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Central European Journal of Medicine

, Volume 8, Issue 5, pp 662–664 | Cite as

Late onset of pulmonary cement embolism after a regular vertebroplasy. A clinical documentation

  • Roger Fei. Falkenstern-GeEmail author
  • Kim Husemann
  • Martin Kohlhäufl
Case Report
  • 26 Downloads

Abstract

Vertebroplasty is a new minimal-invasive procedure for the treatment of painful vertebral fractures. The risk of a pulmonary embolism ranges from 3.5 to 23% for osteoporotic fractures. However, data about the incidence and treatment strategies of pulmonary cement embolisms (PCE) are limited. We report a case of a patient with symptomatic pulmonary cement embolism after the vertebroplasty. The diagnosis was confirmed by means of CT- scan. In cases of asymptomatic patients with peripheral PCE we recommend no treatment besides clinical follow-up. In our case of symptomatic embolisms, we recommend to proceed according to the guidelines regarding the treatment of thrombotic pulmonary embolisms, which includes initial heparinization and a following 6-month coumarin therapy.

Keywords

Vertebroplasty Kyphoplasty Complication Cement leakage PCE (Pulmonary cement embolism) Polymethylmethacrylate (PMMA) 

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Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Roger Fei. Falkenstern-Ge
    • 1
    Email author
  • Kim Husemann
    • 1
  • Martin Kohlhäufl
    • 1
  1. 1.Division of Pulmonology, Klinik Schillerhoehe, Center for Pulmonology and Thoracic SurgeryTeaching Hospital of the University of TuebingenStuttgart-GerlingenGermany

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