RT Journal Article
SR Electronic
T1 Paradoxical Cerebral Arterial Embolization of Cement during Intraoperative Vertebroplasty: Case Report
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 868
OP 870
VO 23
IS 5
A1 Rebecca Scroop
A1 Joseph Eskridge
A1 Gavin W. Britz
YR 2002
UL http://www.ajnr.org/content/23/5/868.abstract
AB Summary: Paradoxical cerebral embolism of cement occurred in a 78-year-old woman after cement−assisted transpedicular spinal fixation surgery. Multiple pulmonary emboli of polymethylmethacrylate precipitated pulmonary hypertension and right-to-left shunting into the systemic circulation through a patent foramen ovale. This rare complication occurred because of failure to recognize venous migration of cement during the procedure and the injection of multiple levels in one setting. Although this was an open procedure, the technical aspects were the same as for vertebroplasty and the precautions should be applied to percutaneous vertebroplasty.