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Pulmonary polymethylmethacrylate embolism occurs as a complication of percutaneous vertebroplasty with a rate of 2.1%. Most patients with polymethylmethacrylate embolism remain asymptomatic, and there is no evidence of a chronic inflammatory response to polymethylmethacrylate.






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From the manuscript

Investigation of polymethylmethacrylate pulmonary embolus in a patient ten years following vertebroplasty

Free full text article: Investigation of polymethylmethacrylate pulmonary embolus in a patient ten years following vertebroplasty

Abstract
Percutaneous vertebroplasty (PV) is a procedure commonly used for the treatment of vertebral compression fractures, and the number of procedures has been steadily increasing over the past decade. We report a case of an 81 year old female with a history of breast cancer that developed two vertebral body compression fractures and was subsequently treated with PV. The patient developed a subsegmental pulmonary polymethylmethacrylate (PMMA) embolus as a complication of the procedure. Ten years following the procedure, she remained asymptomatic with the PMMA embolus being discovered incidentally during workup for a suspected chronic obstructive pulmonary disease (COPD) exacerbation. In reviewing the case, we describe the typical presentation of a pulmonary PMMA embolus and consider methods to decrease the incidence of this complication.






References



1. Gangi A, Kastler BA, Dietemann JL. Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy. ANJR American Journal of Radiology 1994; 15:83-86
Get full text
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2. Deramond H, Depriester C, Galibert P, Le Gars D. Percutaneous vertebroplasty with polymethylmethacrylate: Technique, indications, and results. Radiology Clinics of North America 1998; 36:533-46
Get full text
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3. Young C, Munk PL, Heran MK. Treatment of severe vertebral body compression fractures with percutaneous vertebroplasty. Skeletal Radiology 2011 Mar 27
Get full text
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4. Abdul-Jalil Y, Bartels Joerg, Alberti O. Delayed presentation of pulmonary polymethylmethacrylate emboli after percutaneous vertebroplasty. Spine 2007; 32:589-593
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Gangi A, Guth S, Imbert JP, Marin H, Dietemann JL. Percutaneous vertebroplasty: indications, technique, and results. Radiographics 2003; 23(2):e10
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Lee MJ, Dumonski M, Cahill P. Percutaneous treatment of vertebral compression fractures: a meta-analysis of complications. Spine 2009; 34:1228-1232
Get full text
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7. Venmans A, Lohle PNM, Van Rooij WJ. Frequency and outcome of pulmonary polymethylmethacrylate embolism during percutaneous vertebroplasty. American Journal of Neuroradiology 2008; 29:1983-1985
Get full text
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8. Langley RJ, Mishra NC, Peņa-Philippides JC, Hutt JA, Sopori ML. Granuloma formation induced by low-dose chronic silica inhalation is associated with an anti-apoptotic response in Lewis rats. Journal of Toxicology and Environmental Health Part A 2010; 73(10):669-83
Get full text
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9. Venmans A, Klazen CAH, Lohle PNM. Percutaneous vertebroplasty and pulmonary cement embolism: results from VERTOS II. American Journal of Neuroradiology 2010; 31:1451-1453
Get full text
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10. Thomson LA, Law FC, James KH, Matthew CA, Rushton N. Biocompatibility of particulate polymethylmethacrylate bone cements: a comparative study in vitro and in vivo. Biomaterials 1992; 13(12):811-8
Get full text
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11. Robinson Y, Heyde CE, Forsth P, Olerud C. Kyphoplasty in osteoporotic vertebral compression fractures: Guidelines and technical considerations. Journal of Orthopaedic Surgery and Research 2011; 6(1):43
Get full text
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