title: Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate cement.
abstract: Percutaneous vertebroplasty is a widely used treatment for vertebral compression fracture. It is relatively safe, but it can be complicated by pulmonary or cerebral embolism caused by the cement injected during the procedure. Here, we present a case of a 69-year-old male with extensive deep vein thrombosis from the inferior vena cava to the right iliac and left femoral veins, which occurred 10 months after vertebroplasty. He was treated successfully by catheter-directed thrombolysis, angioplasty, and stenting. To the best of our knowledge, this is the first report of the successful treatment of delayed thrombosis caused by migrated cement inside the inferior vena cava.
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Suh Min
authors.initials: SM
authors.lastname: Kim
authors.forename: Seung-Kee
authors.initials: SK
authors.lastname: Min
authors.forename: Hwan Jun
authors.initials: HJ
authors.lastname: Jae
authors.forename: Sang-Il
authors.initials: SI
authors.lastname: Min
authors.forename: Jongwon
authors.initials: J
authors.lastname: Ha
authors.forename: Sang Joon
authors.initials: SJ
authors.lastname: Kim
mesh_terms: D000368:Aged; D017130:Angioplasty; D001843:Bone Cements / Q000009:adverse effects; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries; D008297:Male; D019904:Polymethyl Methacrylate / Q000009:adverse effects; D016103:Spinal Fractures / Q000628:therapy; D015607:Stents; D015912:Thrombolytic Therapy; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D054854:Vertebroplasty / Q000009:adverse effects*
chemical_list: D001843:Bone Cements; D019904:Polymethyl Methacrylate