Pulmonary Embolism Caused by Acrylic Cement: Report of Two Cases Developed as a Complication of Percutaneous Vertebroplasty.
10.3348/jkrs.2003.48.2.159
- Author:
Chan Sung KIM
1
;
Ki Nam LEE
Author Information
1. Department of Diagnostic Radiology, College of Medicine, Dong-A University, Korea. kinamlee@chollian.net
- Publication Type:Case Report
- Keywords:
Lung, embolisms;
Spine, interventional procedures
- MeSH:
Chest Pain;
Fluoroscopy;
Fractures, Compression;
Humans;
Low Back Pain;
Pulmonary Embolism*;
Radiography;
Thorax;
Vertebroplasty*
- From:Journal of the Korean Radiological Society
2003;48(2):159-162
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous vertebroplasty is an effective, minimally invasive procedure for the treatment of vertebral compression fractures, and is a technique for treating lower back pain that appears to be increasingly popular throughout the world. We experienced two cases involving a rare complication of percutaneous vertebroplasty, namely pulmonary embolism caused by acrylic cement. One patient showed no subjective symptoms after vertebroplasty, while the other experienced chest pain. In the former, fluoroscopy demonstrated perivertebral venous leakage during vertebroplasty, and at chest radiography, tubular or branching high-density linear structures were observed. In addition, intravascular emboli were identified at CT. In the second patient, symptomatic therapy led to reduced chest pain.