A bone marrow biopsy technique suitable for use in neonates

Martha C. Sola, Lisa M. Rimsza, Robert D. Christensen

Research output: Contribution to journalArticle

37 Scopus citations

Abstract

Thrombocytopenia and neutropenia are common among neonates in intensive care units. Bone marrow aspirations are sometimes performed as part of their evaluation. However, marrow biopsies have not been reported from living neonates. Since architecture and cellularity cannot generally be accurately assessed from marrow aspirates, we devised a biopsy technique which we successfully applied to five cytopenic neonates (three with severe persistent thrombocytopenia and two with idiopathic neutropenia). This technique used a 19 gauge, half-inch Osgood needle to obtain bone marrow clots from the tibias of small preterm neonates which enabled the assessment of marrow cellularity and architecture. On the basis of our initial experience we have ceased using the traditional bone marrow aspiration technique in neonates and now use this technique exclusively.

Original languageEnglish (US)
Pages (from-to)458-460
Number of pages3
JournalBritish Journal of Haematology
Volume107
Issue number2
DOIs
StatePublished - Nov 22 1999

Keywords

  • Biopsy
  • Marrow
  • Newborn infant

ASJC Scopus subject areas

  • Hematology

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