TY - JOUR
T1 - Percutaneous Cement Injection for the Palliative Treatment of Osseous Metastases
T2 - A Technical Review
AU - Yevich, Steven
AU - Tselikas, Lambros
AU - Gravel, Guillaume
AU - De Baère, Thierry
AU - Deschamps, Frederic
N1 - Publisher Copyright:
© 2018 by Thieme Medical Publishers, Inc.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - The technical art to percutaneous injection of polymethyl methacrylate (PMMA) cement for the palliative treatment of osseous metastases is not without pitfalls. Pathologic fracture, cortical bone erosion, large lytic tumor, aggressive tumor biology, and tumor vascularity may increase the risk of cement leakage or limit complete consolidation. A calculated and determined approach is often necessary to achieve satisfactory patient-tailored results. This article reviews the challenges and potential complications during the consolidation of osseous metastases. Case examples are presented to facilitate early detection of impending cement leakage, minimize procedural risks, and provide management suggestions for complications. Technical pearls are provided to refine consolidative techniques and improve the comprehensive treatment of painful osseous metastases.
AB - The technical art to percutaneous injection of polymethyl methacrylate (PMMA) cement for the palliative treatment of osseous metastases is not without pitfalls. Pathologic fracture, cortical bone erosion, large lytic tumor, aggressive tumor biology, and tumor vascularity may increase the risk of cement leakage or limit complete consolidation. A calculated and determined approach is often necessary to achieve satisfactory patient-tailored results. This article reviews the challenges and potential complications during the consolidation of osseous metastases. Case examples are presented to facilitate early detection of impending cement leakage, minimize procedural risks, and provide management suggestions for complications. Technical pearls are provided to refine consolidative techniques and improve the comprehensive treatment of painful osseous metastases.
KW - cement leakage
KW - cementoplasty
KW - complication
KW - interventional radiology
KW - polymethyl methacrylate
UR - http://www.scopus.com/inward/record.url?scp=85056268621&partnerID=8YFLogxK
U2 - 10.1055/s-0038-1673418
DO - 10.1055/s-0038-1673418
M3 - Article
AN - SCOPUS:85056268621
SN - 0739-9529
VL - 35
SP - 268
EP - 280
JO - Seminars in Interventional Radiology
JF - Seminars in Interventional Radiology
IS - 4
ER -