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Endovascular retrieval of dental needle retained in the internal carotid artery.

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.
PMID
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Authors

Mayor MeshTerms
Keywords

Catheter

Neck

Oral cavity

Technique

Journal Title bmj case reports
Publication Year Start




PMID- 28274944
OWN - NLM
STAT- MEDLINE
DA  - 20170309
DCOM- 20170316
LR  - 20170316
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Mar 08
TI  - Endovascular retrieval of dental needle retained in the internal carotid artery.
LID - bcr2016012771 [pii]
LID - 10.1136/bcr-2016-012771 [doi]
AB  - 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.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Moore, Kenneth
AU  - Moore K
AD  - University of Tennessee Health Science Center, Memphis, Tennessee, USA.
FAU - Khan, Nickalus R
AU  - Khan NR
AD  - Department of Neurosurgery, University of Tennessee Health Science Center,
      Memphis, Tennessee, USA.
FAU - Michael, L Madison
AU  - Michael LM
AD  - Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA.
FAU - Arthur, Adam S
AU  - Arthur AS
AD  - UT Department of Neurosurgery/Semmes-Murphey Clinic, Memphis, Tennessee, USA.
FAU - Hoit, Daniel
AU  - Hoit D
AD  - Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170308
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Carotid Artery, Internal/diagnostic imaging/*surgery
MH  - Dental Instruments/*adverse effects
MH  - Endovascular Procedures/*adverse effects
MH  - Equipment Failure
MH  - Foreign Bodies/*diagnostic imaging/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pneumonia/drug therapy/etiology
MH  - Treatment Outcome
OTO - NOTNLM
OT  - *Catheter
OT  - *Neck
OT  - *Oral cavity
OT  - *Technique
EDAT- 2017/03/10 06:00
MHDA- 2017/03/17 06:00
CRDT- 2017/03/10 06:00
AID - bcr-2016-012771 [pii]
AID - 10.1136/bcr-2016-012771 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Mar 8;2017. pii: bcr2016012771. doi: 10.1136/bcr-2016-012771.

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