Vertebroplasty-associated cement leak leading to iatrogenic venous compression and thrombosis

Autor: Nariman Nezami, MD, Haddy Jarmakani, DO, Igor Latich, MD, Matthew Groenwald, MD, Juan Carlos Perez Lozada, MD
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 5, Iss 4, Pp 561-565 (2019)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2019.08.009
Popis: A 91-year-old woman presented with left lower extremity swelling and pain diagnosed as phlegmasia cerulea dolens. Doppler ultrasound and venography revealed extensive left lower extremity deep venous thrombosis. Review of prior images revealed cement leakage causing compression of the left common iliac vein. She underwent successful mechanical thrombectomy using the ClotTriever device (Inari Medical, Irvine, Calif) and subsequent stent placement. Phlegmasia cerulea dolens resolved on the following day, and the stent remained patent at the 1-month follow-up appointment. Cement leakage from L5 vertebroplasty can cause extrinsic compression on the left common iliac vein, resulting in iatrogenic venous compression syndrome and the development of deep venous thrombosis in the affected lower extremity. Keywords: Vertebroplasty, Cement leakage, Stenosis, Common iliac vein, Venous compression syndrome, Deep venous thrombosis
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