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<meta name="twitter:description" content="Summary: A pulmonary embolus of acrylic cement was present in a 41-year-old woman with Langerhans' cell vertebral histiocytosis (LCH) after percutaneous vertebroplasty. Chest radiograph and CT confirmed pulmonary infarction and the presence of cement in the pulmonary arteries. She was treated with anticoagulants, and responded favorably. This rare complication occurred because perivertebral venous migration was not recognized during vertebroplasty. Adequate preparation of cement and biplane fluoroscopy are recommended for vertebroplasty." />
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      <h1 class="highwire-cite-title" id="page-title">Pulmonary Embolism Caused by Acrylic Cement: A Rare Complication of Percutaneous Vertebroplasty</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">Bernard Padovani</span>, <span class="highwire-citation-author" data-delta="1">Olivier Kasriel</span>, <span class="highwire-citation-author" data-delta="2">Philippe Brunner</span> and <span class="highwire-citation-author" data-delta="3">Paula Peretti-Viton</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">March 1999,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">20 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(3) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">375-377; </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-11215--6334312220" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">Bernard Padovani </div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Bernard%2BPadovani%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Padovani%20B&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ABernard%2BPadovani%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">Olivier Kasriel </div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Olivier%2BKasriel%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Kasriel%20O&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AOlivier%2BKasriel%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">Philippe Brunner </div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Philippe%2BBrunner%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Brunner%20P&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3APhilippe%2BBrunner%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">Paula Peretti-Viton </div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Paula%2BPeretti-Viton%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Peretti-Viton%20P&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3APaula%2BPeretti-Viton%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div></div></div>  </div>

  
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    <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" xmlns:xhtml="http://www.w3.org/1999/xhtml" class="section ref-list" id="ref-list-1"><h2>References</h2><ol class="cit-list"><li><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1 in text" id="ref-1">↵</a><div class="cit ref-cit ref-other" id="cit-20.3.375.1"><div class="cit-metadata unstructured">Deramont H, Galibert R, Debussche-Depriester C.   <strong>Percutaneous vertebroplasty with methylmethacrylate: technique, method, results.</strong>   Abstract from the Radiological Society of North America, Chicago, 1990 </div><div class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-2-1" title="View reference 2 in text" id="ref-2">↵</a><div class="cit ref-cit ref-other" id="cit-20.3.375.2"><div class="cit-metadata"><cite>Cotten A, Dewatre F, Cortet B,   et al.   <strong>Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up.</strong>  <span class="cit-source">Radiology</span>  <span class="cit-pub-date">1996</span>;<span class="cit-vol">200</span>:<span class="cit-fpage">525</span>-530</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=8685351&amp;link_type=MED&amp;atom=%2Fajnr%2F20%2F3%2F375.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=A1996UY07800038&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-3-1" title="View reference 3 in text" id="ref-3">↵</a><div class="cit ref-cit ref-other" id="cit-20.3.375.3"><div class="cit-metadata"><cite>Chiras J, Depriester C, Weill A, Sola-Martinez MT, Deramond H.   <strong>Vertébroplasties percutanées.</strong>  <span class="cit-source">J Neuroradiol</span>  <span class="cit-pub-date">1997</span>;<span class="cit-vol">24</span>:<span class="cit-fpage">45</span>-59</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=9303944&amp;link_type=MED&amp;atom=%2Fajnr%2F20%2F3%2F375.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-4-1" title="View reference 4 in text" id="ref-4">↵</a><div class="cit ref-cit ref-other" id="cit-20.3.375.4"><div class="cit-metadata"><cite>Weill A, Chiras J, Simon JM, Rose M, Sola-Martinez T, Enkaoua E.   <strong>Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement. .</strong> <span class="cit-source">Radiology</span>  <span class="cit-pub-date">1996</span>;<span class="cit-vol">99</span>:<span class="cit-fpage">241</span>-247</cite></div><div class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-5-1" title="View reference 5 in text" id="ref-5">↵</a><div class="cit ref-cit ref-other" id="cit-20.3.375.5"><div class="cit-metadata"><cite>Jensen ME, Avery JE, Mathis JM, Kallmes DF, Cloft HJ, Dio JE.   <strong>Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects.</strong> <span class="cit-source">AJNR Am J Neuroradiol</span> <span class="cit-pub-date">1997</span>;<span class="cit-vol">18</span>:<span class="cit-fpage">1897</span>-1904</cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpuciI7czo1OiJyZXNpZCI7czoxMDoiMTgvMTAvMTg5NyI7czo0OiJhdG9tIjtzOjE5OiIvYWpuci8yMC8zLzM3NS5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span></span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-6-1" title="View reference 6 in text" id="ref-6">↵</a><div class="cit ref-cit ref-other" id="cit-20.3.375.6"><div class="cit-metadata"><cite>Gangi A, Kastler BA, Dietemann JL.   <strong>Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy.</strong>  <span class="cit-source">AJNR Am J Neuroradiol</span>  <span class="cit-pub-date">1994</span>;<span class="cit-vol">15</span>:<span class="cit-fpage">83</span>-86</cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpuciI7czo1OiJyZXNpZCI7czo3OiIxNS8xLzgzIjtzOjQ6ImF0b20iO3M6MTk6Ii9ham5yLzIwLzMvMzc1LmF0b20iO31zOjg6ImZyYWdtZW50IjtzOjA6IiI7fQ==" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span><span class="cit-sep cit-reflinks-variant-name-sep">/</span><span 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class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-8-1" title="View reference 8 in text" id="ref-8">↵</a><div class="cit ref-cit ref-other" id="cit-20.3.375.8"><div class="cit-metadata"><cite>Propst JW, Siegel LC, Schnittger I, Foppiano L, Goodman SB, Brock-Utne JG.   <strong>Segmental wall motion abnormalities in patients undergoing total hip replacement: correlations with intraoperative events.</strong>  <span class="cit-source">Anesth Analg</span>  <span class="cit-pub-date">1993</span>;<span class="cit-vol">77</span>:<span class="cit-fpage">743</span>-749</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=8214658&amp;link_type=MED&amp;atom=%2Fajnr%2F20%2F3%2F375.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=A1993MA35700015&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink 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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 20</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 3 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Mar 1999 </div></div>
      
      
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