Summary
It is important to assess the artery of Adamkiewicz before repair of the thoraco abdominal aorta. Several studies have demonstrated the feasibility and advantages of noninvasive assessment of the artery of Adamkiewicz with MR angio graphy and CT angiography. Recent advanced in MR and CT angiography have led to changes in the detectability of this artery. In our experience, CT and/ or MR angiography are comparable or superior to conventional angiography in the evaluation of the artery of Adamkiewicz. CT and MR angiography can also diagnose the various types of the collateral circulations. MR angiography is superior for depiction of the artery of Adamkiewicz, especially when it arises from the false lumen of a dissecting aneurysm. CT angiography has a wide field of view and allows depiction of significant collateral pathways associated with internal thoracic artery and intercostals arteries. For the identification of the artery of Adamkiewicz, it is very important to distinguish between the artery and a vein.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Coselli JS, LeMaire SA, Miller CC 3rd, et al (2000) Mortality and paraplegia after thoraco-abdominal aortic aneurysm repair: a risk factor analysis. Ann Thorac Surg 69:409–414.
Estrera AL, Miller CC 3rd, Huynh TT, et al (2001) Neurologic outcome after thoracic and thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 72:1225–1231.
Cambria RP, Clouse WD, Davison JK, et al (2002) Thoracoabdominal aneurysm repair: results with 337 operations performed over a 15-year interval. Ann Surg 236:471–479.
Heinemann MK, Brassel F, Herzog T, et al (1998) The role of spinal angiography in operations on the thoracic aorta: myth or reality? Ann Thorac Surg 65:346–351.
Kieffer E, Fukui S, Chiras J, et al (2002) Spinal cord arteriography: a safe adjunct before descending thoracic or thoracoabdominal aortic aneurysmectomy. J Vasc Surg 35:262–268.
Williams GM, Roseborough GS, Thomas HW, et al (2004) Preoperative selective intercos-tals angiography in patients undergoing thoracoabdominal aneurysm repair. J Vasc Surg 39:314–320.
Yoshioka K, Niinuma H, Ohira A, et al (2003) MR angiography and CT angiography of the artery of Adamkiewicz: noninvasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics 23:1215–1225.
Takase K, Sawamura Y, Igarashi K, et al (2002) Demonstration of the artery of Adamkiewicz at multi-detector row helical CT. Radiology 223:39–45.
Yamada N, Takamiya M, Kuribayashi S, et al (2000) MRA of the Adamkiewicz artery: a preoperative study for thoracic aortic aneurysm. J Comput Assist Tomogr 24:362–368.
Hyodoh H, Kawaharada N, Akiba H, et al (2005) Usefulness of preoperative detection of artery of Adamkiewicz with dynamic contrast-enhanced MR angiography. Radiology 236:1004–1009.
Yoshioka K, Niinuma H, Kawakami T, et al (20005) Three-dimensional demonstration of the artery of Adamkiewicz with contrast-enhanced magnetic resonance angiography. Ann Thorac Surg 79:1785.
Yoshioka K, Niinuma H, Ohira A, et al (2004) Three-dimensional demonstration of the artery of Adamkiewicz by multidetector-row computed tomography. Ann Thorac Surg 78:719.
Yoshioka K, Niinuma H, Ehara S, et al (2006) MR angiography and CT angiography of the artery of Adamkiewicz: state of the art. Radiographics 26:S63–73.
Yoshioka K, Niinuma H, Ogino Y, et al (2006) Three-dimensional demonstration of the collateral circulation to the artery of Adamkiewicz with 16-row multislice computed tomography. Ann Thorac Surg 81:749.
Yoshioka K, Niinuma H, Kawazoe K, et al (2005) Three-dimensional demonstration of the collateral circulation to the artery of Adamkiewicz via internal thoracic artery with 16-row multi-slice CT. Eur J Cardiothorac Surg 28:492.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer
About this paper
Cite this paper
Yoshioka, K., Tanaka, R., Ehara, S. (2009). Noninvasive Diagnosis of the Artery of Adamkiewicz. In: Kazui, T., Takamoto, S. (eds) Advances in Understanding Aortic Diseases. Springer, Tokyo. https://doi.org/10.1007/978-4-431-99237-0_4
Download citation
DOI: https://doi.org/10.1007/978-4-431-99237-0_4
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-99236-3
Online ISBN: 978-4-431-99237-0
eBook Packages: MedicineMedicine (R0)