PT  - JOURNAL ARTICLE
AU  - Ameer E Hassan
AU  - Rani Ramsey Rabah
AU  - Wondwossen Tekle
TI  - Intracranial pellet embolization: an endovascular endeavor
AID  - 10.1136/bcr-2019-015301
DP  - 2019 Dec 01
TA  - BMJ Case Reports
PG  - e015301
VI  - 12
IP  - 12
4099  - http://casereports.bmj.com/content/12/12/e015301.short
4100  - http://casereports.bmj.com/content/12/12/e015301.full
SO  - BMJ Case Reports2019 Dec 01; 12
AB  - A 44-year-old man was referred to the neurointerventionalist 6 hours after sustaining a shotgun wound to the left chest, shoulder, and neck from 4 feet away. Physical examination of the chest showed a 5 cm × 5 cm gunshot entry wound on the anterior-superior aspect of the chest involving the supraclavicular and infraclavicular region, with multiple gunshot pellet entry sites riddled in the surrounding vicinity. The patient was taken for a CT scan of the brain without contrast and CT angiography, which showed no sign of stroke or intracranial hemorrhage but revealed a single 'buckshot' pellet embolizing the basilar artery tip, occluding the origin of the left posterior cerebral artery. Using A Direct Aspiration First Pass Technique (ADAPT), the neurointerventinalist was able to endovascularly remove the embolized pellet and the patient was discharged 8 days later with no focal neurological deficit.