title: Preoperative MDCT evaluation of the artery of Adamkiewicz and its origin.
abstract: OBJECTIVE
  To assess the usefulness of MDCT in the preoperative evaluation of the artery of Adamkiewicz (ARM) and its parent artery.
  
  
  METHODS
  Ten patients with thoracoabdominal vascular diseases underwent MDCT of the entire aorta and iliac arteries. The visualization of the ARM, and its branching level and site of origin, and the continuity of the intercostal/lumbar arteries with the ARM were investigated.
  
  
  RESULTS
  In 9 of the 10 patients, the ARM was clearly visualized. The entire length from the intercostal/lumbar arteries to the ARM could be traced in 8 of the 10 patients. Surgical treatment or stentgraft insertion was based on a consideration of the vascular supply to the ARM. No postoperative ischemic spinal complications occurred.
  
  
  CONCLUSIONS
  MDCT permits the evaluation of the ARM for its entire length and provides information on the intercostal and lumbar arteries and entire aorta.
authors.affiliation: Departments of Radiology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Takase
authors.forename: Junetsu
authors.initials: J
authors.lastname: Akasaka
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Sawamura
authors.forename: Hideki
authors.initials: H
authors.lastname: Ota
authors.forename: Akihiro
authors.initials: A
authors.lastname: Sato
authors.forename: Takayuki
authors.initials: T
authors.lastname: Yamada
authors.forename: Shuichi
authors.initials: S
authors.lastname: Higano
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Igarashi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Chiba
authors.forename: Shoki
authors.initials: S
authors.lastname: Takahashi
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography / Q000379:methods; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D007091:Image Processing, Computer-Assisted / Q000379:methods; D007479:Iopamidol / Q000008:administration & dosage; D008159:Lumbar Vertebrae / Q000098:blood supply / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D011300:Preoperative Care / Q000379:methods*; D011856:Radiographic Image Enhancement / Q000379:methods; D012189:Retrospective Studies; D013116:Spinal Cord / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*; D014711:Vertebral Artery / Q000000981:diagnostic imaging*
chemical_list: D003287:Contrast Media; D007479:Iopamidol