Risk Factors Concerning Sternal Bone Marrow Aspiration and Patient Safety in Japan
スポンサーリンク
概要
- 論文の詳細を見る
Objective Several reports have described adverse events resulting from sternal bone marrow aspiration procedures. We hypothesized about inevitable lacerations to the ascending aorta that occur from structural abnormalities in the needle passage. Methods We evaluated dimensions in the thorax related to the sternal bone marrow aspiration, using a chest CT scan on a display terminal. Patients Among the 3,848 patients who visited our institution and underwent a chest CT scan between September 1, 2007 and December 31, 2008, a total of 153 subjects showing no particular chest CT findings were enrolled. Results Significant variation was observed in the distance from the sternum to the ascending aorta, from a minimum of 4.2 to a maximum of 47.6 mm (median 23.6) in men and a minimum of 5.2 to a maximum of 38.4 mm (median 21.3) in women. There were three men (3.6%) and women (4.3%) each having a distance within 10 mm. Conclusion Our findings showed for the first time that an anterior chest approach to sternal bone marrow aspiration involves an inevitable risk of laceration of the ascending aorta, when the needle tip penetrates the sternum. Our analysis of dimension also suggested that the sternal marrow aspiration procedure involved a greater risk among older subjects of short stature.
著者
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Yamauchi Kohei
Division Of Marine Biosciences Graduate School Of Fisheries Science Hokkaido University
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Ehara Shigeru
Department Of Radiology Iwate Medical University
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Oshida Shigemi
Department Of Legal Medicine Nihon University School Of Medicine
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Nakamura Yutaka
Division Of Pulmonary Medicine Allergy And Rheumatology Department Of Internal Medicine Iwate Medical University School Of Medicine
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Nakasato Tatsuhiko
Department Of Radiology Iwate Medical University School Of Medicine
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INOUE Hiroshi
Division of Cardiology, Department of Medicine, Tokyo Metropolitan Geriatric Hospital
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Inoue Hiroshi
Division of Pulmonary Medicine, Allergy, and Rheumatology, Department of Internal Medicine, Iwate Medical University School of Medicine
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Nakamura Yutaka
Division of Pulmonary Medicine, Allergy, and Rheumatology, Department of Internal Medicine, Iwate Medical University School of Medicine
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