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Endovascular management of an intracardiac bullet
Mahyar Ghanaat1, Charles Goldenberg1, James Walsh1
1SUNY Downstate Medical Center, Department of Interventional Radiology, United States.
Insights
Intravascular bullet removal is challenging. This case report details successful endovascular removal of a bullet lodged at the cavoatrial junction using specialized techniques.
Area of Science:
- Cardiovascular Surgery
- Interventional Radiology
- Trauma Management
Background:
- Intravascular bullets present unique diagnostic and management challenges.
- Locating intravascular foreign bodies requires precise imaging and intervention.
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.
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