Related Experiment Video
Updated: Mar 31, 2026
09:29
Author Spotlight: Improving Percutaneous Vertebroplasty Surgical Accuracy and Efficiency Through Advanced Puncture Techniques
Published on: August 9, 2024
695
Cardiac Perforation and Multiple Emboli After Percutaneous Vertebroplasty
Orthopedics
|October 22, 2015
Summary
Percutaneous vertebroplasty can cause dangerous cement leaks into the heart. Prompt surgical removal of large cement emboli is crucial for patient recovery and preventing severe complications.
Area of Science:
- Interventional Radiology
- Cardiovascular Surgery
- Medical Device Complications
Background:
- Percutaneous vertebroplasty is a minimally invasive procedure for vertebral fractures and tumors.
- While generally safe, cement leakage can cause serious complications like pulmonary embolism and cardiac perforation.
Observation:
- A patient experienced cement leakage into the inferior vena cava, pulmonary arteries, and right heart chambers during vertebroplasty for an L3 fracture.
- A large cement fragment (10 cm) perforated the heart's free wall, with additional fragments found in the right atrium, ventricle, and pulmonary arteries.
Findings:
- Surgical intervention using cardiopulmonary bypass was performed to remove extensive cement emboli.
- A 10 cm foreign body was removed from the right atrium and ventricle, along with 12 cm of cement from the inferior vena cava and filaments from the pulmonary arteries.
Implications:
- This case highlights the first report of cement fragments exceeding 10 cm migrating into heart chambers after vertebroplasty.
- Advanced imaging is vital for detecting cement leakage during percutaneous vertebroplasty, enabling timely intervention to improve patient outcomes.
More Related Videos
Related Concept Videos
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
661
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
661
01:22Esophageal Perforation-I: Introduction
769
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
769
01:28Esophageal Perforation-II: Clinical Manifestations and Management
955
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
955
01:29Pulmonary Embolism I: Introduction
1.2K
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
1.2K
01:27Pulmonary Embolism III: Nursing Management
668
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
668
01:29Venous Thrombosis III: Interprofessional Care
466
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
466