Key result
Intraoperative TEE rapidly detects catastrophic bone cement implantation syndrome during hip arthroplasty.
Why the study?
Bone cement implantation syndrome is a rare but potentially catastrophic complication during orthopedic surgeries involving cemented prosthetic implantation, requiring real-time identification methods.
Case Report (n=1)
Transesophageal echocardiography is a valuable tool for real-time identification of bone cement implantation syndrome during orthopedic surgeries.
Characterized by unexpected hypoxia, hypotension, or hemodynamic collapse, bone cement implantation syndrome (BCIS) is a rare complication of orthopedic surgeries. During the process of utilizing cement to aid in prosthetic implantation, increased intramedullary pressure can lead to embolization of mixed contents (cement, fat, air,) into the heart. By mechanical obstruction and inflammatory response, BCIS can lead to catastrophic cardiovascular collapse. Herein, we present an 81-year-old man with grade three BCIS with pulseless electrical activity during a left hip arthroplasty with the aid of transesophageal echocardiography.
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Suraci et al. (2026) conducted a case report in Bone cement implantation syndrome (n=1). Transesophageal echocardiography was evaluated. Transesophageal echocardiography identified catastrophic bone cement implantation syndrome with pulseless electrical activity in real time during a left hip arthroplasty.
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