Varied presentations of missile emboli in military combat

Gilbert Aidinian*, Charles J. Fox, Todd E. Rasmussen, David L. Gillespie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Fragment embolization is a rare phenomenon in trauma patients. Although surgical and endovascular management of vascular injuries have evolved significantly, the detection and management of fragment emboli remain a formidable challenge. We reviewed our experience with this entity from December 2001 to March 2008. During this time period, four (1.1%) of 346 US soldiers evacuated to Walter Reed with arterial or venous injuries were discovered to have suffered missile emboli. Venous emboli were treated with anticoagulation and arterial emboli were treated with standard embolectomy techniques with good result. The presentation, diagnosis, and surgical management of these cases are described.

Original languageEnglish
Pages (from-to)214-217
Number of pages4
JournalJournal of Vascular Surgery
Issue number1
StatePublished - Jan 2010
Externally publishedYes


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