Artery of Adamkiewicz and the clinical repercussion of its lesion in thoracoabdominal surgeries: a systematic review
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Abstract
The knowledge of the spinal cord irrigation is important for the therapeutic planning of aortic pathologies; however, its vasculature is complex due to the caliber of its arteries that pass through a three-dimensional network with great anatomical variability. Its clinical importance is evidenced during the preoperative procedure of thoracic and thoracoabdominal aortic surgeries, because its identification is essential for the prevention of spinal cord injuries. This study consists of a literature review, in which searches were conducted in the databases - Bireme, Science Direct, Pubmed and Lilacs. Articles published between 1999 and 2020, written in English, Portuguese or Spanish, were selected. The search was conducted using the descriptors Anatomy, Spinal Cord Irrigation and Spinal Cord Ischemia. The Adamkiewicz artery is the main artery responsible for the arterial supply to the lower part of the spinal cord. Thus, paraplegia is a complication of this type of surgical approach resulting from ischemic suffering of the spinal cord during the process. Therefore, further study on these factors should be encouraged, because the preservation of this vessel is relevant given the search for protection of the spinal cord and the maintenance of its functions in this type of procedure.
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References
Millichap JJ, Sy BT, Leacock RO. Spinal cord infarction with multiple etiologic factors. J Gen Intern Med. 2007 Jan;22(1):151-4. doi: 10.1007/s11606-006-0029-8.
Romi F, Naess H. Spinal Cord Infarction in Clinical Neurology: A Review of Characteristics and Long-Term Prognosis in Comparison to Cerebral Infarction. Eur Neurol. 2016;76(3-4):95-98. doi: 10.1159/000446700.
Khan YS, Lui F. Neuroanatomy, Spinal Cord. 2021 Jan. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; Available From: https://www.ncbi.nlm.nih.gov/books/NBK559056/.
Lindeire S, Hauser JM. Anatomy, Back, Artery Of Adamkiewicz. 2021 Aug 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–.
Amato ACM, Stolf NA. Anatomy of the medullary circulation. J Vasc Bras. 2015 Jul; 14(3), 248-252. doi/10.1590/1677-5449.0004.
Doberstein CA, Bouley A, Silver B, Morrison JF, Jayaraman MV. Ruptured aneurysms of the intradural artery of adamkiewicz: Angiographic features and treatment options. Clin Neurol Neurosurg. 2016 Jul;146:152-5. doi: 10.1016/j.clineuro.2016.05.013.
N'da HA, Chenin L, Capel C, Havet E, Le Gars D, Peltier J. Microsurgical anatomy of the Adamkiewicz artery-anterior spinal artery junction. Surg Radiol Anat. 2016 Jul;38(5):563-7. doi: 10.1007/s00276-015-1596-3.
Postiglione MG, Braga DC. Anterior spinal artery syndrome: case report. Jornal AMRIGS (Porto Alegre). 2003 Jul-Sep; 47(3), 206-209.
Bican O, Minagar A, Pruitt AA. The spinal cord: a review of functional neuroanatomy. Neurol Clin. 2013 Feb;31(1):1-18. doi: 10.1016/j.ncl.2012.09.009.
Taterra D, Skinningsrud B, Pękala PA, Hsieh WC, Cirocchi R, Walocha JA, Tubbs RS, Tomaszewski KA, Henry BM. Artery of Adamkiewicz: a meta-analysis of anatomical characteristics. Neuroradiology. 2019 Aug;61(8):869-880. doi: 10.1007/s00234-019-02207-y.
Murthy NS, Maus TP, Behrns CL. Intraforaminal location of the great anterior radiculomedullary artery (artery of Adamkiewicz): a retrospective review. Pain Med. 2010 Dec;11(12):1756-64. doi: 10.1111/j.1526-4637.2010.00948.x.
Hoehmann CL, Hitscherich K, Cuoco JA. The Artery of Adamkiewicz: Vascular Anatomy, Clinical Significance and Surgical Considerations. Int J Cardiovasc Res 5: 6. 2016 Sep; 5. doi: 10.4172 / 2324-8602.1000284.
Piola FPF, Nogueira-Barbosa MH, Maranho DAC, Martins AA, Barbosa MF, Herrero CFPS. Identification of the Artery of Adamkiewicz Using Multidetector Computed Tomography Angiography (MCTA). Rev Bras Ortop (Sao Paulo). 2020 Feb;55(1):70-74. doi: 10.1055/s-0039-1700829.
Griepp EB, Di Luozzo G, Schray D, Stefanovic A, Geisbüsch S, Griepp RB. The anatomy of the spinal cord collateral circulation. Ann Cardiothorac Surg. 2012 Sep;1(3):350-7. doi: 10.3978/j.issn.2225-319X.2012.09.03.
