• J. Vasc. Surg. · Jan 2010

    Case Reports

    Prevention of cardiopulmonary embolization of polymethylmethacrylate cement fragment after kyphoplasty with insertion of inferior vena cava filter.

    • Mouchammed Agko, Mustafa Nazzal, Tahir Jamil, Mario Castillo-Sang, Paul Clark, and Gregory Kasper.
    • Department of Surgery, The University of Toledo Medical Center, Toledo, Ohio 43614, USA. ago77@hotmail.com
    • J. Vasc. Surg. 2010 Jan 1; 51 (1): 210-3.

    AbstractWe report the case of a 51-year-old woman who underwent kyphoplasty with polymethylmethacrylate for painful compression fracture of the third lumbar vertebra. Infiltration of cement into the inferior vena cava, noted intraoperatively, was confirmed with postoperative CT scan. A Greenfield filter was placed to prevent cardiopulmonary embolization of the fragment. On follow-up x-rays, the cement fragment was found to have detached and embolized into the vena cava filter. Endovascular technique was used to retrieve it to the common femoral vein with subsequent successful removal of the crescent-like fragment with operative exploration. Patient was asymptomatic at four-week follow-up visit.Copyright 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

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