Methacrylate embolism after percutaneous vertebroplasty. Can we improve patient safety?
Abstract
A case of pulmonary embolism is presented after vertebroplasty, performed for a vertebral fracture due to osteoporosis. Embolism was confirmed by complementary methods. Attention to respiratory symptoms and a chest x-ray after vertobroplasty are suggested in order to improve patient safety after the procedure.References
I. Ordieres-Ortega L, Demelo-Rodríguez P, García Fernández-Bravo I, Del Toro-Cervera J. Methacrylate pulmonary embolism after percutaneous vertebroplasty. Blood Res 2018 Sep;53(3):186. doi: 10.5045/br.2018.53.3.186.
II. Focardi M, Bonelli A, Pinchi V, De Luca F, Norelli GA. Pulmonary cement embolism after kyphoplasty. J Forensic Sci 2016 Jan;61 Suppl 1:S252-5. doi: 10.1111/1556-4029.12957.
III. Habib N, Maniatis T, Ahmed S, Kilkenny T, Alkaied H, Elsayegh D, Chalhoub M, Harris K. Cement pulmonary embolism after percutaneous vertebroplasty and kyphoplasty: an overview. Heart Lung 2012 Sep-Oct;41(5):509-11. doi: 10.1016/j.hrtlng.2012.02.008.
IV. Constant C, Stroncek JD, Zeiter S, Arens D, Nehrbass D, Gehweiler D, Menzel U, Benneker LM, Hill RS, Albers CE. Venous injection of a triphasic calcium-based implant in a sheep model of pulmonary embolism demonstrates minimal acute systemic effects. Eur Spine J. 2022 Oct;31(10):2812-2821. doi: 10.1007/s00586-022-07303-x.
V. Weininger G, Elefteriades JA. Intracardiac cement embolism. N Engl J Med 2021 Oct 7;385(15):e49. doi: 10.1056/NEJMicm2032931.
VI. Setty AA, Gimarc DC, Abrahams B, Ho CK. Asymptomatic intracardiac cement embolism following kyphoplasty. Cureus 2023 May 8;15(5):e38735. doi: 10.7759/cureus.38735.
Copyright (c) 2024 on behalf of the authors. Reproduction rights: Argentine Society of Rheumatology
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.