A Limb-Saving Procedure for Treatment of Arterial Cement Embolism during Lumbar Percutaneous Vertebroplasty: A Case Report

Hashem Sezavar Seyedi Jandaghi, Seyed; Abdolhoseinpour, Hesam; Ghofraniha, Afshin; Tofighirad, Navid; Dogmehchi, Enseyeh; Goodarzynejad, Hamidreza
March 2013
Journal of Tehran University Heart Center;2013, Vol. 8 Issue 1, p61
Academic Journal
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.


Related Articles

  • Update on Endovascular Treatment of Peripheral Vascular Disease. Krajcer, Zvonimir; Howell, Marcus H. // Texas Heart Institute Journal;2000, Vol. 27 Issue 4, p369 

    Provides information on the advances in interventional techniques and devices for endovascular treatment of peripheral vascular disease. Uses of percutaneous transluminal balloon angioplasty; Factors that can influence the results of stent-supported extracranial carotid-artery angioplasty...

  • Pictorial Clinical Quiz. Murugesan, N.; Rajasekaran M. S. // Indian Journal of Medical Specialities;Jan-Jun2013, Vol. 4 Issue 1, p145 

    A continuing medical education (CME) pictorial quiz is presented.

  • CellSearch continues to have favorable results 10 years later. FORD, OMAR // Medical Device Daily;8/13/2013, Vol. 17 Issue 155, p1 

    The article reports on Janssen Diagnostics' study on its CellSearch test for women suffering from metastatic breast cancer in China as of August 13, 2013. The study has resulted in the approval of the test as an in vitro diagnostic for women with metastatic breast cancer and published in the...

  • Primary Pure Signet Ring Cell Carcinoma Of The Breast - Case Report Of An Unusual Tumor With A Short Review Of Literature. Sharma, Swati; 0Monappa, Vidya; Krishnanand, Geetha // Internet Journal of Pathology;2012, Vol. 13 Issue 3, p1 

    Primary signet ring cell carcinoma (SRCC) of the breast are uncommon tumors with unique clinicopathologic features and aggressive nature. Histogenetically this tumor is distinct from both infiltrating ductal and lobular carcinomas. It is characterized by the presence of >20% signet ring cells...

  • ZOSTERIFORM SKIN METASTASES: CLUE TO AN UNDIAGNOSED BREAST CANCER. Virmani, Neha C.; Sharma, Yugal K.; Panicker, Narayan K.; Dash, Kedar N.; Patvekar, Milind A.; Deo, Kirti S. // Indian Journal of Dermatology;Nov/Dec2011, Vol. 56 Issue 6, p726 

    Cancer metastases represent the most devastating aspect of malignancy, since the mortality of cancer patients is mainly related to the metastatic behavior of the primary neoplasm. Skin metastases are usually late events in the course of tumor progression. Excluding melanoma, the most common...

  • Angioscopy in Endovascular Surgery: Recent Technical Advances to Enhance Intervention Selection and Failure Analysis. Diethrich, Edward B.; Yoffe, Boris; Kiessling, J. J.; Santiago, Osvaldo; Bahadir, Ilhan; Stern, Larry A.; Lavine, Daniel // Angiology;Jan1992, Vol. 43 Issue 1, p1 

    Recent technical and procedural modifications have greatly enhanced the usefulness of angioscopy during angioplasty. A pulsed irrigation system, proximal and distal blood flow control by pressure, and attention to sheath/vessel diameter ratio were incorporated into a study in which angioscopy...

  • Subintimal Angioplasty in the Management of Critical Lower-Extremity Ischemia: Value in Limb Salvage. Lipsitz, Evan C.; Veith, Frank J.; Ohki, Takao // Perspectives in Vascular Surgery & Endovascular Therapy;Mar2005, Vol. 17 Issue 1, p11 

    The interest in and overall usage of endovascular procedures for the treatment of lower extremity ischemia continues to grow at a rapid pace. An increasing number of centers throughout the world are gaining experience with subintimal angioplasty. Promising results have been reported and the...

  • MINERVA.  // BMJ: British Medical Journal (International Edition);9/7/91, Vol. 303 Issue 6802, p592 

    Reports developments related to medicine as of September 2001 in the British Medical Journal. Use of angioplasty in treating peripheral vascular disease; Comparison between the molecular structure of cholera toxin and escherichia coli enterotoxin; Percentage of women that breastfeed their children.

  • Effects of Probucol Versus Aspirin and Versus Brachytherapy on Restenosis After Femoropopliteal Angioplasty: the PAB Randomized Multicenter Trial. Gallino, Augusto; Dai-Do Do; Alerci, Mario; Baumgartner, Iris; Cozzi, Luca; Segatto, Jeanne Marie; Bernier, Jacques; Tutta, Paolo; Kellner, Frauke; Triller, Jürgen; Schneider, Ernst; Amann-Vesti, Beatrice; Studer, Gabriele; Jäger, Kurt; Aschwanden, Markus; Canevascini, Reto; Jacob, Augustinus L.; Kann, Roger; Greiner, Richard; Mahler, Felix // Journal of Endovascular Therapy;Dec2004, Vol. 11 Issue 6, p595 

    Purpose: To evaluate the effect of probucol and/or of endovascular brachytherapy (EVBT) on restenosis after percutaneous transluminal angioplasty (PTA) of femoropopliteal arteries. Methods: A total of 335 patients (206 men; mean age 72±9 years) with intermittent claudication were randomized...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics