{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:46:34Z","timestamp":1791985594428,"version":"4.4.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>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.<\/jats:p>","DOI":"10.4103\/aca.aca_357_25","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:00:27Z","timestamp":1791824427000},"page":"627-629","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Catastrophic Bone Cement Implantation Syndrome Identified Real Time with Transesophageal Echocardiography"],"prefix":"10.4103","volume":"29","author":[{"given":"Nicholas Paul","family":"Suraci","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Michael E. DeBakey VA Medical Center, Houston, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Michael E. DeBakey VA Medical Center, Houston, Texas, United States"},{"name":"Department of Anesthesiology, Baylor College of Medicine, Houston, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maisie","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Michael E. DeBakey VA Medical Center, Houston, Texas, United States"},{"name":"Department of Anesthesiology, Baylor College of Medicine, Houston, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"R1-20261014","doi-asserted-by":"crossref","first-page":"240","DOI":"10.4103\/0259-1162.94796","article-title":"Bone cement implantation syndrome: A rare catastrophe","volume":"5","author":"Mudgalkar","year":"2011","journal-title":"Anesth Essays Res"},{"key":"R2-20261014","first-page":"433","article-title":"Understanding bone cement implantation syndrome","volume":"86","author":"Hines","year":"2018","journal-title":"AANA J"},{"key":"R3-20261014","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1097\/CORR.0000000000001658","article-title":"CORR insights\u00ae: What are the frequency, related mortality, and factors associated with bone cement implantation syndrome in arthroplasty surgery?","volume":"479","author":"George","year":"2021","journal-title":"Clin Orthop Relat Res"},{"key":"R4-20261014","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/j.bja.2025.05.041","article-title":"Bone cement implantation syndrome: A scoping review","volume":"135","author":"Brokke","year":"2025","journal-title":"Br J Anaesth"},{"key":"R5-20261014","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.3390\/jpm13091381","article-title":"Bone cement implantation syndrome: A rare disaster following cemented hip arthroplasties-clinical considerations supported by case studies","volume":"13","author":"Moldovan","year":"2023","journal-title":"J Pers Med"},{"key":"R6-20261014","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1111\/os.12842","article-title":"Bone cement implantation syndrome in bone tumor surgeries: Incidence, risk factors, and clinical experience","volume":"13","author":"Yang","year":"2021","journal-title":"Orthop Surg"},{"key":"R7-20261014","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.case.2021.10.003","article-title":"Catastrophic bone cement implantation syndrome treated with venoarterial extracorporeal membrane oxygenation: A case report","volume":"6","author":"Valiton","year":"2021","journal-title":"CASE (Phila)"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_357_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:00:48Z","timestamp":1791982848000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_357_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_357_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2025-12-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}