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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1814386
Original Article

Mechanical Thrombectomy of a Vertebroplasty-Related Pulmonary Cement Embolus

Autor*innen

  • Kevin Pierre

    1   Department of Radiology, University of Florida College of Medicine, Gainesville, Florida, United States

  • Jay Talati

    1   Department of Radiology, University of Florida College of Medicine, Gainesville, Florida, United States

  • Benjamin Berwick

    1   Department of Radiology, University of Florida College of Medicine, Gainesville, Florida, United States

  • Yash Suri

    1   Department of Radiology, University of Florida College of Medicine, Gainesville, Florida, United States

  • Michael Calderon

    1   Department of Radiology, University of Florida College of Medicine, Gainesville, Florida, United States

  • Hugh Davis

    1   Department of Radiology, University of Florida College of Medicine, Gainesville, Florida, United States

  • Michael Lazarowicz

    1   Department of Radiology, University of Florida College of Medicine, Gainesville, Florida, United States
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Abstract

Introduction

This is a case presentation of a 62-year-old woman who presents for new-onset dyspnea and chest pain after receiving an L4 vertebroplasty 3 months ago.

Results

Noncontrast computed tomography revealed a new linear hyperdense foreign body in the left pulmonary artery. Interventional radiology was consulted and performed a pulmonary angiogram, confirming a linear radiopaque foreign body consistent with polymethylmethacrylate bone cement.

Discussion

Following cement augmentation procedures, providers should consider diagnosis of pulmonary cement embolus if patients present with new cardiopulmonary symptoms. Although pulmonary cement embolism is a rare complication, it may present weeks to months after vertebroplasty and has the chance to be fatal.

Conclusion

Catheter-directed suction thrombectomy should be considered as an effective treatment method for polymethylmethacrylate bone cement embolism, a rare complication of vertebroplasty and kyphoplasty procedures.

Keywords

thrombectomy - cement embolism - interventional radiology

Ethical Statement

The authors hereby consciously assure that, for the manuscript, the following requirements have been fulfilled:

• This material is the authors' own original work, which has not been previously published elsewhere.

• The article is not currently being considered for publication elsewhere.

• The article reflects the authors' own research and analysis in a truthful and complete manner.

• The article properly credits the meaningful contributions of co-authors and co-researchers.

• The results are appropriately placed in the context of prior and existing research.

• All sources used are properly disclosed (correct citation). Literally copying of text must be indicated as such by using quotation marks and giving a proper reference.

• All authors have been personally and actively involved in the substantial work leading to this article, and will take public responsibility for its content.

The violation of the Ethical Statement rules may result in severe consequences.

I agree with the above statements and declare that this submission follows the policies of Solid State Ionics as outlined in the Guide for Authors and in the Ethical Statement.

Date: 05/13/2025




Publikationsverlauf

Artikel online veröffentlicht:
27. Januar 2026

© 2026. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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