Mojtahedi Alireza, Contractor Sohail, Kisza Piotr S
1 Department of Radiology, Rutgers, New Jersey Medical School Newark, NJ, USA.
Vasc Endovascular Surg. 2018 May;52(4):295-298. doi: 10.1177/1538574418760415. Epub 2018 Mar 18.
Bullet embolization to the right heart through the vasculature is seen infrequently in cases presenting with penetrating trauma. Patients with unstable hemodynamic status are managed operatively. For a patient with stable hemodynamic parameters, diagnostic evaluation such as computed tomography angiogram, echocardiogram, or angiography could be performed to select the best treatment option. Endovascular treatment is employed infrequently in these cases but can be a viable option for select patients. We present a case of a bullet embolus to the right ventricle treated successfully with endovascular approach and discuss the technical aspects of this approach.
在穿透性创伤病例中，经血管系统进入右心的子弹栓塞并不常见。血流动力学不稳定的患者需进行手术治疗。对于血流动力学参数稳定的患者，可进行计算机断层血管造影、超声心动图或血管造影等诊断评估，以选择最佳治疗方案。这些病例很少采用血管内治疗，但对于部分患者而言可能是一种可行的选择。我们报告一例采用血管内方法成功治疗右心室子弹栓塞的病例，并讨论该方法的技术要点。
