, Volume 4, Issue 2, pp 191-195

Hospital for Special Surgery 89th Annual Alumni Meeting Research Abstracts

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Presenter: Stephen N. Harris, MD

Authors: Stephen N. Harris, MD; Lauren Turteltaub, MD; Kethy Jules-Elysee, MD; Jane Y. Lipnitsky, BA; Edward V. Craig, MD; Michael K. Urban, MD, PhD

Hospital affiliation: Hospital for Special Surgery

Title: Echocardiographic Detection of Venous Embolization During Total Shoulder Arthroplasty (TSA)

Abstract: Total joint (knee and hip) arthroplasty involves bone reaming and the use of methyl methacrylate cement. During these procedures, venous embolization of bone marrow, fat, and cement may produce physiological sequelae including hypoxia, hypotension, pulmonary hypertension, and acute respiratory distress syndrome. We have observed these physiological findings during total shoulder arthroplasty (TSA); however, the occurrence of venous embolization has not been demonstrated in this population. The purpose of this study was to determine the incidence, magnitude, and timing of venous embolization occurring in patients undergoing TSA utilizing intraoperative ec