Pulmonary embolism caused by acrylic cement: a rare complication of percutaneous vertebroplasty.
A pulmonary embolus of acrylic cement was present in a 41-year-old woman with Langerhans' cell vertebral histiocytosis (LCH) after percutaneous vertebroplasty. Chest radiograph and CT confirmed pulmonary infarction and the presence of cement in the pulmonary arteries. She was treated with anticoagulants, and responded favorably. This rare complication occurred because perivertebral venous migration was not recognized during vertebroplasty. Adequate preparation of cement and biplane fluoroscopy are recommended for vertebroplasty.
Padovani
B
B
Department of Radiology, Hôpital Pasteur, Nice, France.
Kasriel
O
O
Brunner
P
P
Peretti-Viton
P
P
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001843:Bone Cements / Q000009:adverse effects*; D005260:Female; D005471:Fluoroscopy; D005548:Foreign-Body Migration / Q000209:etiology; D006646:Histiocytosis, Langerhans-Cell / Q000628:therapy*; D006801:Humans; D008159:Lumbar Vertebrae / Q000098:blood supply / Q000473:pathology*; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D015641:Radiography, Interventional; D013122:Spinal Diseases / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014680:Veins; D014682:Vena Cava, Inferior
D000925:Anticoagulants; D001843:Bone Cements; D019904:Polymethyl Methacrylate