Severe hemodynamic collapse during humerus stabilization with photodynamic implant: A report of two cases Journal Article
| Authors: | Sabharwal, S.; Boland, P. J.; Vaynrub, M. |
| Article Title: | Severe hemodynamic collapse during humerus stabilization with photodynamic implant: A report of two cases |
| Abstract: | CASE: We present 2 cases of severe hemodynamic collapse during prophylactic stabilization of impending pathologic humerus fractures using a photodynamic bone stabilization device. Both events occurred when the monomer was infused under pressure into a balloon catheter. CONCLUSION: We suspect that an increase in intramedullary pressure during balloon expansion may cause adverse systemic effects similar to fat embolism or bone cement implantation syndrome. Appropriate communication with the anesthesia team, invasive hemodynamic monitoring, and prophylactic vent hole creation may help mitigate or manage these adverse systemic effects. Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated. |
| Keywords: | humerus; case report; pathology; surgery; vascular disease; prostheses and implants; prostheses and orthoses; fractures, spontaneous; pathologic fracture; vascular diseases; humans; human; fat embolism; embolism, fat |
| Journal Title: | JBJS Case Connector |
| Volume: | 14 |
| Issue: | 2 |
| ISSN: | 2160-3251 |
| Publisher: | Journal of Bone and Joint Surgery |
| Date Published: | 2024-01-01 |
| Language: | English |
| PUBMED: | 38635765 |
| PROVIDER: | scopus |
| PMCID: | PMC11034895 |
| DOI: | 10.2106/JBJS.CC.23.00634 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Max Vaynrub -- Source: Scopus |
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