Digital subtraction spinal cord angiography in patients undergoing thoracic aneurysm surgery

Aram Fereshetian, Saadoon Kadir, Stephen L. Kaufman, Sally E. Mitchell, Robert R. Murray, M. L. Kinnison, G. Milville Williams

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

Thoraco-abdominal aortic replacement can be associated with a high incidence of paraplegia. Because the major source of blood supply to the thoraco-abdominal spinal cord is through the anterior spinal artery of Adamkiewicz, reimplantation of intercostal and lumbar arteries could reduce the risk of this operation. We used intraarterial digital subtraction angiography (DSA) for preoperative localization of the anterior spinal artery in 12 patients. This vessel was successfully located in 9 patients, with DSA providing good quality images in all patients. Preoperative knowledge of the origin of this vessel was helpful in the planning of the operation in all patients, but its efficacy as a routine procedure was not established.

Original languageEnglish (US)
Pages (from-to)7-9
Number of pages3
JournalCardiovascular and Interventional Radiology
Volume12
Issue number1
DOIs
StatePublished - Jan 1 1989

Keywords

  • Adamkiewicz
  • Aneurysms, thoracic aorta
  • Arteriography
  • Artery, anterior spinal
  • Spinal cord

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Fereshetian, A., Kadir, S., Kaufman, S. L., Mitchell, S. E., Murray, R. R., Kinnison, M. L., & Williams, G. M. (1989). Digital subtraction spinal cord angiography in patients undergoing thoracic aneurysm surgery. Cardiovascular and Interventional Radiology, 12(1), 7-9. https://doi.org/10.1007/BF02577117