title: Retrograde migration and endovascular retrieval of a venous bullet embolus.
abstract: Venous bullet embolism is a rare and complicated occurrence reported in approximately 0.3% of penetrating trauma. The management of bullet emboli is decided on a case-by-case basis, balancing the risk of the embolus itself against those associated with extraction. We report a case of a 19-year-old man who sustained a gunshot wound to the anterior chest, which migrated to the left internal iliac vein in a retrograde fashion. We were able to successfully retrieve the missile using an endovascular approach, thereby minimizing the morbidity associated with an open procedure.
authors.affiliation: Department of Surgery and Section of Vascular Surgery, George Washington University, Washington, DC 20037, USA.
authors.forename: Mary Elizabeth
authors.initials: ME
authors.lastname: Schroeder
authors.forename: Howard I
authors.initials: HI
authors.lastname: Pryor
authors.forename: Albert K
authors.initials: AK
authors.lastname: Chun
authors.forename: Rodeen
authors.initials: R
authors.lastname: Rahbar
authors.forename: Subodh
authors.initials: S
authors.lastname: Arora
authors.forename: Khashayar
authors.initials: K
authors.lastname: Vaziri
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D057510:Endovascular Procedures; D017984:Enoxaparin; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin