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Avoiding the Intercostal Arteries in Percutaneous Thoracic Interventions.
Misura, Tihana; Drakopoulos, Dionysios; Mitrakovic, Milena; Loennfors, Tarja; Primetis, Elias; Hoppe, Hanno; Obmann, Verena C; Huber, Adrian T; Ebner, Lukas; Christe, Andreas.
Afiliación
  • Misura T; Department of Radiology, Division City and County Hospitals, INSELGROUP, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Drakopoulos D; Department of Radiology, Division City and County Hospitals, INSELGROUP, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Mitrakovic M; Department of Radiology, Division City and County Hospitals, INSELGROUP, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Loennfors T; Department of Radiology, Division City and County Hospitals, INSELGROUP, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Primetis E; Department of Radiology, Division City and County Hospitals, INSELGROUP, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Hoppe H; Department of Radiology, Lindenhofspital Bern, Swiss Intervention Center for Microtherapy, Bern University, Bern, Switzerland.
  • Obmann VC; Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Switzerland.
  • Huber AT; Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Switzerland.
  • Ebner L; Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Switzerland.
  • Christe A; Department of Radiology, Division City and County Hospitals, INSELGROUP, Bern University Hospital, University of Bern, Bern, Switzerland; Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Switzerland. Electronic address: and
J Vasc Interv Radiol ; 33(4): 416-419.e2, 2022 04.
Article en En | MEDLINE | ID: mdl-35365284
The purpose of this study was to define relevant intercostal artery (ICA) anatomy potentially impacting the safety of thoracic percutaneous interventional procedures. An ICA abutting the upper rib and running in the subcostal groove was defined as the lowest risk zone for interventions requiring a supracostal needle puncture. A theoretical high-risk zone was defined by the ICA coursing in the lower half of the intercostal space (ICS), and a theoretical moderate-risk zone was defined by the ICA coursing below the subcostal groove but in the upper half of the ICS. Arterial phase computed tomography data from 250 patients were analyzed, revealing demographic variability, with high-risk zones extending more laterally with advancing age and with more cranial ribs. Overall, within the 97.5th percentile, an ICS puncture >7-cm lateral to the spinous process incurs moderate risk and >10-cm lateral incurs the lowest risk.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Costillas / Pared Torácica Límite: Humans Idioma: En Revista: J Vasc Interv Radiol Asunto de la revista: ANGIOLOGIA / RADIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Costillas / Pared Torácica Límite: Humans Idioma: En Revista: J Vasc Interv Radiol Asunto de la revista: ANGIOLOGIA / RADIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos