Avoiding the Intercostal Arteries in Percutaneous Thoracic Interventions.
Journal
Journal of vascular and interventional radiology : JVIR
ISSN: 1535-7732
Titre abrégé: J Vasc Interv Radiol
Pays: United States
ID NLM: 9203369
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
23
03
2021
revised:
14
12
2021
accepted:
16
12
2021
entrez:
2
4
2022
pubmed:
3
4
2022
medline:
6
4
2022
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 35365284
pii: S1051-0443(21)01608-0
doi: 10.1016/j.jvir.2021.12.026
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
416-419.e2Informations de copyright
Copyright © 2021 SIR. Published by Elsevier Inc. All rights reserved.