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Updated: May 8, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Bullet embolization: multidisciplinary approach by interventional radiology and surgery.
Timothy Nolan1, Ho Phan, Andrew Hal Hardy
1Department of Diagnostic Radiology.
Seminars in Interventional Radiology
|September 3, 2013
Summary
Bullet embolization, where bullets travel through blood vessels after trauma, is rare but serious. A combined surgical and endovascular approach offers a new treatment option for this challenging condition.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Interventional Radiology
Background:
- Bullet embolization is an uncommon yet significant complication of penetrating trauma.
- Embolized bullets can migrate to various vascular beds, leading to severe complications like ischemia, stroke, and death.
- The rarity of this condition contributes to management controversies.
Purpose of the Study:
- To describe a case of venous bullet embolization.
- To highlight the utility of a combined endovascular and surgical approach for treatment.
Main Methods:
- Case report of a patient with venous bullet embolization from the left iliac vein.
- Utilized a combined endovascular and surgical strategy for bullet retrieval.
Main Results:
- Successful retrieval of the embolized bullet using the combined approach.
- Resolution of symptoms and prevention of further complications.
Conclusions:
- Combined endovascular and surgical management is a viable option for venous bullet embolization.
- This approach may offer a less invasive alternative to traditional open surgery.
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