Current Problems in Diagnostic Radiology
Volume 38, Issue 6 , Pages 251-263 , November 2009

Multidetector Computed Tomography Findings of Dense Pulmonary Emboli in Oncologic Patients

  • Alberto Villanueva, MD, PhD

      Affiliations

    • Department of Radiology, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Spain
    • Corresponding Author InformationReprint requests: Alberto Villanueva, MD, PhD, Department of Radiology, Clínica Universitaria de Navarra, Universidad de Navarra, Avda Pío XII 36, 31008 Pamplona, Spain
  • ,
  • Maria Lourdes Díaz, MD

      Affiliations

    • Department of Radiology, Hospital de Navarra, Pamplona, Spain
  • ,
  • Armando Sánchez, MD

      Affiliations

    • Department of Anesthesiology, Hospital Universitario Miguel Servet, Zaragoza, Spain
  • ,
  • Eva Castañer, MD

      Affiliations

    • Department of Radiology, SDI UDIAT-CD, Institut Universitari Parc Taulí–UAB, Barcelona, Spain
  • ,
  • Gorka Bastarrika, MD, PhD

      Affiliations

    • Department of Radiology, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Spain
  • ,
  • Jordi Broncano, MD

      Affiliations

    • Department of Radiology, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Spain
  • ,
  • Loreto Garcia del Barrio, MD

      Affiliations

    • Department of Radiology, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Spain

