Document Detail

Varied presentations of missile emboli in military combat.
MedLine Citation:
PMID:  19703749     Owner:  NLM     Status:  MEDLINE    
Fragment embolization is a rare phenomenon in trauma patients. Although surgical and endovascular management of vascular injuries have evolved significantly, the detection and management of fragment emboli remain a formidable challenge. We reviewed our experience with this entity from December 2001 to March 2008. During this time period, four (1.1%) of 346 US soldiers evacuated to Walter Reed with arterial or venous injuries were discovered to have suffered missile emboli. Venous emboli were treated with anticoagulation and arterial emboli were treated with standard embolectomy techniques with good result. The presentation, diagnosis, and surgical management of these cases are described.
Gilbert Aidinian; Charles J Fox; Todd E Rasmussen; David L Gillespie
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-08-22
Journal Detail:
Title:  Journal of vascular surgery     Volume:  51     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-02-23     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:  214-7     Citation Subset:  IM    
Copyright Information:
Published by Mosby, Inc.
Department of Surgery, Peripheral Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC, USA.
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MeSH Terms
Anticoagulants / therapeutic use
Blood Vessels / drug effects,  injuries*
Embolism / etiology*,  radiography,  therapy
Military Medicine*
Military Personnel*
Tomography, X-Ray Computed
Treatment Outcome
United States
Wounds, Gunshot / etiology*,  radiography,  therapy
Wounds, Penetrating / etiology*,  radiography,  therapy
Young Adult
Reg. No./Substance:

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