Prevention of cardiopulmonary embolization of polymethylmethacrylate cement fragment after kyphoplasty with insertion of inferior vena cava filter

Mouchammed Agko, Mustafa Nazzal, Tahir Jamil, Mario Castillo-Sang, Paul Clark, Gregory Kasper

Research output: Contribution to journalArticle

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Abstract

We report the case of a 51-year-old woman who underwent kyphoplasty with polymethylmethacrylate for painful compression fracture of the third lumbar vertebra. Infiltration of cement into the inferior vena cava, noted intraoperatively, was confirmed with postoperative CT scan. A Greenfield filter was placed to prevent cardiopulmonary embolization of the fragment. On follow-up x-rays, the cement fragment was found to have detached and embolized into the vena cava filter. Endovascular technique was used to retrieve it to the common femoral vein with subsequent successful removal of the crescent-like fragment with operative exploration. Patient was asymptomatic at four-week follow-up visit.

Original languageEnglish (US)
Pages (from-to)210-3
Number of pages4
JournalJournal of Vascular Surgery
Volume51
Issue number1
DOIs
Publication statusPublished - Jan 2010
Externally publishedYes

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Keywords

  • Bone Cements/adverse effects
  • Embolism/diagnostic imaging
  • Female
  • Fractures, Compression/surgery
  • Heart Diseases/etiology
  • Humans
  • Lumbar Vertebrae/injuries
  • Middle Aged
  • Phlebography/methods
  • Polymethyl Methacrylate/adverse effects
  • Pulmonary Embolism/etiology
  • Spinal Fractures/surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vena Cava Filters
  • Vena Cava, Inferior/diagnostic imaging
  • Vertebroplasty/adverse effects

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