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January 1, 1997Hip International

Evidence for induction of cardiorespiratory and vascular complications by methylmethacrylate monomer in hip replacement surgery. Laboratory and animal investigations

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Key result

Injection of methylmethacrylate monomer caused a marked, dose-dependent increase in mean pulmonary arterial blood pressure and a transient fall in mean arterial blood pressure in experimental models.

Why the study?

Does methylmethacrylate monomer (MMA) exposure induce cardiorespiratory and vascular complications in experimental models?

Population

Experimental models (in vitro and in vivo animal models)

Design

Preclinical

Authors

ODO.E. DahlOslo University HospitalTATrude AspelinOslo University HospitalIRI. Eystein RuyterNordic Institute of Dental Materials

Discussion

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Implication

MMA monomer may underlie perioperative hemodynamic instability; animal data leave open clinical relevance in hip arthroplasty.

Structured PICO

Does methylmethacrylate monomer (MMA) exposure induce cardiorespiratory and vascular complications in experimental models?

P
Population
Experimental models (in vitro and in vivo animal models)
I
Intervention
Methylmethacrylate monomer (MMA) exposure via implantation of cement/prosthesis or injection (femoral vein or pulmonary artery)
O
Outcome
Changes in mean pulmonary arterial blood pressure (MPAP) and mean arterial blood pressure (MAP)surrogate

Methylmethacrylate monomer used in hip replacement surgery induces significant dose-dependent hemodynamic alterations and cytotoxicity in experimental models, potentially explaining perioperative cardiorespiratory dysfunction.

Cite This Study

Dahl et al. (1997) studied Hip replacement surgery. Methylmethacrylate monomer (MMA) was evaluated on Mean pulmonary arterial blood pressure (MPAP) and mean arterial blood pressure (MAP). Injection of methylmethacrylate monomer caused a marked, dose-dependent increase in mean pulmonary arterial blood pressure and a transient fall in mean arterial blood pressure in experimental models.

synapsesocial.com/papers/6a956e4b948c2c98a4f59205https://doi.org/10.1177/112070009700700402
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiovascular effects of total hip placement in man; With observations on the effects of methyl methacrylate on the isolated rabbit heart1977 · 27 citations
  2. 2Intrapulmonary thrombin generation and its relation to monomethylmethacrylate plasma levels during hip arthroplasty1992 · 50 citations
  3. 3Inflammation: Basic Principles and Clinical Correlates1993 · 511 citations
  4. 4Cardiopulmonary function and pulmonary microemboli during arthroplasty using cemented or non-cemented components. The role of intramedullary pressure.1987 · 227 citations
  5. 5The role of bone traumatization in the initiation of proximal deep vein thrombosis during cemented hip replacement surgery in pigs1995 · 48 citations