Intracranial pellet embolization: an endovascular endeavor.
CT angiography
catheter
embolic
technique
thrombectomy
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
31 Dec 2019
31 Dec 2019
Historique:
entrez:
2
1
2020
pubmed:
2
1
2020
medline:
20
5
2020
Statut:
epublish
Résumé
A 44-year-old man was referred to the neurointerventionalist 6 hours after sustaining a shotgun wound to the left chest, shoulder, and neck from 4 feet away. Physical examination of the chest showed a 5 cm × 5 cm gunshot entry wound on the anterior-superior aspect of the chest involving the supraclavicular and infraclavicular region, with multiple gunshot pellet entry sites riddled in the surrounding vicinity. The patient was taken for a CT scan of the brain without contrast and CT angiography, which showed no sign of stroke or intracranial hemorrhage but revealed a single 'buckshot' pellet embolizing the basilar artery tip, occluding the origin of the left posterior cerebral artery. Using A Direct Aspiration First Pass Technique (ADAPT), the neurointerventinalist was able to endovascularly remove the embolized pellet and the patient was discharged 8 days later with no focal neurological deficit.
Identifiants
pubmed: 31892630
pii: 12/12/e015301
doi: 10.1136/bcr-2019-015301
pmc: PMC6954796
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Am J Surg. 1979 Feb;137(2):192-5
pubmed: 371424
AJNR Am J Neuroradiol. 2006 Feb;27(2):261-3
pubmed: 16484388
Childs Nerv Syst. 2016 Jul;32(7):1317-20
pubmed: 26753899
J Trauma. 1995 Nov;39(5):1006-9
pubmed: 7473987
J Neurointerv Surg. 2014 Apr 1;6(3):231-7
pubmed: 23624315
AJNR Am J Neuroradiol. 1981 Mar-Apr;2(2):185-6
pubmed: 6784560
AJR Am J Roentgenol. 1995 Sep;165(3):744
pubmed: 7645519
J Trauma. 1978 Apr;18(4):236-9
pubmed: 660667