TY - JOUR T1 - Republished: Intracranial pellet embolization: an endovascular endeavor JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - e2 LP - e2 DO - 10.1136/neurintsurg-2019-015301.rep VL - 12 IS - 2 AU - Ameer E Hassan AU - Rani Ramsey Rabah AU - Wondwossen Tekle Y1 - 2020/02/01 UR - http://jnis.bmj.com/content/12/2/e2.abstract N2 - 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. ER -