首页 | 本学科首页   官方微博 | 高级检索  
     


Extraanatomical revascularization of the artery of Adamkiewicz: anatomical study
Authors:Malikov Serguei  Rosset Eugenio  Paraskevas Nikolaos  Magnan Pierre-Edouard  Poirier Mathieu  Bartoli Jean-Michel  Champsaur Pierre  Ribal Jean-Pierre  Glanddier Gérard  Branchereau Alain
Affiliation:1. Service de Chirurgie Vasculaire et Service de Radiologie, Hôpital de la Timone, Marseilles, France;2. Service de Chirurgie Vasculaire, Hôpital Gabriel Montpied, Clermont-Ferrand, France;1. Trial Office Coordination, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain;2. Stroke Unit, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain;3. Section of Interventional Neuroradiology, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain;4. Department of Neuroscience, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain;5. Department of Statistics and Operations Research, Barcelona-Tech, Barcelona, Spain;6. Stroke Unit, Hospital Vall d''Hebrón, Barcelona, Spain;7. Department of Radiology, Hospital Vall d''Hebrón, Barcelona, Spain;8. Stroke Unit, Hospital Clínic, Barcelona, Spain;9. Department of Radiology, Hospital Clínic, Barcelona, Spain;10. Department of Radiology, Hospital de Bellvitge, L''Hospitalet de Llobregat, Barcelona, Spain;11. Stroke Unit, Hospital de Bellvitge, L''Hospitalet de Llobregat, Barcelona, Spain;12. Stroke Unit, Hospital Josep Trueta, Girona, Spain;13. Stroke Unit, Hospital de Sant Pau, Barcelona, Spain;14. Department of Neurosurgery, Stroke Institute, UPMC, Pittsburgh, PA, USA;15. Department of Neurology, Stroke Institute, UPMC, Pittsburgh, PA, USA;p. Biostatistics Unit, Bioclever CRO, Barcelona, Spain;1. Brunel Institute for Bioengineering, Brunel University London, Uxbridge, United Kingdom;2. Departments of Imaging and Surgery, Royal Brompton & Harefield National Health Service Foundation Trust, Harefield Hospital, Middlesex, United Kingdom;1. Division of Cardiac Surgery, Bluhm Cardiovascular Institute of Northwestern University, Chicago, Illinois;2. Center for Comprehensive Cardiovascular Care, Saint Louis University, St. Louis, Missouri;3. Department of Cardiothoracic Surgery, Stanford University, Stanford, California;4. Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, New York;5. Division of Cardiothoracic Surgery, University of Washington, Seattle, Washington;6. Joint Council on Thoracic Surgery Education, Chicago, Illinois;1. The State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China;2. Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China;3. Department of Radiology, Peking University Third Hospital, Beijing 100191, China;1. Department of Surgery, Westmead Hospital, Sydney, Australia;2. Centre for Transplant and Renal Research, Westmead Institute for Medical Research, Sydney, Australia;3. Sydney Medical School, University of Sydney, Sydney, Australia;4. Department of Renal Medicine, Westmead Hospital, Sydney, Australia
Abstract:Spinal cord ischemia is a major cause of complications after operative and endovascular treatment of descending thoracic or thoracoabdominal aortic aneurysms. Prior revascularization of the intercostal artery (IA) giving rise to the artery of Adamkiewicz (AA) using an artery of the thoracic wall would preserve circulation in the AA and allow obstruction of the IA at its origin. The purpose of this study was to determine the feasibility of revascularization of the IA giving rise to the AA using three thoracic wall arteries, i.e., lateral thoracic artery, thoracodorsal artery, and descending scapular artery. A total of 16 specimens from 8 cadavers (6 men and 2 women) were prepared. The length and diameter of the thoracic wall arteries were measured to ascertain the feasibility of revascularization of the IA giving rise to the AA. In addition, 12 preoperative spinal cord arteriograms were studied. We found that revascularization of the IA giving rise to the AA using thoracic wall arteries is feasible. This technique could be used to prevent spinal cord complications after treatment of descending thoracic or thoracoabdominal aortic aneurysms.
Keywords:
本文献已被 ScienceDirect PubMed SpringerLink 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号