Intraspinal collateral circulation to the artery of Adamkiewicz detected with intra-arterial injected computed tomographic angiography Satoru Domoto,

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Intraspinal collateral circulation to the artery of Adamkiewicz detected with intra-arterial injected computed tomographic angiography Satoru Domoto, MD, Fumiko Kimura, MD, Toshihisa Asakura, MD, Ken Nakazawa, MD, Hiroyuki Koike, MD, Hiroshi Niinami, MD Journal of Vascular Surgery Volume 63, Issue 6, Pages 1631-1634 (June 2016) DOI: 10.1016/j.jvs.2015.07.070 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 An illustration shows the normal anatomy of the arterial supply of the spinal cord: A, intercostal artery; B, nervomedullary artery; C, anterior radicular artery, the great anterior radicular artery called the Adamkiewicz artery (AKA); D, posterior radicular artery; E, hairpin-curve connection to the anterior spinal artery; F, anterior spinal artery, and G, pial network. Journal of Vascular Surgery 2016 63, 1631-1634DOI: (10.1016/j.jvs.2015.07.070) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Intra-arterial injected computed tomography (CT) angiography (IACTA) images obtained from a 30-year-old woman with a thoracoabdominal aortic aneurysm (TAAA). A, IACTA curved planar reformation images and (B) three-dimensional volume-rendered CT with a semitransparent skeletal system showing that the artery of Adamkiewicz (AKA, yellow arrow), originating from the right first lumbar artery (LA 1), continued to the anterior spinal artery (blue arrow) with a short hairpin curve via an artery arising along the right side of the spinal cord, on the right side at the Th10/11 level. Journal of Vascular Surgery 2016 63, 1631-1634DOI: (10.1016/j.jvs.2015.07.070) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Intra-arterial injected computed tomography (CT) angiography (IACTA) images obtained from a 66-year-old man with thoracoabdominal aortic aneurysm (TAAA). A and B, Curved planar reformation images and (C) three-dimensional volume-rendered CT with a semitransparent skeletal system show a very thin artery of Adamkiewicz (AKA) with continuity from the left ninth intercostal artery (ICA 9) at the Th9/10 level. In addition, another large AKA originating from the left second lumbar artery (LA 2) continued to the anterior spinal artery via an artery arising along the left side of the spinal cord, on the left side at the Th12 level. Journal of Vascular Surgery 2016 63, 1631-1634DOI: (10.1016/j.jvs.2015.07.070) Copyright © 2016 Society for Vascular Surgery Terms and Conditions