ArticleEuropean radiology2019
Intracardiac cement embolism during percutaneous vertebroplasty: incidence, risk factors and clinical management.
Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.
- Presentations, management strategies, and outcomes of intracardiac cement embolism following spinal vertebral augmentation: a systematic review of case reports.Journal of orthopaedic surgery and research · 2025Pooled it
- Trial
- Asymptomatic Intracardiac Migration of a Cane-Shaped Polymethylmethacrylate Cement Embolus Following Percutaneous Vertebroplasty.Journal of medical cases · 2026Article
- Right Ventricular Perforation After Vertebroplasty.JACC. Case reports · 2026Article
- Article
- From spine to heart: a case report of massive cement embolism following vertebroplasty.European heart journal. Case reports · 2026Article
- Acute massive pulmonary thromboembolism caused by cord-like foreign bodies in the heart and pulmonary arteries after percutaneous vertebroplasty: a case report and literature review.Frontiers in medicine · 2026Article
- Pediatric Scoliosis in Osteogenesis Imperfecta: From Genetic Mechanisms to Therapeutic Strategies.Orthopaedic surgery · 2025Review
- Simultaneous pulmonary and intracardiac bone cement embolism after vertebroplasty: a case report and literature review.Journal of cardiothoracic surgery · 2025Review
- Diagnosis of isolated intracardiac cement embolism causing cardiac rupture via bedside transthoracic echocardiography: a case report.BMC cardiovascular disorders · 2025Article
- Thoracic spine metastases from lung cancer with incomplete paralysis treated by endoscopic spinal surgery: a case report.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Article
- Intracardiac Cement Embolism After Percutaneous Vertebroplasty.Annals of thoracic surgery short reports · 2025Article
- Bone cement embolism causing right ventricle perforation.BMC cardiovascular disorders · 2025Article
- Warning line for preventing bone cement leakage in surgery involving percutaneous kyphoplasty for osteoporotic vertebral compression fractures.Frontiers in surgery · 2025Article
- Case Report: Bone cement leakage in the right heart: a rare case of misinterpreted echocardiographic findings.Frontiers in surgery · 2025Article
- Pulmonary embolism and intracardiac foreign bodies caused by bone cement leakage: a case report and literature review.Journal of cardiothoracic surgery · 2024Review
- Experimental and clinical validation of an artificial intelligence metal artifact correction algorithm for low-dose following up CT of percutaneous vertebroplasty.Quantitative imaging in medicine and surgery · 2024Article
- Intracardiac leakage of cement during artificial femoral head replacement: a case report and review.International journal of clinical and experimental pathology · 2024Article
- Cardiac cement embolism and asymptomatic pulmonary embolism caused by percutaneous vertebroplasty for osteoporotic vertebral fracture: a case report.Frontiers in surgery · 2024Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the incidence and risk factors for ICE during a PV. MATERIALS AND
methodsSingle-center retrospective analysis of 1512 consecutive patients who underwent 1854 PV procedures for osteoporotic (34 %), malignant (39.9 %) or other cause (26.1 %) of vertebral compression fractures (VCFs)/spine tumor lesions. Only thoracic or lumbar PVs were included. PVs were performed with polymethylmethacrylate (PMMA) low-viscosity bone cement under fluoroscopic guidance. Chest imaging (X-ray or CT) was performed the same day after PV in patients with high clinical suspicion of ICE. All post-procedural chest-imaging examinations were reviewed, and all ICEs were agreed upon in consensus by two radiologists.
resultsICEs were detected in 72 patients (92 cement embolisms). In 86.1 % of the cases, concomitant pulmonary artery cement leakage was detected. Symptomatic ICEs were observed in six cases (8.3% of all ICEs; 0.32% of all PV procedures). No ICE led to death or permanent sequelae. Multiple levels treated during the same PV session were associated with a higher ICE rate [OR: 3.59, 95% CI: (1.98-6.51); p < 0.001]; the use of flat panel technology with a lower ICE occurrence [OR: 0.51, 95% CI: (0.32-0.83); p = 0.007].
conclusionIntracardiac cement embolism after PV has a low incidence (3.9 % in our study). Symptomatic complications related to ICE are rare (0.3%); none was responsible for clinical sequelae in our series. KEY POINTS: • The incidence of intracardiac cement embolism (ICE) during PVP is low (3.9%). • Having a high number of treated vertebrae during the same session is a significant risk factor for ICE. • Symptomatic intracardiac cement embolisms have a low incidence (8.3% of patients with ICE).
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