Republished: Intracranial pellet embolization: an endovascular endeavor.

Abstract:

: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.

journal_name

J Neurointerv Surg

authors

Hassan AE,Rabah RR,Tekle W

doi

10.1136/neurintsurg-2019-015301.rep

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

e2

issue

2

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2019-015301.rep

journal_volume

12

pub_type

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