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Tytuł:
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Resolution of Pulmonary Cement Embolism After Treatment of Rivaroxaban on Ventilation/Perfusion SPECT Image.
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Autorzy:
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Kim HW; From the Departments of Nuclear Medicine.
Kim HJ; Internal Medicine, Dongsan Hospital, Keimyung University School of Medicine, Daegu, South Korea.
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Źródło:
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Clinical nuclear medicine [Clin Nucl Med] 2021 Feb 01; Vol. 46 (2), pp. 142-143.
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Typ publikacji:
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Case Reports; Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Philadelphia, Lippincott.
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MeSH Terms:
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Tomography, Emission-Computed, Single-Photon*
Ventilation-Perfusion Ratio*
Pulmonary Embolism/*diagnostic imaging
Pulmonary Embolism/*drug therapy
Rivaroxaban/*therapeutic use
Aged ; Humans ; Male ; Pulmonary Embolism/physiopathology
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References:
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Kim YJ, Lee JW, Park KW, et al. Pulmonary cement embolism after percutaneous vertebroplasty in osteoporotic vertebral compression fractures: incidence, characteristics, and risk factors. Radiology . 2009;251:250–259.
Adu-Gyamfi KO, Patri S. Symptomatic cardiopulmonary cement embolism following vertebroplasty. BMJ Case Rep . 2019;12:e230603.
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.
Arnáiz-García ME, Dalmau-Sorlí MJ, González-Santos JM. Massive cement pulmonary embolism during percutaneous vertebroplasty. Heart . 2014;100:600–600.
Bonardel G, Pouit B, Gontier E, et al. Pulmonary cement embolism after percutaneous vertebroplasty: a rare and nonthrombotic cause of pulmonary embolism. Clin Nucl Med . 2007;32:603–606.
Tozzi P, Abdelmoumene Y, Corno AF, et al. Management of pulmonary embolism during acrylic vertebroplasty. Ann Thorac Surg . 2002;74:1706–1708.
O’Connor-Byrne N, Logan C, Keegan N, et al. An uncommon complication of vertebroplasty: the role of anticoagulation. Anticancer Drugs . 2019;30:646–648.
Krueger A, Bliemel C, Zettl R, et al. Management of pulmonary cement embolism after percutaneous vertebroplasty and kyphoplasty: a systematic review of the literature. Eur Spine J . 2009;18:1257–1265.
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Substance Nomenclature:
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9NDF7JZ4M3 (Rivaroxaban)
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Entry Date(s):
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Date Created: 20201125 Date Completed: 20210107 Latest Revision: 20230925
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Update Code:
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20240105
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DOI:
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10.1097/RLU.0000000000003423
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PMID:
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33234931
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Abstract: A 73-year-old woman took a chest radiography for medical check-up, and pulmonary cement embolism was diagnosed. She had undergone percutaneous vertebroplasty. Ventilation-perfusion imaging revealed V/Q mismatched perfusion defect on the lung. Then, she has taken rivaroxaban (orally active direct factor Xa inhibitor) for 6 months and took follow-up V/Q scan. It revealed the disappearance of previous 2 of 3 moderate V/Q mismatches. There are controversies in the role of anticoagulation in treatment of pulmonary cement embolism, and this case shows functional recovery through the perfusion scan after anticoagulation treatment.
Competing Interests: Conflicts of interest and sources of funding: none declared.
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