Document Detail

Shotgun wound and pellet embolism to the intracranial carotid artery.
MedLine Citation:
PMID:  21963000     Owner:  NLM     Status:  MEDLINE    
Missile embolism into the cerebral circulation is a very unusual complication of shotgun wounds to the chest or neck. We report a case of an 11-year-old boy who sustained an air gunshot wound and pellet embolism to the intracranial carotid artery. The cerebral artery pellet embolus resulted in contralateral hemiplegia. The patient was successfully treated by emergency flow reversal and embolectomy. Because this injury is extremely rare, the literature is reviewed, and several principles are suggested to improve the management.
Carlos Vaquero-Puerta; Enrique M San Norberto; Borja Merino; José A González-Fajardo; James Taylor
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2011-10-01
Journal Detail:
Title:  Journal of vascular surgery     Volume:  55     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-23     Completed Date:  2012-03-12     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  535-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Division of Angiology and Vascular Surgery, Valladolid University Hospital, Valladolid, Spain.
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MeSH Terms
Carotid Artery Injuries / etiology*,  physiopathology,  surgery
Carotid Artery, Internal* / physiopathology,  radiography,  surgery
Cerebrovascular Circulation
Foreign-Body Migration / etiology*,  physiopathology,  surgery
Hemiplegia / etiology
Intracranial Embolism / etiology*,  physiopathology,  surgery
Regional Blood Flow
Treatment Outcome
Wounds, Gunshot / etiology*,  physiopathology,  surgery

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