Paradoxical Cerebral Arterial Embolization of Cement during Intraoperative Vertebroplasty: Case Report

Paradoxical Cerebral Arterial Embolization of Cement during Intraoperative Vertebroplasty: Case... Summary: Paradoxical cerebral embolism of cement occurred in a 78-year-old woman after cement−assisted transpedicular spinal fixation surgery. Multiple pulmonary emboli of polymethylmethacrylate precipitated pulmonary hypertension and right-to-left shunting into the systemic circulation through a patent foramen ovale. This rare complication occurred because of failure to recognize venous migration of cement during the procedure and the injection of multiple levels in one setting. Although this was an open procedure, the technical aspects were the same as for vertebroplasty and the precautions should be applied to percutaneous vertebroplasty. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Paradoxical Cerebral Arterial Embolization of Cement during Intraoperative Vertebroplasty: Case Report

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Publisher
American Journal of Neuroradiology
Copyright
Copyright © 2002 by the American Society of Neuroradiology.
ISSN
0195-6108
eISSN
1936-959X
Publisher site
See Article on Publisher Site

Abstract

Summary: Paradoxical cerebral embolism of cement occurred in a 78-year-old woman after cement−assisted transpedicular spinal fixation surgery. Multiple pulmonary emboli of polymethylmethacrylate precipitated pulmonary hypertension and right-to-left shunting into the systemic circulation through a patent foramen ovale. This rare complication occurred because of failure to recognize venous migration of cement during the procedure and the injection of multiple levels in one setting. Although this was an open procedure, the technical aspects were the same as for vertebroplasty and the precautions should be applied to percutaneous vertebroplasty.

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: May 1, 2002

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