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Baumann, A; Tauss, J; Baumann, G; Tomka, M; Hessinger, M; Tiesenhausen, K.
Cement embolization into the vena cava and pulmonal arteries after vertebroplasty: interdisciplinary management.
EUR J VASC ENDOVASC SURG. 2006; 31(5): 558-561. Doi: 10.1016/j.ejvs.2005.11.008 (- Case Report) [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Baumann Anneliese
Co-Autor*innen der Med Uni Graz
Tiesenhausen Kurt
Tomka Maurice
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Abstract:
PURPOSE: To report interdisciplinary management in a case of cement embolization into the inferior vena cava and peripheral pulmonary arteries after percutaneous vertebroplasty. CASE REPORT: A 50-year-old female patient with an osteoporotic compression fracture of the second lumbar vertebra underwent percutaneous vertebroplasty with polymethylmetaacrylate. Thereafter, CT scanning revealed small asymptomatic cement emboli in peripheral pulmonary arteries, along with a hook-shaped cement fragment in the inferior vena cava. Due to the risk that the large cement fragment could migrate to the pulmonary arteries and cause serious complications, they were retrieved from the inferior vena cava by an endovascular technique and extracted through a surgical groin incision. The patient received anticoagulant treatment for 3 months and is free of complaints after 1 year. CONCLUSION: This case shows that this rare complication following vertebroplasty can be successfully managed with an interdisciplinary approach.
Find related publications in this database (using NLM MeSH Indexing)
Bone Cements -
Embolism - diagnosis
Female - diagnosis
Humans - diagnosis
Lumbar Vertebrae - injuries
Middle Aged - injuries
Polymethyl Methacrylate - injuries
Postoperative Complications - injuries
Spinal Fractures - surgery
Vena Cava, Inferior - surgery

Find related publications in this database (Keywords)
vertebroplasty
cement embolization
vella cava
endovascular
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