Late onset of pulmonary cement embolism after a regular vertebroplasy. A clinical documentation

• Authors: Roger Falkenstern-Ge , Kim Husemann , Martin Kohlhäufl
• Languages of publication: EN

Abstracts

EN

Vertebroplasty is a new minimal-invasive procedure for the treatment of painful vertebral fractures. The risk of a pulmonary embolism ranges from 3.5 to 23% for osteoporotic fractures. However, data about the incidence and treatment strategies of pulmonary cement embolisms (PCE) are limited. We report a case of a patient with symptomatic pulmonary cement embolism after the vertebroplasty. The diagnosis was confirmed by means of CT- scan. In cases of asymptomatic patients with peripheral PCE we recommend no treatment besides clinical follow-up. In our case of symptomatic embolisms, we recommend to proceed according to the guidelines regarding the treatment of thrombotic pulmonary embolisms, which includes initial heparinization and a following 6-month coumarin therapy.

Keywords

EN

Vertebroplasty; Kyphoplasty; Complication; Cement leakage; PCE (Pulmonary cement embolism); Polymethylmethacrylate (PMMA)

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 5
• Pages: 662-664

Dates

published

1 - 10 - 2013

online

18 - 9 - 2013

Contributors

author

Roger Falkenstern-Ge

• Division of Pulmonology, Klinik Schillerhoehe, Center for Pulmonology and Thoracic Surgery, Teaching Hospital of the University of Tuebingen, Solitude Str. 18, 70839, Stuttgart-Gerlingen, Germany

author

Kim Husemann

• Division of Pulmonology, Klinik Schillerhoehe, Center for Pulmonology and Thoracic Surgery, Teaching Hospital of the University of Tuebingen, Solitude Str. 18, 70839, Stuttgart-Gerlingen, Germany

author

Martin Kohlhäufl

• Division of Pulmonology, Klinik Schillerhoehe, Center for Pulmonology and Thoracic Surgery, Teaching Hospital of the University of Tuebingen, Solitude Str. 18, 70839, Stuttgart-Gerlingen, Germany

References

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Identifiers

DOI

10.2478/s11536-013-0207-0