ALimb-Saving Procedure forTreatment ofArterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case Report
As the major hazard of percutaneous vertebroplasty (PV), cement extravasation into the venous system, systemic embolism, and spinal canal has been previously reported. However, to our knowledge, only one case of the arterial migration of cement has been previously reported that is directly associate...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2015-10-01
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| Series: | Journal of Tehran University Heart Center |
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| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/284 |
| _version_ | 1818107525250154496 |
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| author | SeyedHashem Sezavar-Seyedi-Jandaghi Hesam Abdolhoseinpour Afshin Ghofraniha Navid Tofighirad Enseyeh Dogmehchi Hamidreza Goodarzynejad |
| author_facet | SeyedHashem Sezavar-Seyedi-Jandaghi Hesam Abdolhoseinpour Afshin Ghofraniha Navid Tofighirad Enseyeh Dogmehchi Hamidreza Goodarzynejad |
| author_sort | SeyedHashem Sezavar-Seyedi-Jandaghi |
| collection | DOAJ |
| description | As the major hazard of percutaneous vertebroplasty (PV), cement extravasation into the venous system, systemic embolism, and spinal canal has been previously reported. However, to our knowledge, only one case of the arterial migration of cement has been previously reported that is directly associated with this technique without any symptom in the immediate post- intervention and in the follow-up period. An arterial embolus of cement occurred in a 46-year-old woman undergoing lumbar PV for breast cancer metastasis. Less than one hour later, the patient complained of severe pain and numbness in her left leg. A diagnosis of acute left leg ischemia due to the acute occlusion of the infrapopliteal arteries by the cement was made. Transluminal angioplasty (PTA) for the infrapopliteal arteries was recommended because there were diffuse and long vessel involvements, leaving no distal targets for bypass vascular surgery. The patient's postoperative course was uncomplicated; the extremity tenderness and mottled skin were improved. A follow-up ultrasound 2 months later revealed an acceptable distal flow in the arteries of the affected limb, and the patient remained asymptomatic (except for a mild leg pain on exertion) at the one-year follow-up examination. In conclusion, PTA may save the limb from amputation in case of peripheral arterial embolism caused by cement during PV. |
| first_indexed | 2024-12-11T02:00:51Z |
| format | Article |
| id | doaj.art-adaae9a94aaf4442a3c6aa84bfca0311 |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-12-11T02:00:51Z |
| publishDate | 2015-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-adaae9a94aaf4442a3c6aa84bfca03112022-12-22T01:24:30ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712015-10-0181280ALimb-Saving Procedure forTreatment ofArterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case ReportSeyedHashem Sezavar-Seyedi-Jandaghi0Hesam Abdolhoseinpour1Afshin Ghofraniha2Navid Tofighirad3Enseyeh Dogmehchi4Hamidreza Goodarzynejad5Hazrat Rasool Hospital, Tehran University of Medical Sciences, Tehran, Iran.Bou Ali Hospital, Tehran Medical Branch of Islamic Azad University, Tehran, Iran.Laleh Hospital, Tehran, Iran.Amir-Al-Momenin Hospital, Tehran Medical Branch of Islamic Azad University, Tehran, Iran.Hazrat Rasool Hospital, Tehran University of Medical Sciences, Tehran, Iran.Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.As the major hazard of percutaneous vertebroplasty (PV), cement extravasation into the venous system, systemic embolism, and spinal canal has been previously reported. However, to our knowledge, only one case of the arterial migration of cement has been previously reported that is directly associated with this technique without any symptom in the immediate post- intervention and in the follow-up period. An arterial embolus of cement occurred in a 46-year-old woman undergoing lumbar PV for breast cancer metastasis. Less than one hour later, the patient complained of severe pain and numbness in her left leg. A diagnosis of acute left leg ischemia due to the acute occlusion of the infrapopliteal arteries by the cement was made. Transluminal angioplasty (PTA) for the infrapopliteal arteries was recommended because there were diffuse and long vessel involvements, leaving no distal targets for bypass vascular surgery. The patient's postoperative course was uncomplicated; the extremity tenderness and mottled skin were improved. A follow-up ultrasound 2 months later revealed an acceptable distal flow in the arteries of the affected limb, and the patient remained asymptomatic (except for a mild leg pain on exertion) at the one-year follow-up examination. In conclusion, PTA may save the limb from amputation in case of peripheral arterial embolism caused by cement during PV.https://jthc.tums.ac.ir/index.php/jthc/article/view/284Vertebroplasty • Angioplasty • Polymethyl methocrylate |
| spellingShingle | SeyedHashem Sezavar-Seyedi-Jandaghi Hesam Abdolhoseinpour Afshin Ghofraniha Navid Tofighirad Enseyeh Dogmehchi Hamidreza Goodarzynejad ALimb-Saving Procedure forTreatment ofArterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case Report Journal of Tehran University Heart Center Vertebroplasty • Angioplasty • Polymethyl methocrylate |
| title | ALimb-Saving Procedure forTreatment ofArterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case Report |
| title_full | ALimb-Saving Procedure forTreatment ofArterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case Report |
| title_fullStr | ALimb-Saving Procedure forTreatment ofArterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case Report |
| title_full_unstemmed | ALimb-Saving Procedure forTreatment ofArterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case Report |
| title_short | ALimb-Saving Procedure forTreatment ofArterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case Report |
| title_sort | alimb saving procedure fortreatment ofarterial cement embolism during lumbar percutaneous vertebroplasty a case report |
| topic | Vertebroplasty • Angioplasty • Polymethyl methocrylate |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/284 |
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