Thread-like Bone Cement in the Right-side Heart and Pulmonary Arteries Causing Diffuse Pulmonary Embolism as a Late Complication

Oh, Jin Kyung; Park, Jae‐Hyeong; Kim, Song Soo; Han, Ji Hye; Kwon, Hee Jin; Kim, Jun Hyung; Lee, Jae‐Hwan; Choi, Si Wan; Jeong, Jin‐Ok; Seong, In Whan

doi:10.1016/j.hlc.2015.02.017

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…By minimizing the void volume, bone cement is uniformly dispersed and effectively restores vertebral body height and KA, therefore augmenting structural stability of the unstable vertebral body and alleviating pain effectively. Kwon et al [24] reported that optimum recovery following percutaneous vertebroplasty was seen in patients with cement infusion ratio up to 27.8% of the fractured body volume. However, a high injected cement volume may be at high risk for cement leakage with potentially devastating consequences, such as adjacent fracture, pulmonary embolism, etc.…”

Section: Discussionmentioning

confidence: 99%

High viscosity bone cement vertebroplasty versus low viscosity bone cement vertebroplasty in the treatment of mid-high thoracic vertebral compression fractures

et al. 2022

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BACKGROUND CONTEXT: As science and technology have advanced, novel bone cements with numerous formulated ingredients have greatly evolved and been commercialized for vertebroplasty. Recently, viscosity has been a focus to achieve better clinical outcomes and fewer complications. Meanwhile, the experience in the treatment of mid (T7−9) to high (T4−6) thoracic vertebral compression fractures is limited. PURPOSE: The objective of this study was to identify the different outcomes between high-viscosity bone cement (HVBC) and low-viscosity bone cement (LVBC) used to repair mid (T7−9)and high (T4−6)-thoracic vertebral compression fractures. STUDY DESIGN/SETTING: This study was a single-center, retrospective cohort study PATIENT SAMPLE: A consecutive series of 107 patients with a total of 144 vertebrae was included. OUTCOME MEASURES: The anterior vertebral height (AVH), middle vertebral height (MVH), posterior vertebral height (PVH), local kyphotic angle (KA), Cobb angle (CA), and other associated parameters were evaluated radiologically at several time points-preoperative, surgery day 0, postoperative day 1, and 6-month follow-up. Pain evaluation was assessed by using a visual analog scale (VAS) before and 6 months after the procedure. METHODS: The patients were divided into two groups according to the viscosity of the bone cement used, and plain film and magnetic resonance imaging (MRI) of the vertebrae were used to calculate parameters. The patient characteristics; bone cement brand; changes in AVH, MVH, PVH, KA, CA, and VAS; and complications of each patient were recorded and then analyzed. RESULTS: Both groups showed increased vertebral body height, corrected KA, and CA after vertebroplasty. There were no significant differences between the HVBC and LVBC groups (DAVH:

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Section: Discussionmentioning

confidence: 99%

High viscosity bone cement vertebroplasty versus low viscosity bone cement vertebroplasty in the treatment of mid-high thoracic vertebral compression fractures

et al. 2022

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“…It is injected into the fractured vertebral body to achieve immediate augmentation, relief of the pain, and patient mobility improvement. However, cement leakage into the paravertebral space or blood vessels constitutes a potentially severe complication of PVP and can result in neurological deficit [ 1 ] or even paralysis, and pulmonary [ 2 ] or heart embolism [ 3 – 6 ], which can be fatal.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous vertebroplasty with high- versus low-viscosity bone cement for osteoporotic vertebral compression fractures

et al. 2020

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Objective There is no consensus on the best choice between high- and low-viscosity bone cement for percutaneous vertebroplasty (PVP). This study aimed to compare the clinical and radiological outcomes and leakage between three cements with different viscosities in treating osteoporotic vertebral compression fractures. Methods This is a prospective study comparing patients who were treated with PVP under local anesthesia: group A ( n = 99, 107 vertebrae) with high-viscosity OSTEOPAL V cement, group B ( n = 79, 100 vertebrae) with low-viscosity OSTEOPAL V cement, and group C ( n = 88, 102 vertebrae) with low-viscosity Eurofix VTP cement. Postoperative pain severity was evaluated using the visual analog scale. Cement leakage was evaluated using radiography and computed tomography. Results There was no significant difference in the incidence of cement leakage between the three groups (group A 20.6%, group B 24.2%, group C 20.6%, P = 0.767). All three groups showed significant reduction in postoperative pain scores but did not differ significantly in pain scores at postoperative 2 days (group A 2.01 ± 0.62, group B 2.15 ± 0.33, group C 1.92 ± 0.71, P = 0.646). During the 6 months after cement implantation, significantly less reduction in the fractured vertebral body height was noticed in group B and group C than in group A (group A 19.0%, group B 8.1%, group C 7.3%, P = 0.009). Conclusions Low-viscosity cement has comparable incidence of leakage compared to high-viscosity cement in PVP for osteoporotic vertebral compression fractures. It also can better prevent postoperative loss of fractured vertebral body’s height.

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“…However, cement leakage into the paravertebral space or blood vessels constitutes a potentially severe complication of PVP and can result in neurological deficit [1] or even paralysis, and pulmonary [2] or heart embolism [3][4][5][6], which can be fatal.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous vertebroplasty with high- versus low-viscosity bone cement for osteoporotic vertebral compression fractures

Mao

Zeng

Wang

et al. 2020

Preprint

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Background: There is no consensus on the best choice between high- and low-viscosity bone cement for percutaneous vertebroplasty (PVP). This study aimed to compare the clinical outcomes and leakage between three cements with different viscosities in treating osteoporotic vertebral compression fractures.Methods: This is a prospective study comparing patients who were treated with PVP: group A (n = 99, 107 vertebrae) with high-viscosity OSTEOPAL V cement, group B (n = 79, 100 vertebrae) with low-viscosity OSTEOPAL V cement, and group C (n = 88, 102 vertebrae) with low-viscosity Eurofix VTP cement. Postoperative pain severity was evaluated using the visual analog scale. Cement leakage was evaluated using radiography and computed tomography.Results: There was no significant difference in the incidence of cement leakage between the three groups (group A 20.6%, group B 24.2%, group C 20.6%, P = 0.767). All three groups showed significant reduction in postoperative pain scores but did not differ significantly in pain scores at postoperative 2 days (group A 2.01 ± 0.62, group B 2.15 ± 0.33, group C 1.92 ± 0.71, P = 0.646). During the 6 months after cement implantation, significantly less reduction in the fractured vertebral body height was noticed in group B and group C than in group A (group A 19.0%, group B 8.1%, group C 7.3%, P = 0.009).Conclusions: Low-viscosity cement has comparable incidence of leakage compared to high-viscosity cement in PVP for osteoporotic vertebral compression fractures. It also can better prevent postoperative loss of vertebral body height.

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Thread-like Bone Cement in the Right-side Heart and Pulmonary Arteries Causing Diffuse Pulmonary Embolism as a Late Complication

Cited by 5 publications

References 7 publications

High viscosity bone cement vertebroplasty versus low viscosity bone cement vertebroplasty in the treatment of mid-high thoracic vertebral compression fractures

High viscosity bone cement vertebroplasty versus low viscosity bone cement vertebroplasty in the treatment of mid-high thoracic vertebral compression fractures

Percutaneous vertebroplasty with high- versus low-viscosity bone cement for osteoporotic vertebral compression fractures

Percutaneous vertebroplasty with high- versus low-viscosity bone cement for osteoporotic vertebral compression fractures

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