Document Detail


The Evolving Management of Venous Bullet Emboli: A case series and literature review.
MedLine Citation:
PMID:  20828693     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Bullet emboli are an infrequent and unique complication of penetrating trauma. Complications of venous and arterial bullet emboli can be devastating and commonly include limb-threatening ischaemia,pulmonary embolism, cardiac valvular incompetence, and cerebrovascular accidents. Bullets from penetrating wounds can gain access to the venous circulation and embolise to nearly every large vascular bed. Venous emboli are often occult phenomenon and may remain unrecognised until migration leads to vascular injury or flow obstruction with resultant oedema. The majority of arterial emboli present early with end-organ or limb ischaemia. We describe four separate cases involving venous bullet embolism and the subsequent management of each case. Review of the literature focusing on the reported management of these injuries, comparison of techniques of management, as well as the evolving role of endovascular techniques in the management of bullet emboli is provided.
Authors:
Keith R Miller; Matthew V Benns; Jason D Sciarretta; Brian G Harbrecht; Charles B Ross; Glen A Franklin; Jason W Smith
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Injury     Volume:  42     ISSN:  1879-0267     ISO Abbreviation:  Injury     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  441-6     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Ltd. All rights reserved.
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