American Journal of Neuroradiology 20:375-377 (3 1999)
© 1999 American Society of Neuroradiology
ARTICLE
Pulmonary Embolism Caused by Acrylic Cement: A Rare Complication of Percutaneous Vertebroplasty
a From the Department of Radiology (B.P., O.K., P.B.), Hôpital Pasteur, Nice, France, and the Department of Neuroradiology (P. P.-V.), Hôpital de la Timone, Marseille, France.
Summary: A pulmonary embolus of acrylic cement was present in a 41-year-old woman with Langerhans' cell vertebral histiocytosis (LCH) after percutaneous vertebroplasty. Chest radiograph and CT confirmed pulmonary infarction and the presence of cement in the pulmonary arteries. She was treated with anticoagulants, and responded favorably. This rare complication occurred because perivertebral venous migration was not recognized during vertebroplasty. Adequate preparation of cement and biplane fluoroscopy are recommended for vertebroplasty.
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