Arterial embolization during percutaneous vertebroplasty resulting in bilateral renal infarcts and ischemic colitis
This case report documents an arterial embolic event that occurred during vertebroplasty for a pathological compression fracture of T12 in a 54-year-old female with known metastatic breast carcinoma. A CT angiogram performed after the procedure demonstrated cement migration into the aorta, both kidn...
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Veröffentlicht in: | Skeletal radiology 2023-10, Vol.52 (10), p.1969-1974 |
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container_end_page | 1974 |
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container_issue | 10 |
container_start_page | 1969 |
container_title | Skeletal radiology |
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creator | Sidhu, Sandeep Singh Teh, James |
description | This case report documents an arterial embolic event that occurred during vertebroplasty for a pathological compression fracture of T12 in a 54-year-old female with known metastatic breast carcinoma. A CT angiogram performed after the procedure demonstrated cement migration into the aorta, both kidneys, and the inferior mesenteric artery and its branches, with ischemic colitis involving the descending colon and sigmoid colon. A CT scan 4 months post-procedure demonstrated resolution of the colitis. Neovascularity and cortical destruction in malignant bone lesions are thought to contribute to arterial cement leak. |
doi_str_mv | 10.1007/s00256-022-04254-8 |
format | Article |
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A CT angiogram performed after the procedure demonstrated cement migration into the aorta, both kidneys, and the inferior mesenteric artery and its branches, with ischemic colitis involving the descending colon and sigmoid colon. A CT scan 4 months post-procedure demonstrated resolution of the colitis. Neovascularity and cortical destruction in malignant bone lesions are thought to contribute to arterial cement leak.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-022-04254-8</identifier><identifier>PMID: 36633644</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Aorta ; Back pain ; Bone lesions ; Bone surgery ; Breast cancer ; Breast carcinoma ; Care and treatment ; Case Report ; Case reports ; Cement ; Colitis ; Colon ; Compression therapy ; Computed tomography ; Coronary vessels ; Cortical bone ; CT imaging ; Embolisms ; Embolization ; Fractures ; Imaging ; Inflammatory bowel disease ; Ischemia ; Kidneys ; Medical imaging ; Medicine ; Medicine & Public Health ; Metastases ; Metastasis ; Nuclear Medicine ; Orthopedic surgery ; Orthopedics ; Osteoporosis ; Pathology ; Polymethylmethacrylate ; Radiology ; Surgeons ; Veins & arteries</subject><ispartof>Skeletal radiology, 2023-10, Vol.52 (10), p.1969-1974</ispartof><rights>The Author(s), under exclusive licence to International Skeletal Society (ISS) 2023. 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A CT angiogram performed after the procedure demonstrated cement migration into the aorta, both kidneys, and the inferior mesenteric artery and its branches, with ischemic colitis involving the descending colon and sigmoid colon. A CT scan 4 months post-procedure demonstrated resolution of the colitis. Neovascularity and cortical destruction in malignant bone lesions are thought to contribute to arterial cement leak.</description><subject>Abdomen</subject><subject>Aorta</subject><subject>Back pain</subject><subject>Bone lesions</subject><subject>Bone surgery</subject><subject>Breast cancer</subject><subject>Breast carcinoma</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Cement</subject><subject>Colitis</subject><subject>Colon</subject><subject>Compression therapy</subject><subject>Computed tomography</subject><subject>Coronary vessels</subject><subject>Cortical bone</subject><subject>CT imaging</subject><subject>Embolisms</subject><subject>Embolization</subject><subject>Fractures</subject><subject>Imaging</subject><subject>Inflammatory bowel disease</subject><subject>Ischemia</subject><subject>Kidneys</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Nuclear Medicine</subject><subject>Orthopedic