Evaluation of the Risk of Intercostal Artery Laceration During Thoracentesis in Elderly Patients by Using 3D-CT Angiography
スポンサーリンク
概要
- 論文の詳細を見る
Objective Our study was undertaken to determine the location of the tortuous intercostal artery in elderly patients by using 3D-CT angiography in order to prevent laceration during thoracentesis. Methods We evaluated the data of 3D-CT angiography of the intercostal artery in consecutive patients who had undergone contrast chest CT scan in our hospital from December 2007 to April 2008. We considered the "percent safe space" (the shortest lower rib-to-intercostal artery distance/the upper rib-to-lower rib distance) to be an index of safety that can be used to prevent laceration of the intercostal artery during thoracentesis. We measured this index at 3 points: the total site (5-10 cm lateral to the spine), the lateral site (9-10 cm lateral to the spine), and the medial site (5-6 cm lateral to the spine). Results We evaluated 33 cases (25 males and 8 females; mean age, 74.2 years). The mean percent safe space at the total site was 58.6%. The percent safe space at the total site tended to decrease with advancing age, but the correlation was low (p=0.0378, r=-0.3631). The percent safe space at the lateral site (mean, 79.8%) was significantly higher than that at the medial site (61.2%, p<0.0001). Conclusion We showed that the intercostal artery is tortuous and does not always lie along the inferior edge of the rib and that the percent safe space at the lateral site is significantly higher than that at the medial site in elderly patients.
著者
-
Arahata Masahisa
Department of Cellular Transplantation Biology, Kanazawa University Graduate School of Medicine
-
Yoneyama Hiroshi
Department of Applied Chemisrty, Faculty of Engineering, Osaka University
-
Minami Shinji
Department of Internal Medicine, Nanto Municipal Hospital
-
Ishizaka Shinji
Department of Internal Medicine, Nanto Municipal Hospital
-
Temaru Rie
Department of Internal Medicine, Nanto Municipal Hospital
関連論文
- Effect of Combined Therapy of Danaparoid Sodium and Tranexamic Acid on Chronic Disseminated Intravascular Coagulation Associated With Abdominal Aortic Aneurysm
- Photocatalytic Activities for Carbon Dioxide Reduction of TiO_2 Microcrystals Prepared in SiO_2 Matrices Using a Sol-Gel Method
- Effects of Mordenite Support on Photodegradation of Gaseous Organic Compounds over TiO_2 Photocatalyst
- The Sign Problem and MEM in Lattice Field Theory with the θ Term(Particles and Fields)
- Isolated Hyperkalemia Associated with Cyclosporine Administration in Allogeneic Stem Cell Transplantation for Renal Cell Carcinoma
- Vortex String Picture and Large p_T Reactions
- Preparation of Monodisperse ZnS Nanoparticles by Size Selective Photocorrosion
- Influences of Initial Particle Size on Preparation of Monodisperse CdS Nanoparticles with Size-Selective Photoetching
- The Lowest Subprocess Model of Large p_T Hadron Productions
- リンゴ酸酵素を触媒に用いた乳酸と二酸化炭素からのリンゴ酸への電解合成
- Narrowing Size Distribution of CdS Nanocrystals by Size Selective Photocorrosion
- Preparation of CdS Microcrystals Covalently Bound with Viologen Groups and Their Photoelectrochemical Properties
- Electrochemical Reduction of Formaldehyde, Acetaldehyde, and Acetone to The Corresponding Alcohols Using Alcohol Dehydrogenase as an Electrocatalyst
- Electrochemical Conversion of Carbon Dioxide to Methanol with Use of Enzymes as Biocatalysts
- Unique Trajectory Method in Migdal Renormalization Group Approach and SU(2) Lattice Gauge Theory
- Unique Trajectory Method in Migdal Renormalization Group Approach and Crossover Phenomena
- The Migdal Recursion Equation as a Probe for Crossover Points : Lattice Gauge Theory on Discrete Groups
- The θ-Term, CP^ Model and the Inversion Approach in the Imaginary θ Method(Particles and Fields)
- Maximum Entropy Method Approach to the θ Term
- CP^ Models with a θ Term and Fixed Point Action
- Two-Dimensional CP^2 Model with θ-Term and Topological Charge Distributions
- Renormalization Group Analysis of U(2) Gauge Theory with θ-Term in 2 Dimensions : Particles and Fields
- Character Expansion, Zeroes of Partition Function and θ-Term in U(1) Gauge Theory : Particles and Fields
- Real Space Renormalization Group Analysis of U(l)-Gauge Theory with θ Term in 2 Dimensions
- Complex Wave Function, Chiral Spin Order Parameter and Phase Problem : Condensed Matter and Statistical Physics
- Large p_T Hadron Productions and String Junction Model
- Z(N) String Junction Model and Spectrum Energy Density of String
- Z(N) Strings and Hadron Structure
- High-Level Fluoroquinolone Resistance in Pseudomonas aeruginosa Due to Interplay of the MexAB-OprM Efflux Pump and the DNA Gyrase Mutation
- Atorvastatin Reduces Plasma Levels of Factor Vll Activity and Factor Vll Antigen in Patients with Hyperlipidemia
- Topological Charge Distribution and CP Model with θTerm
- Spontaneous regression of a solitary osteochondroma of the distal tibia
- Photocatalytic Decomposition of Propyzamide Using TiO_2 Supported on Activated Carbon
- Fabrication of Novel Electrochemical Reduction Systems Using Alcohol Dehydrogenase as a Bifunctional Electrocatalyst
- Glucose Sensitivity of Thiol-modified Gold Electrodes Having Immobilized Glucose Oxdase and 2-Aminoethylferrocene
- Chondrosarcoma of sacrum presenting with a deep vein thrombosis
- Evaluation of the Risk of Intercostal Artery Laceration During Thoracentesis in Elderly Patients by Using 3D-CT Angiography
- Redox Reactions on the Lithiated Nickel Oxide Electrode
- Photocatalytic decomposition of formic acid on platinized n-type silicon powder in aqueous solution.
- Electrochemical fixation of molecular nitrogen on p-type gallium phosphide photocathode.
- Photolysis of water on illuminated strontium titanium trioxide.
- Photoelectrochemical reduction of carbon dioxide at p-type gallium phosphide electrodes in the presence of crown ether.
- Light-induced oxidative deposition of polypyrrole on the back surface in the dark of n-type silicon wafer photocatalysts.
- Redox behavior and electrochromic properties of polypyrrole films in aqueous solutions.
- Redox Reactions on α-Ferric Oxide Electrode
- An Electrochemical Study of the Photosensitivity of Poly-N-vinylcarbazole
- Flat-band potential of p-type GaP in acetonitrile solutions.
- Heterogeneous reactions of nitrogen monoxide on titanium dioxide photocatalysts in solutions.
- Photochemical properties of TiO2 microcrystallites prepared in nafion.
- Photoelectrochemical properties of CdSnO3 and LaRhO3 electrodes in aqueous solutions.
- Catalytic activity of catena-.MU.-cyano-(phthalocyaninato)cobalt(III) for the cathodic reduction of oxygen.
- Electrochemical Behaviour of the Lithiated Nickel Oxide Crystal