Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz
Metastatic spinal cord compression causes neurologic impairment and pain, potentially improved by decompression surgery at the risk of heavy intraoperative bleeding. Preoperative embolization carries the risk of nontarget embolization, potentially causing spinal ischemia. Current evidence indicates...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-12-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1761623 |
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| author | Lena S. Becker E.R. Becker T. Stuebig J.B. Hinrichs |
| author_facet | Lena S. Becker E.R. Becker T. Stuebig J.B. Hinrichs |
| author_sort | Lena S. Becker |
| collection | DOAJ |
| description | Metastatic spinal cord compression causes neurologic impairment and pain, potentially improved by decompression surgery at the risk of heavy intraoperative bleeding. Preoperative embolization carries the risk of nontarget embolization, potentially causing spinal ischemia. Current evidence indicates that knowledge of artery of Adamkiewicz (AKA) location and the amount of collateralization may help estimate the risk of postinterventional spinal cord injury. In this case of a 73-year-old female patient with progression of a large, myelon-compressing vertebral metastasis of L1, protective, blood-flow-controlling occlusion of the proximal-most points of the AKA and segmental spinal arteries was safely performed prior to tumor embolization, surgical decompression, and tumor debulking. |
| format | Article |
| id | doaj-art-059f5ad4ae5e419b912f33614718b059 |
| institution | DOAJ |
| issn | 2456-4869 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-059f5ad4ae5e419b912f33614718b0592025-08-20T03:16:36ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692023-12-01070320420710.1055/s-0043-1761623Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of AdamkiewiczLena S. Becker0https://orcid.org/0000-0001-9568-6233E.R. Becker1T. Stuebig2J.B. Hinrichs3Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hanover, GermanyPrivate Neurological Practice, Braunschweig, GermanyDepartment of Traumatology, Hannover Medical School, Hanover, GermanyInstitute for Diagnostic and Interventional Radiology, Hannover Medical School, Hanover, GermanyMetastatic spinal cord compression causes neurologic impairment and pain, potentially improved by decompression surgery at the risk of heavy intraoperative bleeding. Preoperative embolization carries the risk of nontarget embolization, potentially causing spinal ischemia. Current evidence indicates that knowledge of artery of Adamkiewicz (AKA) location and the amount of collateralization may help estimate the risk of postinterventional spinal cord injury. In this case of a 73-year-old female patient with progression of a large, myelon-compressing vertebral metastasis of L1, protective, blood-flow-controlling occlusion of the proximal-most points of the AKA and segmental spinal arteries was safely performed prior to tumor embolization, surgical decompression, and tumor debulking.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1761623artery of Adamkiewiczspinal cord injuryinterventional radiology |
| spellingShingle | Lena S. Becker E.R. Becker T. Stuebig J.B. Hinrichs Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz Journal of Clinical Interventional Radiology ISVIR artery of Adamkiewicz spinal cord injury interventional radiology |
| title | Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz |
| title_full | Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz |
| title_fullStr | Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz |
| title_full_unstemmed | Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz |
| title_short | Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz |
| title_sort | preoperative coil embolization of a large myelon compressing vertebral metastasis involving the artery of adamkiewicz |
| topic | artery of Adamkiewicz spinal cord injury interventional radiology |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1761623 |
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