A Novel Approach to Treatment of Unexpected Vertebroplasty Complication

Journal Article · Sat Nov 15 04:00:00 EST 2008 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-008-9353-1· OSTI ID:21450330

Gonda, Roger L; Kadakia, Saumil R ^[1]

---

1. Providence Hospital, Department of Radiology (United States)

We report a novel approach to treatment of an unexpected complication of vertebroplasty. During initial positioning of transpedicular vertebroplasty needles in a 73-year-old woman, we encountered unexpected ease of needle advancement resulting in progression of the needle through the anterior cortex of the thoracic vertebral body. The transpedicular needle advanced into the mediastinum and, presumably, the adventitia of the descending thoracic aorta. Administration of polymethylmethacrylate cement was performed to tamponade bleeding at the time of the procedure and to reduce the risk of potential delayed bleeding complications within the mediastinum. The treatment was successful and the patient had no immediate or delayed complications as a result of the unintended needle advancement.

• OSTI ID: 21450330
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 31; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
AORTA
ARTERIES
BLOOD VESSELS
BODY
BUILDING MATERIALS
CARDIOVASCULAR SYSTEM
CEMENTS
CHEST
ESTERS
INJECTION
INTAKE
MATERIALS
MEDIASTINUM
ORGANIC COMPOUNDS
ORGANIC POLYMERS
ORGANS
PMMA
POLYACRYLATES
POLYMERS
POLYVINYLS
POSITIONING