{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T20:00:52Z","timestamp":1771272052542,"version":"3.50.1"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T00:00:00Z","timestamp":1417478400000},"content-version":"unspecified","delay-in-days":2588,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. j. neurol. sci."],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:sec id=\"S0317167100007368_abs1\"><jats:title><jats:italic><jats:bold>Background<\/jats:bold><\/jats:italic>:<\/jats:title><jats:p>Endovascular therapy (ET) is infrequently used in the setting of acute penetrating intracranial trauma.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100007368_abs2\"><jats:title><jats:italic><jats:bold>Methods<\/jats:bold><\/jats:italic>:<\/jats:title><jats:p>We report a case where ET was used immediately prior to and following removal of an embedded intracranial knife, which was found to be disrupting the anterior cerebral artery.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100007368_abs3\"><jats:title><jats:italic><jats:bold>Results<\/jats:bold><\/jats:italic>:<\/jats:title><jats:p>The proximal vessel was coiled and angiographically occluded and then the knife was removed with the microcatheter in place. Immediate angiography allowed us to see and quickly treat the contrast extravasation with further coiling. Despite full medical management, the patient died of elevated intracranial pressure.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100007368_abs4\"><jats:title><jats:italic><jats:bold>Conclusion<\/jats:bold><\/jats:italic>:<\/jats:title><jats:p>In this severely injured patient, endovascular therapy represented the most suitable means to attempt safe removal of the knife.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0317167100007368","type":"journal-article","created":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T15:27:21Z","timestamp":1418398041000},"page":"460-463","source":"Crossref","is-referenced-by-count":4,"title":["Endovascular Management of an Embedded Intracranial Knife"],"prefix":"10.1017","volume":"34","author":[{"given":"T E","family":"Darsaut","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R A","family":"Ashforth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M M","family":"Chow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J M","family":"Findlay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,12,2]]},"reference":[{"key":"S0317167100007368_ref007","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1080\/02688699844457","article-title":"Technique of removal of an impacted sharp object in a penetrating head injury using the lever principle","volume":"12","author":"Rao","year":"1998","journal-title":"Br J Neurosurg."},{"key":"S0317167100007368_ref003","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1996.84.5.0769"},{"key":"S0317167100007368_ref006","first-page":"907","article-title":"Endovascular treatment of pseudoaneurysms with electrolytically detachable coils","volume":"19","author":"Lempert","year":"1998","journal-title":"AJNR Am J Neuroradiology."},{"key":"S0317167100007368_ref001","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.103.3.0567"},{"key":"S0317167100007368_ref004","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000140991.82075.01"},{"key":"S0317167100007368_ref002","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2006.104.5.828"},{"key":"S0317167100007368_ref005","first-page":"35","article-title":"Coil embolization of intradural pseudoaneurysms caused by arterial injury during surgery: report of two cases","volume":"22","author":"Tokunaga","year":"2001","journal-title":"AJNR Am J Neuroradiology."}],"container-title":["Canadian Journal of Neurological Sciences \/ Journal Canadien des Sciences Neurologiques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0317167100007368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T20:01:20Z","timestamp":1556740880000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0317167100007368\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,11]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,11]]}},"alternative-id":["S0317167100007368"],"URL":"https:\/\/doi.org\/10.1017\/s0317167100007368","relation":{},"ISSN":["0317-1671","2057-0155"],"issn-type":[{"value":"0317-1671","type":"print"},{"value":"2057-0155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,11]]}}}