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Related Experiment Videos

Retrograde venous bullet embolism

S J Sclafani, W G Mitchell

    The Journal of Trauma
    |August 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Bullets can travel into veins, even against blood flow, due to gravity or the Valsalva maneuver. This case study shows a bullet successfully moved from the popliteal vein to the iliac vein using fluoroscopy and a balloon catheter, avoiding surgery.

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    Area of Science:

    • Vascular surgery
    • Interventional radiology
    • Trauma management

    Background:

    • Bullet embolization into the venous system presents a significant clinical challenge.
    • Distal venous migration can occur due to gravitational forces or increased intrathoracic pressure (Valsalva maneuver).
    • Surgical retrieval from distal veins often necessitates invasive procedures with associated risks.

    Observation:

    • A case involving a bullet lodged in the popliteal vein is presented.
    • The bullet's position was identified and manipulated under fluoroscopic guidance.
    • The embolized projectile was repositioned proximally within the venous vasculature.

    Findings:

    • The bullet was successfully migrated from the popliteal vein to the iliac vein.
    • A balloon catheter was utilized to trap the bullet in the iliac vein.

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  • This interventional technique successfully obviated the need for open popliteal exploration.

    • Implications:

    • Fluoroscopically guided repositioning and balloon catheter trapping offer a minimally invasive alternative for managing venous bullet emboli.
    • This approach may reduce operative morbidity associated with traditional surgical extraction.
    • The described technique provides a valuable option for complex cases of venous bullet embolization.