References 

  1. Díaz ML, Villanueva A, Herraiz MJ, et al. Computed tomographic appearance of chest ports and catheters: a pictorial review for non interventional radiologists. Curr Probl Diagn Radiol. 2009;(in press)
  2. Felson B. Radiología Torácica. 2nd edition. Barcelona: Ed Científico-Médica; 1985;
  3. Heffernan EJ, O'Sullivan PJ, Alkubaidan FO, et al. The current status of percutaneous vertebroplasty in Canada. Can Assoc Radiol J. 2008;59:77–82
  4. Monticelli F, Meyer HJ, Tutsch-Bauer E. Fatal pulmonary cement embolism following percutaneous vertebroplasty (PVP). Forensic Sci Int. 2005;149:35–38
  5. Pitton MB, Herber S, Koch U, et al. CT-guided vertebroplasty: analysis of technical results, extra osseous cement leakages, and complications in 500 procedures. Eur Radiol. 2008;18:2568–2578
  6. Garfin SR, Reilley MA. Minimally invasive treatment of osteoporotic vertebral body compression fractures. Spine J. 2002;2:76–80
  7. Myers ME. Vertebroplasty and kyphoplasty: is one of these procedures the best choice for all patients?. Am J Neuroradiol. 2004;25:1297
  8. Wu SS, Lachmann E, Nagler W. Current medical, rehabilitation, and surgical management of vertebral compression fractures. J Womens Health. 2003;12:17–26
  9. Yeom JS, Kim WJ, Choy WS, et al. Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures. J Bone Joint Surg Br. 2003;85:83–89
  10. Jensen ME, Evans AJ, Mathis JM, et al. Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. Am J Neuroradiol. 1997;18:1897–1904
  11. Martinez-Quinones JV, Aso-Escario J, Arregui-Calvo YR. Percutaneous vertebral augmentation: vertebroplasty and kyphoplasty: Operative technique. Neurocirugia. 2005;16:427–440
  12. Galibert P, Deramond H, Rosat P, et al. Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty. Neurochirurgie. 1987;33:166–168
  13. Choe DH, Marom EM, Ahrar K, et al. Pulmonary embolism of polymethyl methacrylate during percutaneous vertebroplasty and kyphoplasty. AJR Am J Roentgenol. 2004;183:1097–1102
  14. Ramos L, de Las Heras JA, Sanchez S, et al. Medium-term results of percutaneous vertebroplasty in multiple myeloma. Eur J Haematol. 2006;77:7–13
  15. Barragan-Campos HM, Vallee JN, Lo D, et al. Percutaneous vertebroplasty for spinal metastases: complications. Radiology. 2006;238:354–362
  16. Freitag M, Gottschalk A, Schuster M, et al. Pulmonary embolism caused by polymethylmethacrylate during percutaneous vertebroplasty in orthopaedic surgery. Acta Anaesthesiol Scand. 2006;50:248–251
  17. Padovani B, Kasriel O, Brunner P, et al. Pulmonary embolism caused by acrylic cement: a rare complication of percutaneous vertebroplasty. Am J Neuroradiol. 1999;20:375–377
  18. Barbero S, Casorzo I, Durando M, et al. Percutaneous vertebroplasty: the follow-up. Radiol Med. 2008;113:101–113
  19. Layton KF, Thielen KR, Koch CA, et al. Vertebroplasty, first 1000 levels of a single center: evaluation of the outcomes and complications. AJNR Am J Neuroradiol. 2007;28(4):683–689
  20. Stone NN, Stock RG. Reduction of pulmonary migration of permanent interstitial sources in patients undergoing prostate brachytherapy. Urology. 2005;66:119–123
  21. Ankem MK, DeCarvalho VS, Harangozo AM, et al. Implications of radioactive seed migration to the lungs after prostate brachytherapy. Urology. 2002;59:555–559
  22. Tapen EM, Blasko JC, Grimm PD, et al. Reduction of radioactive seed embolization to the lung following prostate brachytherapy. Int J Radiat Oncol Biol Phys. 1998;42:1063–1067
  23. Merrick GS, Butler WM, Dorsey AT, et al. Seed fixity in the prostate/periprostatic region following brachytherapy. Int J Radiat Oncol Biol Phys. 2000;46(1):215–220
  24. Eshleman JS, Davis BJ, Pisansky TM, et al. Radioactive seed migration to the chest after transperineal interstitial prostate brachytherapy: extraprostatic seed placement correlates with migration. Int J Radiat Oncol Biol Phys 20041;59:419-25.
  25. Martinez-Monge R, Nag S, Nieroda CA, et al. Iodine-125 brachytherapy in the treatment of colorectal adenocarcinoma metastatic to the liver. Cancer. 1999;85:1218–1225
  26. Ricke J, Wust P, Stohlmann A, et al. CT-guided interstitial brachytherapy of liver malignancies alone or in combination with thermal ablation: phase I-II results of a novel technique. Int J Radiat Oncol Biol Phys. 2004;58:1496–1505
  27. Ricke J, Wust P, Wieners G, et al. Liver malignancies: CT-guided interstitial brachytherapy in patients with unfavorable lesions for thermal ablation. J Vasc Interv Radiol. 2004;15:1279–1286
  28. Zhang FJ, Li CX, Wu PH, et al. [Radioactive seed 125I implantation in treating recurrence and metastasis alter liver transplantation in hepatoma]. [Article in Chinese] Zhonghua Yi Xue Za Zhi. 2007;87:956–959
  29. Martinez-Monge R, Subtil JC, Lopez-Picazo JM. Transoesophageal endoscopic-ultrasonography-guided 125I permanent brachytherapy for unresectable mediastinal lymphadenopathy. Lancet Oncol. 2006;7:781–783
  30. Martinez-Monge R, Garran C, Vivas I, et al. Percutaneous CT-guided 103Pd implantation for the medically inoperable patient with T1N0M0 non-small cell lung cancer: a case report. Brachytherapy. 2004;3:179–181
  31. Ricke J, Wust P, Hengst S, et al. CT-guided interstitial brachytherapy of lung malignancies. Technique and first results. Radiologe 200;44:684-6.
  32. Surov A, Jordan K, Buerke M, et al. Atypical pulmonary embolism of port catheter fragments in oncology patients. Support Care Cancer. 2006;14:479–483
  33. Surov A, Buerke M, John E, et al. Intravenous port catheter embolization: mechanisms, clinical features, and management. Angiology. 2008;59:90–97
  34. McCarthy P, Kennedy A, Dawson P, et al. Pulmonary embolus as a complication of therapeutic peripheral arteriovenous malformation embolization. Br J Radiol. 1991;64:177–178
  35. Chung JW, Park JH, Im J-G, et al. Pulmonary oil embolism after transcatheter oily chemo-embolization of hepatocellular carcinoma. Radiology. 1993;187:689–693
  36. Czauderna P, Zbrzezniak G, Narozanski W, et al. Pulmonary embolism: a fatal complication of arterial chemoembolization for advanced hepatocellular carcinoma. J Pediatr Surg. 2005;40:1647–1650
  37. Pelz DM, Lownie SP, Fox AJ, et al. Symptomatic pulmonary complications from liquid acrylate embolization of brain arteriovenous malformations. Am J Neuroradiol. 1995;16:19–26
  38. Hutton L, Fox AJ, Vinuela F, et al. Iatrogenic pulmonary embolization of cerebral vascular lesions (a). Am J Neuroradiol. 1984;5:665
  39. Takasugi JE, Shaw C. Inadvertent bucrylate pulmonary embolization: a case report. J Thoracic Imag. 1989;4:71–73
  40. Noguera JJ, Martínez-Cuesta A, Sangro B, et al. [Fatal pulmonary embolism after embolization of a hepatocellular carcinoma using microspheres.]. Radiologia. 2008;50:248–250
  41. Castañer E, Gallardo X, Rimola J, et al. Congenital and acquired pulmonary artery anomalies in the adult: radiologic overview. Radiographics. 2006;26:349–371

PII: S0363-0188(08)00087-X

doi: 10.1067/j.cpradiol.2008.12.001

Current Problems in Diagnostic Radiology
Volume 38, Issue 6 , Pages 251-263 , November 2009