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First report of a life-threatening cardiac complication after percutaneous balloon kyphoplasty

Ina Tran1, Ulrich Gerckens, Jürgen Remig

  • 1Department of Cardiology, Maria Hilf Hospital, Bad Neuenahr, Germany. I.Tran@maw.marienhaus-gmbh.de

Spine
|December 13, 2012
PubMed

Insights

This case report details a rare complication of balloon kyphoplasty: cardiac tamponade caused by cement leakage into the right ventricle. Prompt diagnosis and percutaneous retrieval of the cement embolus were crucial for patient survival.

Area of Science:

  • Interventional Cardiology
  • Neurosurgery
  • Radiology

Background:

  • Balloon kyphoplasty is a minimally invasive procedure for vertebral fractures.
  • Cement leakage is a rare but serious complication, more common than with vertebroplasty.

Observation:

  • A patient developed dyspnea and chest pain post-kyphoplasty.
  • Echocardiography revealed cardiac tamponade; CT scan showed a right ventricle cement embolus.

Findings:

  • Right ventricle perforation occurred during balloon kyphoplasty, leading to cement embolism.
  • The cement embolus was successfully removed percutaneously using a snare catheter.

Implications:

  • Clinicians must consider cardiac tamponade and cement embolism in patients with chest symptoms after kyphoplasty.
  • Early detection and intervention are vital for managing this life-threatening complication.
Abstract

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