Cardiac Tamponade and Pulmonary Embolism as a Complication of Percutaneous Vertebroplasty

Çaynak, Barış; Onan, Burak; Sağbaş, Ertan; Duran, Cihan; Akpınar, Belhhan

doi:10.1016/j.athoracsur.2008.05.074

Cited by 35 publications

(26 citation statements)

References 8 publications

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“…However, even small emboli may be lethal if they lodge in the right atrium or ventricle and cause cardiac perforation and cardiac tamponade rather than traveling to the pulmonary circulation. Linear pieces of cement as small as 10 -20 mm long have been reported to cause cardiac tamponade, 29 and pieces as small as 20 mm have been reported to cause perforations of the right ventricle. [30][31][32] Thus, the observation of low rates of symptoms in our current series and other recent publications should not indicate that these frequent complications are necessarily benign.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic and Unrecognized Cement Pulmonary Embolism Commonly Occurs with Vertebroplasty

Luetmer¹,

Bartholmai²,

Rad³

et al. 2011

AJNR Am J Neuroradiol

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Section: Discussionmentioning

confidence: 99%

Asymptomatic and Unrecognized Cement Pulmonary Embolism Commonly Occurs with Vertebroplasty

Luetmer¹,

Bartholmai²,

Rad³

et al. 2011

AJNR Am J Neuroradiol

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“…Intra-cardiac embolism (ICE) secondary to PMMA leakage could be an incidental finding or it may appear during the procedure, immediately following the procedure, during hospital recovery, or even manifest as a long term complication (ranging from days to years) (Table 2, [30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51]). The clinical significance of cement emboli as an incidental finding on chest radiographs may not be ignored due to their known long-term sequelae.…”

Section: Cement Leakagementioning

confidence: 99%

“…It is extremely useful if the bone cement is densely adhered to the adjoining cardiac wall or if it is free floating in the pericardial space [30,31]. In the case of cardiac perforation, immediate pericardiocentesis followed by surgery is required.…”

Section: Case Reportmentioning

confidence: 99%

A Review of PMMA Bone Cement and Intra‐Cardiac Embolism

et al. 2016

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Percutaneous vertebroplasty procedure is of major importance, given the significantly increasing aging population and the higher number of orthopedic procedures related to vertebral compression fractures. Vertebroplasty is a complex technique involving the injection of polymethylmethacrylate (PMMA) into the compressed vertebral body for mechanical stabilization of the fracture. Our understanding and ability to modify these mechanisms through alterations in cement material is rapidly evolving. However, the rate of cardiac complications secondary to PMMA injection and subsequent cement leakage has increased with time. The following review considers the main effects of PMMA bone cement on the heart, and the extent of influence of the materials on cardiac embolism. Clinically, cement leakage results in life-threatening cardiac injury. The convolution of this outcome through an appropriate balance of complex material properties is highlighted via clinical case reports.

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“…In case of presence of patent foramen ovale (PFO) or ostium secundum atrial septal defect (ASD), PMMA may cross over to the left atrium and left ventricle and could result in paradoxical embolism. Llanos et al reported the cement fragment impacted in the inter-atrial septum and protruding into the left atrium [31]. We describe the presence of PMMA cement in the left ventricular cavity which embolized through a large ASD and caused rupture of chordae consequently resulting in severe mitral regurgitation.…”

Section: Case Reportmentioning

confidence: 99%

“…The treatment for symptomatic ICE is surgical retrieval. It is extremely useful if the bone cement is densely adhered to the adjoining cardiac wall or if it is free floating in pericardial space [30,31]. In case of cardiac perforation, immediate pericardiocentesis followed by surgery is required.…”

Section: Case Reportmentioning

confidence: 99%

A Review of PMMA Bone Cement and Intra-Cardiac Embolism

Shridhar¹,

Chen²,

Khalil³

et al. 2016

Preprint

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Percutaneous vertebroplasty procedure is of major importance, given the significant increasing aging population and higher number of orthopedic procedures related to vertebral compression fractures. Vertebroplasty is a complex technique involving injection of polymethylmethacrylate (PMMA) into the compressed vertebral body for mechanical stabilization of the fracture. Our understanding and ability to modify these mechanisms through alterations in cement material is rapidly evolving. However, the rate of cardiac complications secondary to PMMA injection and subsequent cement leakage has increased with time. The following review considers the main features of PMMA bone cement on the heart, and the extent of influence of materials on cardiac embolism. Clinically, cement leakage results in life-threatening cardiac injury. The convolution of this outcome through an appropriate balance of complex material properties is highlighted via clinical case report.

show abstract

Cardiac Tamponade and Pulmonary Embolism as a Complication of Percutaneous Vertebroplasty

Cited by 35 publications

References 8 publications

Asymptomatic and Unrecognized Cement Pulmonary Embolism Commonly Occurs with Vertebroplasty

Asymptomatic and Unrecognized Cement Pulmonary Embolism Commonly Occurs with Vertebroplasty

A Review of PMMA Bone Cement and Intra‐Cardiac Embolism

A Review of PMMA Bone Cement and Intra-Cardiac Embolism

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