title: Bone cement embolism attached to central venous catheter.
abstract: We report on a rare complication of poly(methyl methacrylate) (PMMA), injected into the spine, which then inadvertently leaked into the venous system. This resulted in an embolism of PMMA and produced a mass surrounding a triple lumen central venous catheter located in the superior vena cava. The catheter as well as the attached mass of PMMA was retrieved safely by cardiothoracic surgery. This case emphasizes the importance of prompt diagnosis and treatment and illustrates the need for close monitoring of patients undergoing any spinal surgery that includes vertebroplasty.
authors: Clinic for Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University Jena, Erlanger Allee 103, Jena 07747, Germany.
authors: W
authors: W
authors: Schummer
authors: O
authors: O
authors: Schlonski
authors: M
authors: M
authors: Breuer
mesh_terms: D001843:Bone Cements / Q000009:adverse effects*; D062905:Central Venous Catheters; D005260:Female; D006801:Humans; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000150:complications; D058866:Osteoporotic Fractures / Q000209:etiology / Q000601:surgery; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D016103:Spinal Fractures / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D054854:Vertebroplasty / Q000009:adverse effects* / Q000379:methods
chemical_list: D001843:Bone Cements; D019904:Polymethyl Methacrylate
keywords: bone cements; central venous catheters; complication; pulmonary embolism; shock; vertebroplasty