Journal of Vascular Surgery
Volume 48, Issue 2 , Pages 261-271 , August 2008

Magnetic resonance angiography of collateral blood supply to spinal cord in thoracic and thoracoabdominal aortic aneurysm patients

Presented at the Sixty-first Annual Meeting of the Society for Vascular Surgery, Baltimore, Md, Jun 9, 2007.

  • Walter H. Backes, PhD

      Affiliations

    • Department of Radiology, Maastricht University Hospital, Maastricht, The Netherlands
    • ,
  • Robbert J. Nijenhuis, MD, PhD

      Affiliations

    • Department of Radiology, Maastricht University Hospital, Maastricht, The Netherlands
    • Department of Surgery, Maastricht University Hospital, Maastricht, The Netherlands
    • ,
  • Werner H. Mess, MD, PhD

      Affiliations

    • Department of Clinical Neurophysiology, Maastricht University Hospital, Maastricht, The Netherlands
    • ,
  • Freke A. Wilmink, MD

      Affiliations

    • Department of Radiology, Maastricht University Hospital, Maastricht, The Netherlands
    • ,
  • Geert Willem H. Schurink, MD, PhD

      Affiliations

    • Department of Surgery, Maastricht University Hospital, Maastricht, The Netherlands
    • ,
  • Michael J. Jacobs, MD, PhD

      Affiliations

    • Department of Surgery, Maastricht University Hospital, Maastricht, The Netherlands
    • Department of Vascular Surgery, Aachen University Hospital, Aachen, Germany.
    • Corresponding Author InformationCorrespondence: Michael J. Jacobs, MD, PhD, Maastricht University Hospital, Department of Surgery, PO Box 5800, 6202 AZ Maastricht, The Netherlands.

Received 11 December 2007 ,Accepted 8 March 2008.

References 

  1. Etz CD, Homann TM, Plestis KA, Zhang N, Luehr M, Weisz DJ, et al. Spinal cord perfusion after extensive segmental artery sacrifice: can paraplegia be prevented?. Eur J Cardiothorac Surg. 2007;31:643–648
  2. Williams GM, Roseborough GS, Webb TH, Perler BA, Krosnick T. Preoperative selective intercostal angiography in patients undergoing thoracoabdominal aneurysm repair. J Vasc Surg. 2004;39:314–321
  3. Etz CD, Halstead JC, Spielvogel D, Shahani R, Lazala R, Homann TM, et al. Thoracic and thoracoabdominal aneurysm repair: is reimplantation of spinal cord arteries a waste of time?. The Annals of thoracic surgery. 2006;82:1670–1677
  4. Griepp RB, Griepp EB. Spinal cord perfusion and protection during descending thoracic and thoracoabdominal aortic surgery: the collateral network concept. Ann Thorac Surg. 2007;83:S865–S869discussion S90-2
  5. Griepp RB, Ergin MA, Galla JD, Lansman S, Khan N, Quintana C, et al. Looking for the artery of Adamkiewicz: a quest to minimize paraplegia after operations for aneurysms of the descending thoracic and thoracoabdominal aorta. J Thorac Cardiovasc Surg. 1996;112:1202–1213discussion 13-5
  6. Kawaharada N, Morishita K, Hyodoh H, Fujisawa Y, Fukada J, Hachiro Y, et al. Magnetic resonance angiographic localization of the artery of Adamkiewicz for spinal cord blood supply. Ann Thorac Surg. 2004;78:846–851discussion 51-2
  7. Hyodoh H, Kawaharada N, Akiba H, Tamakawa M, Hyodoh K, Fukada J, et al. Usefulness of preoperative detection of artery of Adamkiewicz with dynamic contrast-enhanced MR angiography. Radiology. 2005;236:1004–1009
  8. Nijenhuis RJ, Mull M, Wilmink JT, Thron AK, Backes WH. MR angiography of the great anterior radiculomedullary artery (Adamkiewicz artery) validated by digital subtraction angiography. AJNR Am J Neuroradiol. 2006;27:1565–1572
  9. Lazorthes G, Gouaze A, Zadeh JO, Santini JJ, Lazorthes Y, Burdin P. Arterial vascularization of the spinal cord (Recent studies of the anastomotic substitution pathways). J Neurosurg. 1971;35:253–262
  10. Kieffer E, Fukui S, Chiras J, Koskas F, Bahnini A, Cormier E. Spinal cord arteriography: a safe adjunct before descending thoracic or thoracoabdominal aortic aneurysmectomy. J Vasc Surg. 2002;35:262–268
  11. Yoshioka K, Niinuma H, Kawazoe K, Ehara S. 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. 2005;28:492
  12. Jacobs MJ, de Mol BA, Elenbaas T, Mess WH, Kalkman CJ, Schurink GW, et al. Spinal cord blood supply in patients with thoracoabdominal aortic aneurysms. J Vasc Surg. 2002;35:30–37
  13. Nijenhuis RJ, Gerretsen S, Leiner T, Jacobs MJ, van Engelshoven JM, Backes WH. Comparison of 0.5-M Gd-DTPA with 1.0-M gadobutrol for magnetic resonance angiography of the supplying arteries of the spinal cord in thoracoabdominal aortic aneurysm patients. J Magn Reson Imaging. 2005;22:136–144
  14. Nijenhuis RJ, Jacobs MJ, Schurink GW, Kessels AG, van Engelshoven JM, Backes WH. Magnetic resonance angiography and neuromonitoring to assess spinal cord blood supply in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg. 2007;45:71–77discussion 7-8
  15. Jacobs MJ, Mess W, Mochtar B, Nijenhuis RJ, Statius van Eps RG, Schurink GW. The value of motor evoked potentials in reducing paraplegia during thoracoabdominal aneurysm repair. J Vasc Surg. 2006;43:239–246
  16. Yamada N, Takamiya M, Kuribayashi S, Okita Y, Minatoya K, Tanaka R. MRA of the Adamkiewicz artery: a preoperative study for thoracic aortic aneurysm. J Comput Assist Tomogr. 2000;24:362–368
  17. Takase K, Sawamura Y, Igarashi K, Chiba Y, Haga K, Saito H, et al. Demonstration of the artery of Adamkiewicz at multi- detector row helical CT. Radiology. 2002;223:39–45
  18. Takase K, Akasaka J, Sawamura Y, Ota H, Sato A, Yamada T, et al. Preoperative MDCT evaluation of the artery of Adamkiewicz and its origin. J Comput Assist Tomogr. 2006;30:716–722
  19. Yoshioka K, Niinuma H, Ehara S, Nakajima T, Nakamura M, Kawazoe K. MR angiography and CT angiography of the artery of Adamkiewicz: state of the art. Radiographics. 2006;26(suppl 1):S63–S73
  20. Nijenhuis RJ, Jacobs MJ, Jaspers K, Reinders M, van Engelshoven JM, Leiner T, et al. Comparison of magnetic resonance with computed tomography angiography for preoperative localization of the Adamkiewicz artery in thoracoabdominal aortic aneurysm patients. J Vasc Surg. 2007;45:677–685
  21. Schaper W. Physical forces and their translation into molecular mechanisms. In:  Schaper WSJ editors. Arteriogenesised. Dordrecht: Kluwer Academic Publishers; 2004;p. 73–114

 Competition of interest: none.

 CME article

PII: S0741-5214(08)00427-8

doi: 10.1016/j.jvs.2008.03.015

Journal of Vascular Surgery
Volume 48, Issue 2 , Pages 261-271 , August 2008

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