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Head and Neck
Case report
Republished: Endovascular retrieval of dental needle retained in the internal carotid artery
  1. Kenneth Moore1,
  2. Nickalus R Khan2,
  3. L Madison Michael3,
  4. Adam S Arthur4,
  5. Daniel Hoit5
  1. 1University of Tennessee Health Science Center, Memphis, Tennessee, USA
  2. 2Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
  3. 3Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA
  4. 4UT Department of Neurosurgery/Semmes-Murphey Clinic, Memphis, Tennessee, USA
  5. 5Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, USA
  1. Correspondence to Dr K Moore, University of Tennessee Health Science Center, Memphis, TN 38163, USA; kenny.moore.500{at}gmail.com

Abstract

Intravascular foreign bodies are a known complication of medical and dental procedures. Dental anesthetic needles may be broken off and retained in the oropharynx. These needles have occasionally been reported to migrate through the oral mucosa in to deeper structures. Here we present the case of a 57-year-old man who had a retained dental needle that had migrated into his internal carotid artery. The needle was removed using endovascular techniques. To our knowledge, this is the first report of a retained dental needle being retrieved using this method. We review the literature on intravascular foreign bodies, retained dental needles, and endovascular techniques for retrieval of such foreign bodies.

  • Neck
  • Oral cavity
  • Catheter
  • Technique

https://doi.org/10.1136/neurintsurg-2016-012771.rep

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    Footnotes

    • Republished with permission from BMJ Case Reports Published 8 March 2017; doi:10.1136/bcr-2016-012771

    • Contributors All authors of this work met ICMJE criteria for authorship and made substantial contributions to the conception and design, acquisition of the data, analysis and interpretation of the data, and drafting, critically revising, and final approval of this manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.