, and dexamethasone. At the followup CT scan no further migration of any cement material was reported; and the course was uneventful. Discussion. The frequency of local leakage of bone cement is relatively high (about 80–90%), moreover, the rate of cement leakage into the perivertebral veins (seen in up to 24% of vertebral bodies treated) with consequent pulmonary cement embolism varies from 4.6 to 6.8% (up to 26% in radiologic studies); the risk of embolism is increased with the liquid consistency of the cement and with the treatment of some malignant lesions. Patients may remain asymptomatic and develop no known long-term sequelae. Conclusions. Our ancedotal case illustrates the need for close monitoring of patients undergoing percutaneous vertebroplasty and emphasizes the importance of prompt and correct diagnosis and treatment, even if actually there is no agreement regarding the therapeutic strategy. Hindawi Publishing Corporation 2013 2013-05-07 /pmc/articles/PMC3662203/ /pubmed/23738182 http://dx.doi.org/10.1155/2013/591432 Text en Copyright © 2013 Girolamo Geraci et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Geraci, Girolamo
Lo Iacono, Giorgio
Lo Nigro, Chiara
Cannizzaro, Fabio
Cajozzo, Massimo
Modica, Giuseppe
Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review
title Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review
title_full Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review
title_fullStr Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review
title_full_unstemmed Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review
title_short Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review
title_sort asymptomatic bone cement pulmonary embolism after vertebroplasty: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662203/
https://www.ncbi.nlm.nih.gov/pubmed/23738182
http://dx.doi.org/10.1155/2013/591432
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