TY - JOUR
T1 - Another blood supply to Adamkiewicz's artery
AU - Akasaka, Junetsu
AU - Sakurai, Masahiro
AU - Takase, Kei
AU - Kumagai, Kiichiro
AU - Tabayashi, Koichi
N1 - Funding Information:
This study is partially supported by a grant from Japan Foundation of Cardiovascular Research.
PY - 2004/9
Y1 - 2004/9
N2 - A 76-year-old man underwent endovascular stent-grafting therapy for chronic aortic dissection. The preoperative multi detector row helical computed tomography (CT) revealed that Adamkiewicz's artery originated from the level of thoracic 9 intercostal artery. Intraoperative monitoring of motor evoked potentials showed no reduction of amplitude in the anterior tibialis muscle after deployment retrievable stent-graft. Postoperative CT showed that stent-graft blocked the ostium of intercostal arteries including Adamkiewicz's artery. On the other hand, the distal portion of the Adamkiewicz's artery was clearly enhanced. Our result showed that there is a collateral network supplying to Adamkiewicz's artery.
AB - A 76-year-old man underwent endovascular stent-grafting therapy for chronic aortic dissection. The preoperative multi detector row helical computed tomography (CT) revealed that Adamkiewicz's artery originated from the level of thoracic 9 intercostal artery. Intraoperative monitoring of motor evoked potentials showed no reduction of amplitude in the anterior tibialis muscle after deployment retrievable stent-graft. Postoperative CT showed that stent-graft blocked the ostium of intercostal arteries including Adamkiewicz's artery. On the other hand, the distal portion of the Adamkiewicz's artery was clearly enhanced. Our result showed that there is a collateral network supplying to Adamkiewicz's artery.
KW - Adamkiewicz's artery
KW - Endovascular stent-grafting
KW - Motor evoked potentials
KW - Spinal cord ischemia
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U2 - 10.1007/s11748-004-0039-6
DO - 10.1007/s11748-004-0039-6
M3 - Article
C2 - 15510846
AN - SCOPUS:4844225157
SN - 1344-4964
VL - 52
SP - 432
EP - 434
JO - Japanese Journal of Thoracic and Cardiovascular Surgery
JF - Japanese Journal of Thoracic and Cardiovascular Surgery
IS - 9
ER -