{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:04:03Z","timestamp":1782259443960,"version":"3.54.5"},"reference-count":10,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,10,13]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>A 44-year-old man was referred to the neurointerventionalist 6\u2009hours 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 \u00d7 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.<\/jats:p>","DOI":"10.1136\/bcr-2019-015301","type":"journal-article","created":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T09:45:12Z","timestamp":1577785512000},"page":"e015301","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Intracranial pellet embolization: an endovascular endeavor"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7148-7616","authenticated-orcid":false,"given":"Ameer E","family":"Hassan","sequence":"first","affiliation":[{"name":"Clinical Research Department, Valley Baptist Medical Center - Harlingen, Harlingen, Texas, USA"},{"name":"Department of Neurology, UTRGV School of Medicine, Edinburg, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rani Ramsey","family":"Rabah","sequence":"additional","affiliation":[{"name":"Clinical Research Department, Valley Baptist Medical Center - Harlingen, Harlingen, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wondwossen","family":"Tekle","sequence":"additional","affiliation":[{"name":"Clinical Research Department, Valley Baptist Medical Center - Harlingen, Harlingen, Texas, USA"},{"name":"Department of Neurology, UTRGV School of Medicine, Edinburg, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,12,31]]},"reference":[{"key":"2025082709193755000_12.12.e015301.1","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-010713"},{"key":"2025082709193755000_12.12.e015301.2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197804000-00002"},{"key":"2025082709193755000_12.12.e015301.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(79)90143-0"},{"key":"2025082709193755000_12.12.e015301.4","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1097\/00005373-199511000-00034","article-title":"Delayed embolization of a shotgun pellet from the chest to the middle cerebral artery","volume":"39","author":"Stein","year":"1995","journal-title":"J Trauma"},{"key":"2025082709193755000_12.12.e015301.5","first-page":"261","article-title":"Shotgun pellet embolization to the posterior cerebral circulation","volume":"27","author":"da Costa","year":"2006","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082709193755000_12.12.e015301.6","first-page":"185","article-title":"Shotgun pellet embolus to the posterior cerebral artery","volume":"2","author":"Hungerford","year":"1981","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082709193755000_12.12.e015301.7","doi-asserted-by":"crossref","DOI":"10.2214\/ajr.165.3.7645519","article-title":"Shotgun pellet embolus to the basilar artery","volume":"165","author":"Jones","year":"1995","journal-title":"AJR Am J Roentgenol"},{"key":"2025082709193755000_12.12.e015301.8","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1007\/s00381-015-3000-3","article-title":"Shotgun pellet embolization to the posterior cerebral artery","volume":"32","author":"McDowell","year":"2016","journal-title":"Childs Nerv Syst"},{"key":"2025082709193755000_12.12.e015301.9","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1177\/0971097320120428","article-title":"Peripheral arterial embolism of pellets after shotgun injury to the stomach: a case report","volume":"34","author":"Momin","year":"2012","journal-title":"J Indian Acad Forensic Med"},{"key":"2025082709193755000_12.12.e015301.10","doi-asserted-by":"crossref","unstructured":"Wojda TR , Dingley SD , Wolfe S . Foreign intravascular object embolization and migration: bullets, catheters, wires, stents, filters, and more. In: Embolism. 1st. London, UK: IntechOpen, 2017.doi:10.5772\/68039","DOI":"10.5772\/68039"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-015301","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:19:42Z","timestamp":1756311582000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-015301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":10,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,12,31]]},"published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1136\/bcr-2019-015301"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-015301","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}