surgery</subject><subject>Orthopedics</subject><subject>Osteoporosis</subject><subject>Pathology</subject><subject>Polymethylmethacrylate</subject><subject>Radiology</subject><subject>Surgeons</subject><subject>Veins & arteries</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU2L1jAUhYMozuvoH3AhBTduOt58912-DH7BgBtdhzS5HTO0TU1SYfz1pnZ0UEQCuZA89-SeHEKeU7igAPp1BmBStcBYC4JJ0XYPyIEKzlpGFX1IDsCVaBkX3Rl5kvMNANVaqsfkjCvF6504kHxKBVOwY4NTH8fw3ZYQ58avKczXzYLJrcXOGNfcfMOK9ikuo83ltkmY17FsVJibPoy26lSZhHPdwzzY5Epu7OybkN0XnIJrXH2ghPyUPBrsmPHZXT0nn9---XT5vr36-O7D5emqdfzIS6s64TR3shuUP2rqe606QIDuKLCnw6Co98zTwXmrnPC9kozqWrC3foCj4-fk1a67pPh1xVzMVEfBcdwNGaaVBA1KdhV9-Rd6E9dUnVSqk0oJBZLfU9d2RFM9xpKs20TNSStGuQa9aV38g6rLb58QZxxCPf-jge0NLsWcEw5mSWGy6dZQMFvSZk_a1KTNz6TN1vTibuK1n9D_bvkVbQX4DuRlyxLTvaX_yP4A8yy1Lg</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Sidhu, Sandeep Singh</creator><creator>Teh, James</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20231001</creationdate><title>Arterial embolization during percutaneous vertebroplasty resulting in bilateral renal infarcts and ischemic colitis</title><author>Sidhu, Sandeep Singh ; Teh, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-684c73c58f6d971db7680e00894eb1ff61dd2d1fcda6c4db65217db6ebadf09c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdomen</topic><topic>Aorta</topic><topic>Back pain</topic><topic>Bone lesions</topic><topic>Bone surgery</topic><topic>Breast cancer</topic><topic>Breast carcinoma</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Cement</topic><topic>Colitis</topic><topic>Colon</topic><topic>Compression therapy</topic><topic>Computed tomography</topic><topic>Coronary vessels</topic><topic>Cortical bone</topic><topic>CT imaging</topic><topic>Embolisms</topic><topic>Embolization</topic><topic>Fractures</topic><topic>Imaging</topic><topic>Inflammatory bowel disease</topic><topic>Ischemia</topic><topic>Kidneys</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>Nuclear Medicine</topic><topic>Orthopedic surgery</topic><topic>Orthopedics</topic><topic>Osteoporosis</topic><topic>Pathology</topic><topic>Polymethylmethacrylate</topic><topic>Radiology</topic><topic>Surgeons</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sidhu, Sandeep Singh</creatorcontrib><creatorcontrib>Teh, James</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sidhu, Sandeep Singh</au><au>Teh, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arterial embolization during percutaneous vertebroplasty resulting in bilateral renal infarcts and ischemic colitis</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>52</volume><issue>10</issue><spage>1969</spage><epage>1974</epage><pages>1969-1974</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><abstract>This case report documents an arterial embolic event that occurred during vertebroplasty for a pathological compression fracture of T12 in a 54-year-old female with known metastatic breast carcinoma. A CT angiogram performed after the procedure demonstrated cement migration into the aorta, both kidneys, and the inferior mesenteric artery and its branches, with ischemic colitis involving the descending colon and sigmoid colon. A CT scan 4 months post-procedure demonstrated resolution of the colitis. Neovascularity and cortical destruction in malignant bone lesions are thought to contribute to arterial cement leak.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36633644</pmid><doi>10.1007/s00256-022-04254-8</doi><tpages>6</tpages></addata></record> |
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subjects | Abdomen Aorta Back pain Bone lesions Bone surgery Breast cancer Breast carcinoma Care and treatment Case Report Case reports Cement Colitis Colon Compression therapy Computed tomography Coronary vessels Cortical bone CT imaging Embolisms Embolization Fractures Imaging Inflammatory bowel disease Ischemia Kidneys Medical imaging Medicine Medicine & Public Health Metastases Metastasis Nuclear Medicine Orthopedic surgery Orthopedics Osteoporosis Pathology Polymethylmethacrylate Radiology Surgeons Veins & arteries |
title | Arterial embolization during percutaneous vertebroplasty resulting in bilateral renal infarcts and ischemic colitis |
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