Clinic for Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University Jena, Erlanger Allee 103, Jena 07747, Germany.
Br J Anaesth. 2014 Apr;112(4):672-4. doi: 10.1093/bja/aet413. Epub 2013 Dec 5.
We report on a rare complication of poly(methyl methacrylate) (PMMA), injected into the spine, which then inadvertently leaked into the venous system. This resulted in an embolism of PMMA and produced a mass surrounding a triple lumen central venous catheter located in the superior vena cava. The catheter as well as the attached mass of PMMA was retrieved safely by cardiothoracic surgery. This case emphasizes the importance of prompt diagnosis and treatment and illustrates the need for close monitoring of patients undergoing any spinal surgery that includes vertebroplasty.
我们报告了一种聚甲基丙烯酸甲酯（PMMA）注射到脊柱后罕见的并发症，该 PMMA 意外地漏入静脉系统。这导致 PMMA 栓塞，并在位于上腔静脉的三腔中央静脉导管周围形成一个肿块。心胸外科手术安全地取出了导管和附着的 PMMA 肿块。该病例强调了及时诊断和治疗的重要性，并说明了对任何包括椎体成形术在内的脊柱手术患者进行密切监测的必要性。
