Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Stricker, K; Orler, R; Yen, K; Takala, J; Luginbühl, M.
Severe hypercapnia due to pulmonary embolism of polymethylmethacrylate during vertebroplasty.
Anesth Analg. 2004; 98(4):1184-1186
Doi: 10.1213/01.ANE.0000104585.83801.C5
(- Case Report)
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- Yen Kathrin
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- Abstract:
- Pulmonary polymethylmethacrylate embolism is a rare but potentially fatal complication of percutaneous vertebroplasty. Clinical signs are typical for pulmonary embolism: they include respiratory distress, hypotension, and decreases in end-tidal CO(2). We report a case of fatal pulmonary polymethylmethacrylate embolism during percutaneous vertebroplasty that initially presented with hypertension (arterial blood pressure 190/90 mm Hg), normocardia, and hypercapnia (PaCO(2) 96 mm Hg), along with loss of consciousness. Several pieces of polymethylmethacrylate were found in the pulmonary vasculature at autopsy. IMPLICATIONS: Osteoporotic spine fractures are increasingly treated by injection of bone cement into the vertebral body. Polymethylmethacrylate embolism is a rare but potentially fatal complication. We report on a case of polymethylmethacrylate embolism that was at first unrecognized because of uncharacteristic signs and symptoms.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Bone Cements - adverse effects
- Echocardiography - adverse effects
- Fatal Outcome - adverse effects
- Female - adverse effects
- Humans - adverse effects
- Hypercapnia - etiology
- Lumbar Vertebrae - surgery
- Osteoporosis - complications
- Polymethyl Methacrylate - adverse effects
- Pulmonary Embolism - complications
- Spinal Fractures - surgery