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PT  - JOURNAL ARTICLE
AU  - Scroop, Rebecca
AU  - Eskridge, Joseph
AU  - Britz, Gavin W.
TI  - Paradoxical Cerebral Arterial Embolization of Cement during Intraoperative Vertebroplasty: Case Report
DP  - 2002 May 01
TA  - American Journal of Neuroradiology
PG  - 868--870
VI  - 23
IP  - 5
4099  - http://www.ajnr.org/content/23/5/868.short
4100  - http://www.ajnr.org/content/23/5/868.full
SO  - Am. J. Neuroradiol.2002 May 01; 23
AB  - Summary: Paradoxical cerebral embolism of cement occurred in a 78-year-old woman after cement−assisted transpedicular spinal fixation surgery. Multiple pulmonary emboli of polymethylmethacrylate precipitated pulmonary hypertension and right-to-left shunting into the systemic circulation through a patent foramen ovale. This rare complication occurred because of failure to recognize venous migration of cement during the procedure and the injection of multiple levels in one setting. Although this was an open procedure, the technical aspects were the same as for vertebroplasty and the precautions should be applied to percutaneous vertebroplasty.