Mary Elizabeth Schroeder, MD, Howard I. Pryor, MD, Albert K

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Presentation transcript:

Retrograde migration and endovascular retrieval of a venous bullet embolus Mary Elizabeth Schroeder, MD, Howard I. Pryor, MD, Albert K. Chun, MD, Rodeen Rahbar, MD, Subodh Arora, MD, Khashayar Vaziri, MD Journal of Vascular Surgery Volume 53, Issue 4, Pages 1113-1115 (April 2011) DOI: 10.1016/j.jvs.2010.11.046 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography (CT) scan of the chest revealed (A) a fractured manubrium (black arrow) with bullet fragments in the anterior mediastinum and (B) a small left superomedial pulmonary contusion (white arrow). Journal of Vascular Surgery 2011 53, 1113-1115DOI: (10.1016/j.jvs.2010.11.046) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 The scout image of a computed tomography (CT) scan of the abdomen and pelvis revealed the location of the projectile in the right lower pelvis without evidence of free air or free fluid in the abdomen. Journal of Vascular Surgery 2011 53, 1113-1115DOI: (10.1016/j.jvs.2010.11.046) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Initial fluoroscopic evaluation demonstrated the projectile in the left hemipelvis. B, An endovascular retrieval basket was advanced from the contralateral groin to capture the projectile. C and D, The basket was withdrawn over the iliac bifurcation, and the projectile was delivered to the contralateral groin. E, The projectile was removed by a cutdown procedure and venotomy. Journal of Vascular Surgery 2011 53, 1113-1115DOI: (10.1016/j.jvs.2010.11.046) Copyright © 2011 Society for Vascular Surgery Terms and Conditions