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[经皮椎体后凸成形术后腔静脉水泥栓塞。转移性尿路上皮癌的介入放射学恢复]

[Vena cava cement embolism after percutaneous kyphoplasty. Interventional radiological recovery in metastasized urothelial cancer].

作者信息

Schmid R, Efinger K, Schulz C, Sparwasser C, Martinschek A

机构信息

Abteilung für Urologie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland,

出版信息

Urologe A. 2014 Jan;53(1):62-6. doi: 10.1007/s00120-013-3315-1.

Abstract

For patients suffering from vertebral metastases vertebroplasty and kyphoplasty offer two relatively new treatment options for the stabilization of vertebral compression fractures. This can help to reduce the fracture-associated symptoms and can improve the quality of life. Cement extravasation is a specific complication of this therapy. This article reports a case of multiple cement paravasations in the paravertebral veins, the vena cava inferior and peripheral segmental and subsegmental pumonary arteries after kyphoplasty of an extensive pathological vertebral body fracture in a 64-year-old man suffering from metastatic urothelial cancer.

摘要

对于患有椎体转移瘤的患者,椎体成形术和后凸成形术为稳定椎体压缩性骨折提供了两种相对较新的治疗选择。这有助于减轻骨折相关症状并改善生活质量。骨水泥渗漏是该治疗的一种特殊并发症。本文报道了一例64岁患有转移性尿路上皮癌的男性患者,在对广泛的病理性椎体骨折进行后凸成形术后,骨水泥多处渗漏至椎旁静脉、下腔静脉以及外周节段性和亚节段性肺动脉的病例。

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