Venous Bullet Embolism: A Complication of Airgun Pellet Injuries

Colquhoun, I. W.; Jamieson, M. P. G.; Pollock, James K.

doi:10.1177/003693309103600107

Cited by 32 publications

(25 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Embolization by foreign body after a gunshot in the civilian setting is rare and the exact incidence is unknown. It is commoner in arteries (80%) than veins (20%) [6]. Drapanas T. et al [4] study showed that the majority of the patients with arterial injury have other associated injuries.…”

Section: Discussionmentioning

confidence: 99%

Pellet Embolization after Subclavian Artery Injury: A Case Report

Černevičiūtė¹,

Sahebally²,

Mourad³

et al. 2017

View full text Add to dashboard Cite

Acute upper limb ischemia caused by a gunshot penetrating vascular injury and subsequent arterial embolization by foreign body is uncommon in everyday practice and is associated with high morbidity/mortality rates, especially with emergency surgery. We present the case of a 72-year old male who attempted suicide using a gun. A gunshot entry wound was evident in the right upper chest region with no pellet exit wound. Radial pulses were palpable bilaterally. Angiography revealed right subclavian artery direct injury and pellet embolization to the brachial artery. The patient underwent open surgery, with reversed saphenous vein interposition graft to replace subclavian artery defect. A pellet was removed by a separate arteriotomy in the brachial artery. Associated injuries were clavicle-comminuted fracture and subclavian vein injury. The patient remained well 5 months later with no reported complications. In conclusions, the presence of radial pulses alone on clinical exam cannot rule out the presence of a significant vascular injury.

show abstract

Section: Discussionmentioning

confidence: 99%

Pellet Embolization after Subclavian Artery Injury: A Case Report

Černevičiūtė¹,

Sahebally²,

Mourad³

et al. 2017

View full text Add to dashboard Cite

show abstract

“…[2] Bullet embolization can be arterial or venous, with most documented cases being arterial. [3] Arterial embolization typically originates from the large arteries, left ventricle, aorta, or pulmonary veins, and often embolizes to lower-extremity arteries. [4,5] Venous embolization frequently originates from the large peripheral veins or the vena cava, embolizing to the right side of the heart, particularly to the right ventricle or pulmonary arteries.…”

Section: Discussionmentioning

confidence: 99%

Embolism of a pellet after shotgun injury: from liver to right ventricle

Bakan

Korkmazer

Baş

et al. 2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Bullet embolism to the heart is a rare but serious complication of penetrating trauma. Distant migration of foreign bodies via the vascular system must be taken into consideration following penetrating gunshot trauma. Delays in diagnosis may result in poor management and subsequent complications that may lead to grave prognosis. Presently described was a conservatively managed case of asymptomatic intracardiac pellet embolization. Highlighted was the importance of serial scanning for intravascular migration of pellet following penetrating gunshot injury, in addition to conservative management in asymptomatic patients.

show abstract

“…The risk of a bullet lodging in the vascular system in penetrating trauma patients is *0.3 % [11]. Approximately, 80 % of foreign body or bullet emboli are arterial (systemic or pulmonary) [7] and the remaining emboli are venous [4].…”

Section: Discussionmentioning

confidence: 99%

“…Survival is contingent upon rapid diagnosis and treatment of major injuries [2]. Embolization of traumatic foreign bodies is even more uncommon [3][4][5][6][7][8][9][10][11][12][13]. Recently, we successfully treated a patient with penetrating cardiac trauma with embolization of a foreign body to the pulmonary circulation without major operative intervention.…”

Section: Introductionmentioning

confidence: 99%