Blood Res.  2017 Jun;52(2):148-150. 10.5045/br.2017.52.2.148.

Ultrasound-guided sternal bone marrow aspiration

Affiliations
  • 1Department of Anesthesiology, Nagoya Kyoritsu Hospital, Nagoya, Japan. yasakura@kaikou.or.jp
  • 2Department of Anesthesiology, Tokyo Womens' Medical University, Tokyo, Japan.

Abstract

No abstract available.


MeSH Terms

Bone Marrow*

Figure

  • Fig. 1 (A) A 9 Mhz linear ultrasound transducer probe covered with a sterile probe cover. (B) A sterile linear ultrasound transducer probe was applied perpendicular to the long axis of sternum. The needle is positioned at the middle of the transducer probe and punctures the skin using “out-of-plane” technique under the total ultrasound guidance. (C) A typical ultrasonogram of sternum. The depth from the skin to the sternum is measured as approximately 1 cm with its width approximately 1 cm. Sternum, a bony structure, has high adsorption coefficient of ultrasound, and is visualized as hypoechoic lesion surrounded by the hyperechoic periosteum. Beneath the sternum, a blood flow of ascending aortae is clearly visualized using B-mode ultrasonogram with color flow imaging. (D) A longitudinal view of the mediastinum just beside the sternum. In the center of the view, a thoracic costae is identified as a hypoechoic circle surrounded by the hyperechoic periosteum. Beneath the thoracic costae, blood flow of the ascending aortae is identified using B-mode sonogram with color flow imaging.


Reference

1. Santavy P, Troubil M, Lonsky V. Pericardial tamponade: a rare complication of sternal bone marrow biopsy. Hematol Rep. 2013; 5:e13.
Article
2. Song IK, Choi JY, Lee JH, et al. Short-axis/out-of-plane or long-axis/in-plane ultrasound-guided arterial cannulation in children: A randomised controlled trial. Eur J Anaesthesiol. 2016; 33:522–527.
Article
3. Asakura Y, Kandatsu N, Kato N, Sato Y, Fujiwara Y, Komatsu T. Ultra-sound guided sciatic nerve block combined with lumbar plexus block for infra-inguinal artery bypass graft surgery. Acta Anaesthesiol Scand. 2008; 52:721–722.
Article
4. Asakura Y, Mizuno T, Kato N, Kandatsu N, Fujiwara Y, Komatsu T. Respiratory status that facilitates subclavian venous catheterization. Acta Anaesthesiol Scand. 2008; 52:867–869.
Article
5. Asakura Y, Kandatsu N, Hashimoto A, Kamiya M, Akashi M, Komatsu T. Ultrasound-guided neuroaxial anesthesia: accurate diagnosis of spina bifida occulta by ultrasonography. J Anesth. 2009; 23:312–313.
Article
6. Asakura Y, Nakamichi Y, Mori K, Ibuki K, Kasuga H, Hori H. Ultrasound-guided central venous catheterization: efficacy of simultaneous perioperative ultrasonographic scanning for the presence of carotid plaques in the prevention of the perioperative development of ischemic stroke. J Anesth. 2012; 26:621–622.
Article
Full Text Links
  • BR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr