Successful surgical treatment of intracardiac bone cement embolism after vertebroplasty of the L2 vertebral body
https://doi.org/10.17802/2306-1278-2019-8-4S-130-134
Abstract
Percutaneous Vertebroplasty (PVP) is the minimally invasive radiological procedure consisting in the transdermal injection of bone cement into the damaged vertebral body. PVP performing has a high risk of complications including vascular embolism which has value from 3.5 to 30 %. There is an example of cardioembolism with bone cement as a result of PVP complication after surgical treatment of a patient with a spinal cord injury after ancar accident and the successful extraction of this embolus is given in this clinical case.The authors describe the approaches to this problem, including the diagnosis of the condition and treatment options.
About the Authors
N. I. Zagorodnikov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
650002, Kemerovo, 6, Sosonoviy Blvd.
Russian Federation
650002, Kemerovo, 6, Sosonoviy Blvd.
I. K. Halivopulo
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
6, Sosonoviy Blvd., Kemerovo, 650002
Russian Federation
6, Sosonoviy Blvd., Kemerovo, 650002
A. V. Sotnikov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
Sotnikov Anton V. - MD, cardiovascular surgeon at the Cardiac Surgery Department.
6, Sosonoviy Blvd., Kemerovo, 650002
E. I. Ardasheva
Federal State-Funded Educational Institution Kemerovo State Medical University of the Russian Federation
Russian Federation
22a, Voroshilov St., Kemerovo, 650029
Russian Federation
22a, Voroshilov St., Kemerovo, 650029
References
1. Manukovskij V.A., Vertebroplastika v lechenii patologii pozvonochnika. [dissertation] Sankt-Peterburg; 2009.
2. Bokov A.E., Mlyavykh S.G., Aleynik A.Y., Rasteryaeva M.V., Kutlaeva M.A. Pulmonary cement embolism after percutaneous vertebroplasty and transpedicular screw fixation with bone cement: potential risk factors. Hirurgiâ pozvonočnika (Spine Surgery). 2016;13(1):67-71. (In Russian.) https://doi.org/10.14531/ss2016.1.67-71
3. Astapenkov D.S. Complications of percutaneous vertebroplasty for pathologic. Hirurgiâ pozvonočnika (Spine Surgery). 2011;(2):012-018. (In Russian.) https://doi.org/10.14531/ss2011.2.12-18.
4. Rahimi B, Boroofeh B, Dinparastisaleh R, Nazifi H. Cement pulmonary embolism after percutaneous vertebroplasty in a patient with cushing's syndrome: A case report. Respir Med Case Rep. 2018;25:78-85. doi: 10.1016/j.rmcr.2018.06.009.
5. D'Errico S, Niballi S, Bonuccelli D. Fatal cardiac perforation and pulmonary embolism of leaked cement after percutaneous vertebroplasty. J Forensic Leg Med. 2019;63:48-51. doi: 10.1016/j.jflm.2019.03.004.
6. Siddiqui A, Goodarzi A, Majumdar T, Kaleekal T. A rare case of pulmonary cement embolism in a lung transplant patient. Respir Med Case Rep. 2018; 24: 63–64. doi: 10.1016/j.rmcr.2018.04.011
7. Shridhar P, Chen Y, Khalil R, Plakseychuk A, Cho SK, Tillman B6 Kumta PN, Chun Y A. Review of PMMA Bone Cement and Intra‐Cardiac Embolism. Materials. 2016;9(10):821. doi: 10.3390/ma9100821
8. Cianciulli T, Mc Loughlin D, Morita L, Saccheri M, Lax J. Bone cement cardiac and pulmonary embolism. Echocardiography. 2017;34(8):1239-1241. doi: 10.1111/echo.13580.
9. Yildizeli SO, Eryuksel E, Dede F, Balcan B, Ceyhan B. NonHealing Radiologic Images of Cement Pulmonary Embolism after Percutaneous Vertebroplasty. Journal of Clinical Case Studies. 2016;1(5). doi:10.16966/2471-4925.130
10. FadiliHassani S, Cormier E, Shotar E, Drir M, Spano JP, Morardet L. et al. Intracardiac cement embolism during percutaneous vertebroplasty: incidence, risk factors and clinical management. EurRadiol. 2018;29(2):663-673. doi: 10.1007/s00330-018-5647-0.
11. Ordieres Ortega L, Demelo-Rodríguez P, García FernándezBravo I, del Toro-Cervera J. Methacrylate pulmonary embolism after percutaneous vertebroplasty. Blood Res. 2018;53(3):186. doi: 10.5045/br.2018.53.3.186
12. Park J, Kim J, Lee Y, Gwon J, Park Y. Intra-cardiac Embolism of a Large Bone Cement Material after Percutaneous Vertebroplasty Removed through a Combination of an Endovascular Procedure and an Inferior Vena Cava Exploration: a Case Report. J Korean Med Sci. 2018;33(19). doi: 10.3346/jkms.2018.33.e141
Review
For citations:
Zagorodnikov N.I., Halivopulo I.K., Sotnikov A.V., Ardasheva E.I. Successful surgical treatment of intracardiac bone cement embolism after vertebroplasty of the L2 vertebral body. Complex Issues of Cardiovascular Diseases. 2019;8(4S):130-134. (In Russ.) https://doi.org/10.17802/2306-1278-2019-8-4S-130-134
Views:
855
