Pulmonary embolism caused by polymethylmethacrylate during percutaneous vertebroplasty in orthopaedic surgery.
Vertebroplasty consists of percutaneous injection of acrylic cement--polymethylmethacrylate (PMMA)--into a partially collapsed vertebral body in order to obtain pain relief and augment mechanical stability of the vertebral body. Although vertebroplasty is an efficient treatment it is not free of complications. Our present case report describes a woman with pulmonary polymethylmethacrylate embolism during percutaneous vertebroplasty who presented with hypotension, arrhythmia and hypocapnia.
Freitag
M
M
Department of Anaesthesiology, University Medical Centre, Hamburg-Eppendorf, Hamburg, Germany. freitag@uke.uni-hamburg.de
Gottschalk
A
A
Schuster
M
M
Wenk
W
W
Wiesner
L
L
Standl
T G
TG
D000925:Anticoagulants / Q000008:administration & dosage; D001145:Arrhythmias, Cardiac / Q000139:chemically induced; D001843:Bone Cements / Q000009:adverse effects*; D005260:Female; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D016857:Hypocapnia / Q000139:chemically induced; D007022:Hypotension / Q000139:chemically induced; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D013902:Radiography, Thoracic / Q000379:methods; D016103:Spinal Fractures / Q000601:surgery; D013131:Spine / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods
D000925:Anticoagulants; D001843:Bone Cements; D006493:Heparin; D019904:Polymethyl Methacrylate