1. Embolia por metilmetacrilato.
- Author
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Rozo Ortiz, Edward Jassir, Barón Barón, Javier Orlando, Torres Rodríguez, Karen Geraldine, Guerrero León, Jessica Alejandra, Palacios Rojas, Leidy Rocío, López Niño, Laura Stefanny, Elizabeth Reyes, Sonia, Vargas Rodríguez, Ledmar Jovanny, and Velasco Castro, Julio César
- Abstract
OBJECTIVE: To characterize patients with methylmethacrylate embolism. METHODOLOGY: Systematic literature search of clinical cases according to the PRISMA 20 statement and the Cochrane Handbook of Systematic Reviews of Interventions (version 5.1.022). The population with a diagnosis of embolism or vascular complications due to bone cement (methyl methacrylate) reported in publications from 1992 to 2019 was included, with analysis of sociodemographic, clinical, and paraclinical characteristics. RESULTS: The most common procedure was vertebroplasty (77%), mostly in women (74.3%); 63.5% were symptomatic patients and the pulmonary artery was the most common site (89.2%). All patients received anticoagulants and the mortality rate was 9%. CONCLUSIONS: Women have a higher risk of methylmethacrylate embolism after interventions such as vertebroplasty, with a higher prevalence of pulmonary clinical presentation due to embolus at this level and detected postoperatively; however, unlike what is described in the literature, there was a higher incidence of symptomatic patients. In the reported cases, medical treatment consisted of the administration of anticoagulants, mainly heparin, so that the reported mortality figures were low. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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