Fatal cardiac tamponade after acupuncture through congenital sternal foramen

Halvorsen, Tore; Anda, Svein; Naess, A; Levang, Olaf W.

doi:10.1016/s0140-6736(95)91004-2

Cited by 96 publications

(45 citation statements)

References 2 publications

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“…According to Peuker et al,7 cases of injuries to the heart and the pericardium have been described in scientific literature (Ye;Schiff;Nieda et al, 1973;Cheng, 1991;Hasegawa et al;Halvorsen et al;Kataoka), among which 3 were fatal (Ye; Schiff; Halvorsen et al), two of the fatal cases were caused by lack of awareness of the sternal foramen.…”

Section: Discussionmentioning

confidence: 99%

“…The sternal foramen is an anatomical variation that has been well described in the aspects: morphological (McCormick, 1981;McCormick & Nichols, 1981;Bergman et al, 1988;Cooper et al, 1988;Williams et al, 1996), in clinical acupuncture (Fokin, 2000;Hecker et al, 2005), the risk of inadvertent use of acupuncture point on the foramen (Bichel, 1989;Chen, 1995;Ernst, 1995;Peuker et al, 1999) and complications of puncture through the foramen (Hasegawa et al, 1991;Halvorsen et al, 1995;Wolochow, 1995;Kataoka, 1997;Kirchgatterer et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…Sternal puncture also has been associated with potentially lethal complications (Ye, 1956;Schiff, 1965;Puschel et al, 1985;Pascali et al, 1987;Bichel;Halvorsen et al;Peuker et al;Kirchgatterer et al;Van-Marum & TeVelde, 2001). …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

High Prevalence of Sternal Foramen: Quantitative, Anatomical Analysis and its Clinical Implications in Acupuncture Practice

et al. 2012

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SUMMARY:The aim of our study was to verify the prevalence of the sternal foramen in adult cadavers and dry bones, as well as to determine its exact localization and relation to acupuncture points. One hundred eighty sternums fixed and contained in 10% formaldehyde solution were examined, of which 100 were dry bones and 80 belonged to adult cadavers. The morphometric measures were expressed in millimeters when measuring the length: 1) from jugular incision to the foramen (JI-F); 2) from sternal angle to the foramen (EA-F); 3) from xiphoid process to the foramen (XP-F). Statistical analysis was performed to compare expected vs obtained foramina frequency, using Fisher's test (p≤0.05 was considered significant). The results showed 16.6% sternal foramina, significant higher than expected (p≤0.0248). Of the 30 foramina, 53.3% were found in cadavers, of which one was a woman, and 46.7% sternums were found in dry bones. Of the cadavers with sternal foramen, 10 foramina were at the 5th sternochondral articulation level and 6 foramina at the 4th sternochondral level. Of the 14 analyzed dry bones, 9 foramina were at the space between the 4th and the 5th costal pit level and 5 foramina were at the 5th costal pit level. The mean±SD (mm) total length of the sternums was 151.8±34 and the measures JI-F, EA-F, and XP-F were, respectively, 103.8±22.1mm, 65.6±15mm and 46.9 ±15mm. Knowledge of this occurrence is important to avoid serious heart injury by needle insertion, especially as this area holds a commonly used acupuncture point and sternal puncture.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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High Prevalence of Sternal Foramen: Quantitative, Anatomical Analysis and its Clinical Implications in Acupuncture Practice

et al. 2012

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“…Fatal cardiac tamponade resulting from a congenital sternal foramen located in the inferior part of the sternum [17,18] and low thickness of sternal body [19] was seen during the sternal puncture. Therefore, having knowledge about the presence of sternal variations and anomalies is useful to prevent these fatal complications during bone marrow aspiration.…”

Section: Discussionmentioning

confidence: 99%

Congenital sternal foramen in a stillborn Holstein calf

Azizi

Bakhtiary

Goodarzi

2012

Asian Pacific Journal of Tropical Biomedicine

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“…It has been proposed as an alternative and effective analgesic with few side effects (29), rapid recovery to work (30) and rare complications (31)(32)(33)(34).…”

Section: Historical Considerationsmentioning

confidence: 99%

Use of traditional Chinese medicine in the management of urinary stone disease

Miyaoka

Monga

2009

Int. braz j urol.

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Objective: To assess the evidence-based literature supporting the use of traditional Chinese medicine Kampo herbal and Acupuncture in stone disease management. Materials and Methods: Four of the most commonly used herbal components of Kampo medicine in the treatment of stone disease are described according to their in vitro and in vivo effects. We also reviewed the role of Acupuncture in urologic clinical setting as well as its proposed mechanisms of action and results. Medline database was assessed using isolated and conjugated key words (Chinese Medicine, Kampo, Chinese Herbal, Calculi, Stone Disease, Kidney, Acupuncture, Herbal Medicine). Articles were reviewed and summarized. Results: Herbal medicine has been proven to be free from side-effects and therefore suitable for long term use therapy. Its antilithic beneficial effects include increased urinary volume, increased magnesium excretion (Takusya), inhibitory activity on calcium oxalate aggregation (Takusya, Wulingsan and Desmodyum styracyfolium), inhibition of calcium oxalate nucleation and hydroxyapatite internalization (Wulingsan). In contrast, acupuncture, has shown to be effective as a pre-treatment anxiolytic and analgesic during colic pain and extracorporeal shock wave lithotripsy treatment, reducing the need for complementary sedative drugs. Conclusion: Chinese traditional medicine is promising as regards its role in stone prevention. An effort must be made in order to standardize study protocols to better assess acupuncture results since each procedure differs in regards to selected acupoints, electrostimulation technique and adjunct anesthetics. Similarly, standardization of Kampo formulations and acceptable clinical endpoints (imaging vs. symptomatic events) is needed.

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Fatal cardiac tamponade after acupuncture through congenital sternal foramen

Cited by 96 publications

References 2 publications

High Prevalence of Sternal Foramen: Quantitative, Anatomical Analysis and its Clinical Implications in Acupuncture Practice

High Prevalence of Sternal Foramen: Quantitative, Anatomical Analysis and its Clinical Implications in Acupuncture Practice

Congenital sternal foramen in a stillborn Holstein calf

Use of traditional Chinese medicine in the management of urinary stone disease

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