Cardiopulmonary bone cement embolism after Percutaneous Kyphoplasty: a case series.
Linyao Chen, Jianwen Ye, Lidan Liu et al.
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Case in brief
This report details five patients who developed cement-induced intracardiopulmonary embolism following percutaneous kyphoplasty. These patients, particularly elderly women, presented with chest discomfort or unexplained hypotension. Timely recognition and intervention were crucial, as symptoms could rapidly worsen. Management included hemodynamic stabilization, respiratory support, and imaging to confirm the diagnosis, with multidisciplinary consultation for potential surgical intervention.
Diagnostic / clinical pearl
Cement embolism should be considered in patients with recent percutaneous kyphoplasty presenting with chest discomfort or hypotension, especially in elderly women.
Why it matters
Recognizing cement embolism early can prevent delays in diagnosis and treatment, which are critical for patient outcomes in this serious complication.