Pulmonary Embolism Caused by Cement Leakage during Percutaneous Vertebroplasty

Abstract

Percutaneous vertebroplasty (PV) is considered a minimally invasive procedure, yet cement leakage into the circulation may result in serious complications. Here, we are reporting a case of pulmonary embolism following PV for treatment of osteoporotic compression vertebral fracture.

Successful Percutaneous Retrieval of a Large Pulmonary Cement Embolus Caused by Cement Leakage During Percutaneous Vertebroplasty

“…[8][9][10] In addition, most reported PCEs were detected postoperatively 7 , 10 , 11 ; only 3 were detected on intraoperative fl uoroscopy during PVP. [12][13][14] Here, we report a case of real-time detection of a large cement embolus as it developed and migrated into the pulmonary vasculature via the inferior vena cava (IVC) under dynamic fl uoroscopic monitoring. Then, percutaneous endovascular retrieval of the pulmonary cement fragments was undertaken successfully using an interventional catheter procedure.…”