Cement Pulmonary Embolism After Percutaneous Vertebral Augmentation in a Patient With Pathologic Lumbar Fracture From Metastatic Breast Cancer

The role of percutaneous vertebral augmentation in patients with metastatic breast cancer: Literature review including report of two cases

“…In addition, there are case reports that describe cement leakage after PVP or PKP, including some case reports of patients with metastatic breast cancer that are shown in Table 4 [10][11][12][13][14][15][16][17]. Most patients had no symptoms of cement leakage and were diagnosed incidentally based on imaging [11,12,[15][16][17].…”

“…In addition, there are case reports that describe cement leakage after PVP or PKP, including some case reports of patients with metastatic breast cancer that are shown in Table 4 [10][11][12][13][14][15][16][17]. Most patients had no symptoms of cement leakage and were diagnosed incidentally based on imaging [11,12,[15][16][17]. In three cases, the patients had symptoms including neurologic deficits and respiratory symptoms; two were treated with surgical decompression and angioplasty for neurologic complications, and two received anticoagulation with aspirin, clopidogrel, IV heparin [10,13,14].…”

“…Similarly, bone cement can depoosit in other locations, such as the renal vasculature. There are case reports of patients with metastatic malignancy who experienced cement emboli after PVP or PKP, but few reports provide long-term follow-up [10][11][12][13][14][15][16][17]. This review discusses the goals of percutaneous vertebral augmentation in patients with cancer, including indications, contraindications, techniques and potential complications.…”