title: Endovascular management of an intracardiac bullet.
abstract: Intravascular bullets may cause diagnostic and management difficulties. We describe a bullet overlying the cardiac silhouette on X-ray which was identified to be at the cavoatrial junction on cavography. The bullet was removed via endovascular techniques utilizing occlusion balloon and reverse trendelenberg position.
authors.affiliation: SUNY Downstate Medical Center, Department of Interventional Radiology, United States. Electronic address: mahyar.ghanaat@downstate.edu.
authors.forename: Mahyar
authors.initials: M
authors.lastname: Ghanaat
authors.affiliation: SUNY Downstate Medical Center, Department of Interventional Radiology, United States.
authors.forename: Charles
authors.initials: C
authors.lastname: Goldenberg
authors.affiliation: SUNY Downstate Medical Center, Department of Interventional Radiology, United States.
authors.forename: James
authors.initials: J
authors.lastname: Walsh
authors.affiliation: SUNY Downstate Medical Center, Department of Interventional Radiology, United States.
authors.forename: Salvatore J
authors.initials: SJ
authors.lastname: Sclafani
mesh_terms: D000328:Adult; D002404:Catheterization; D057510:Endovascular Procedures / Q000379:methods*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism; D015641:Radiography, Interventional; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Embolectomy; Extraction; Interventional radiology; Intracardiac bullet; Intravascular bullet; Intravenous bullet; Management; Occlusive-balloon