[Bullet embolism of internal carotid artery. (A case report and literature review)].

Autor: Usachev DY; Burdenko Neurosurgical Center, Moscow, Russia., Lukshin VA; Burdenko Neurosurgical Center, Moscow, Russia., Shulgina AA; Burdenko Neurosurgical Center, Moscow, Russia., Kobyakov NG; Russian Medical Academy of Continuing Professional Education, Moscow, Russia.
Jazyk: English; Russian
Zdroj: Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko [Zh Vopr Neirokhir Im N N Burdenko] 2023; Vol. 87 (6), pp. 85-92.
DOI: 10.17116/neiro20238706185
Abstrakt: Bullet vascular embolism is a rare complication of gunshot wounds with risk of dire consequences and even death. Bullet embolism of internal carotid artery is extremely rare. Therefore, there is no uniform approach to the treatment of these patients. Nevertheless, removal of embolus through available surgical approach and arterial reconstruction with restoration of blood flow seems optimal. The authors present a 14-year-old patient with a wound to the left half of the chest from pneumatic gun complicated by bullet migration to the right ICA. Surgical intervention made it possible to remove the bullet from the artery and eliminate the risk of thrombosis and embolism. This case demonstrates the possibilities of open reconstructive surgery of supra-aortic vessels.
Databáze: MEDLINE