Cement embolism

Case contributed by Jayanth Keshavamurthy , 10 Dec 2015
Diagnosis certain
Changed by Jayanth Keshavamurthy, 11 Dec 2015

Updates to Case Attributes

Status changed from draft to published (public).
Published At was set to .
Diagnostic Certainty was set to .

References changed:

  • 1. Gangi A, Guth S, Imbert J, Marin H, Dietemann J. Percutaneous Vertebroplasty: Indications, Technique, and Results. Radiographics. 2003;23(2):e10. <a href="https://doi.org/10.1148/rg.e10">doi:10.1148/rg.e10</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/12889460">Pubmed</a>
  • 1. Gangi A, Guth S, Imbert J, Marin H, Dietemann J. Percutaneous Vertebroplasty: Indications, Technique, and Results. Radiographics. 2003;23(2):e10. <a href="https://doi.org/10.1148/rg.e10">doi:10.1148/rg.e10</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/12889460">Pubmed</a>
  • 2. Makary M, Zucker I, Sturgeon J. Venous Extravasation and Polymethylmethacrylate Pulmonary Embolism Following Fluoroscopy-Guided Percutaneous Vertebroplasty. Acta Radiol Open. 2015;4(8):2058460115595660. <a href="https://doi.org/10.1177/2058460115595660">doi:10.1177/2058460115595660</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/26331092">Pubmed</a>
  • 3. Potet J, Weber-Donat G, Curis E et al. Incidence of Pulmonary Cement Embolism After Real-Time CT Fluoroscopy-Guided Vertebroplasty. J Vasc Interv Radiol. 2013;24(12):1853-60. <a href="https://doi.org/10.1016/j.jvir.2013.05.048">doi:10.1016/j.jvir.2013.05.048</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/23958047">Pubmed</a>
  • 4. Trumm C, Pahl A, Helmberger T et al. CT Fluoroscopy-Guided Percutaneous Vertebroplasty in Spinal Malignancy: Technical Results, PMMA Leakages, and Complications in 202 Patients. Skeletal Radiol. 2012;41(11):1391-400. <a href="https://doi.org/10.1007/s00256-012-1365-x">doi:10.1007/s00256-012-1365-x</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/22286549">Pubmed</a>
  • 5. Pitton M, Herber S, Koch U, Oberholzer K, Drees P, Düber C. CT-Guided Vertebroplasty: Analysis of Technical Results, Extraosseous Cement Leakages, and Complications in 500 Procedures. Eur Radiol. 2008;18(11):2568-78. <a href="https://doi.org/10.1007/s00330-008-1020-z">doi:10.1007/s00330-008-1020-z</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/18523783">Pubmed</a>
  • https://3s.acr.org/CIP/SearchCaseView.aspx?CaseId=Jqm49GAF3VM%253d
  • Gangi A, Guth S, Imbert JP et-al. Percutaneous vertebroplasty: indications, technique, and results. Radiographics. 2003;23 (2): e10. <a href="http://radiographics.rsna.org/content/23/2/e10.full">Radiographics (full text)</a> - <a href="http://dx.doi.org/10.1148/rg.e10">doi:10.1148/rg.e10</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/12889460">Pubmed citation</a><span class="ref_v3"></span>

Updates to Study Attributes

Findings was changed:

2 high density structures in the right upper lobe is likely cement based on the cement in the lumbarparavertebral  veins also.Cement leak into the paravertebral veins alsocan lead to pulmonary cement embolism.

Updates to Study Attributes

Findings was changed:

IMPRESSION:1. Radiopaque linear density overlying the right hilum, concerning for cement embolization. Further evaluation with CT chest without contrast is recommended.

2. Right upper lobe calcific density, which may represent a calcified granuloma or additional cement embolization.

3. Thoracic vertebroplasty.

4. Dense mitral valve annular calcification.

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