Document Detail

Endovascular management of an embedded intracranial knife.
MedLine Citation:
PMID:  18062456     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Endovascular therapy (ET) is infrequently used in the setting of acute penetrating intracranial trauma. METHODS: We report a case where ET was used immediately prior to and following removal of an embedded intracranial knife, which was found to be disrupting the anterior cerebral artery. RESULTS: The proximal vessel was coiled and angiographically occluded and then the knife was removed with the microcatheter in place. Immediate angiography allowed us to see and quickly treat the contrast extravasation with further coiling. Despite full medical management, the patient died of elevated intracranial pressure. CONCLUSION: In this severely injured patient, endovascular therapy represented the most suitable means to attempt safe removal of the knife.
T E Darsaut; R A Ashforth; M M Chow; J M Findlay
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques     Volume:  34     ISSN:  0317-1671     ISO Abbreviation:  Can J Neurol Sci     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-12-07     Completed Date:  2008-01-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0415227     Medline TA:  Can J Neurol Sci     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  460-3     Citation Subset:  IM    
Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
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MeSH Terms
Anterior Cerebral Artery / surgery*
Cerebral Angiography*
Embolization, Therapeutic
Eye Injuries, Penetrating / surgery*
Neurosurgical Procedures*
Vascular Surgical Procedures*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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