Bullet Embolization: Multidisciplinary Approach by Interventional Radiology and Surgery

摘要: Bullet embolization after penetrating trauma is an infrequent but important phenomenon. It presents unexpected sequelae to the otherwise predictable injury pattern of missile mechanism and poses a challenging diagnostic therapeutic dilemma. Bullets from wounds can gain access vasculature migrate nearly every large vascular bed. Patients be asymptomatic, potential complications devastating including limb-threatening ischemia, sepsis, endocarditis, cardiac valvular incompetence, pulmonary embolism, stroke, even death. The exact incidence bullet unknown, it was estimated 0.3% during Vietnam War 1.1% in recent conflict Afghanistan Iraq. scarcity condition lack concentrated experience at any single institution contribute controversies pertaining management approach. Traditionally, surgical extraction embolized bullets may involve difficult invasive exposures. Recent advancement endovascular techniques provides additional option this treatment algorithm. In article, we describe case venous left iliac vein treated by combined