2020
DOI: 10.17305/bjbms.2020.4744
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A three-dimensional computed tomography study to determine the ideal method for fluoroscopically-guided bone marrow aspiration from the iliac crest

Abstract: Bone marrow aspiration (BMA) through the iliac crest is potentially unsafe due to the vicinity of neurovascular structures in the greater sciatic notch. Our objective was to investigate the safety of a recently described BMA technique, specifically a trajectory from the posterior superior iliac spine (PSIS) to the anterior inferior iliac spine (AIIS). We conducted a chart review of 260 patients, analyzing three-dimensional reconstructed computed tomography images of the pelvis and sacrum to validate that this … Show more

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Cited by 4 publications
(1 citation statement)
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“…Additionally, while many approaches, both palpation and image guided, have been described for PSIS bone marrow aspiration, fewer approaches have been described for ASIS. [28][29][30][31][32] We have previously validated an ultrasound guided technique to guide aspiration of the PSIS, and here we describe a novel approach for bone marrow aspiration at the anterior iliac crest utilizing ultrasound guidance to facilitate safe needle placement using a human cadaveric model. We hypothesize the technique to be safe, reproducible, and valid for satisfactorily harvesting bone marrow as demonstrated by latex dye confirmation on the iliac crest after repeated ultrasound guided cortical penetrations.…”
Section: Introductionmentioning
confidence: 99%
“…Additionally, while many approaches, both palpation and image guided, have been described for PSIS bone marrow aspiration, fewer approaches have been described for ASIS. [28][29][30][31][32] We have previously validated an ultrasound guided technique to guide aspiration of the PSIS, and here we describe a novel approach for bone marrow aspiration at the anterior iliac crest utilizing ultrasound guidance to facilitate safe needle placement using a human cadaveric model. We hypothesize the technique to be safe, reproducible, and valid for satisfactorily harvesting bone marrow as demonstrated by latex dye confirmation on the iliac crest after repeated ultrasound guided cortical penetrations.…”
Section: Introductionmentioning
confidence: 99%