Tanaka H, Ogino H, Minatoya K, Matsui Y, Higami T, Okabayashi H, Saiki Y, Aomi S, Shiiya N, Sawa Y, Okita Y, Sueda T, Akashi H, Kuniyoshi Y, Katsumata T; Japanese Study of Spinal Cord Protection in Descending and Thoracoabdominal Aortic Repair investigators. The impact of preoperative identification of the Adamkiewicz artery on descending and thoracoabdominal aortic repair. J Thorac Cardiovasc Surg. 2016 Jan;151(1):122-8. doi: 10.1016/j.jtcvs.2015.07.079.
Moore KL, Dalley AF, Agur AMR. Clinic-oriented anatomy. 6 ed. Rio de Janeiro: Guanabara Koogan, 2011.
Charles YP, Barbe B, Beaujeux R, Boujan F, Steib JP. Relevance of the anatomical location of the Adamkiewicz artery in spine surgery. Surg Radiol Anat. January 2011; 33 (1): 3-9. doi: 10.1007 / s00276-010-0654-0.
Boll DT, Bulow H, Blackham KA, Aschoff AJ, Schmitz BL. MDCT angiography of the spinal vasculature and the artery of Adamkiewicz. AJR Am J Roentgenol. 2006 Oct;187(4):1054-60. doi: 10.2214/AJR.05.0562.
Melissano G, Bertoglio L, Civelli V, Amato AC, Coppi G, Civilini E, Calori G, De Cobelli F, Del Maschio A, Chiesa R. Demonstration of the Adamkiewicz artery by multidetector computed tomography angiography analysed with the open-source software OsiriX. Eur J Vasc Endovasc Surg. 2009 Apr;37(4):395-400. doi: 10.1016/j.ejvs.2008.12.022.
Bley TA, Duffek CC, François CJ, Schiebler ML, Acher CW, Mell M, Grist TM, Reeder SB. Presurgical localization of the artery of Adamkiewicz with time-resolved 3.0-T MR angiography. Radiology. 2010 Jun;255(3):873-81. doi: 10.1148/radiol.10091304.
Koshino T, Murakami G, Morishita K, Mawatari T, Abe T. Does the Adamkiewicz artery originate from the larger segmental arteries? J Thorac Cardiovasc Surg. 1999 May;117(5):898-905. doi: 10.1016/S0022-5223(99)70369-7.
Lo D, Valleé JN, Spelle L, Cormier E, Saillant G, Rancurel G, Chiras J. Unusual origin of the artery of Adamkiewicz from the fourth lumbar artery. Neuroradiology. 2002 Feb;44(2):153-7. doi: 10.1007/s002340100658.
Takahara S, Kanda K, Kawatsu S, Yoshioka I, Fujiwara H, Adachi O, Akiyama M, Kumagai K, Kawamoto S, Ota H, Saiki Y. Modification of a Standard Thoracoabdominal Incision to Preserve Collaterals to Adamkiewicz Artery. Ann Thorac Surg. 2016 Sep;102(3):e241-e243. doi: 10.1016/j.athoracsur.2016.01.102.
Mônaco BA, Benício A, Contreras IS, Mingrone LE, Ballester G, Moreira LF. Ischemic preconditioning and spinal cord function monitoring in the descending thoracic aorta approach. Arq Bras Cardiol. 2007 Mar;88(3):291-6. English, Portuguese. doi: 10.1590/s0066-782x2007000300007.
Kamada T, Yoshioka K, Tanaka R, Makita S, Abiko A, Mukaida M, Ikai A, Okabayashi H. Strategy for thoracic endovascular aortic repair based on collateral circulation to the artery of Adamkiewicz. Surg Today. 2016 Sep;46(9):1024-30. doi: 10.1007/s00595-015-1272-6.
Kamada T, Yoshioka K, Tanaka R, Makita S, Abiko A, Mukaida M, Ikai A, Okabayashi H. Strategy for thoracic endovascular aortic repair based on collateral circulation to the artery of Adamkiewicz. Surg Today. 2016 Sep;46(9):1024-30. doi: 10.1007/s00595-015-1272-6.
Nojiri J, Matsumoto K, Kato A, Miho T, Furukawa K, Ohtsubo S, Itoh T, Kudo S. The Adamkiewicz artery: demonstration by intra-arterial computed tomographic angiography. Eur J Cardiothorac Surg. 2007 Feb;31(2):249-55. doi: 10.1016/j.ejcts.2006.11.024.
Wachowski M, Polguj M, Ścibór J, Majos A. Ischaemia of the medullary cone after stent-graft implantation in a patient with abdominal aortic aneurysm - a case study. Wideochir Inne Tech Maloinwazyjne. 2018 Mar;13(1):116-121. doi: 10.5114/wiitm.2017.70326.
Guziński M, Bryl M, Ziemińska K, Wolny K, Sąsiadek M, Garcarek JS. Detection of the Adamkiewicz artery in computed tomography of the thorax and abdomen. Adv Clin Exp Med. 2017 Jan-Feb;26(1):31-37.
Yoshioka K, Tanaka R, Takagi H, Ueyama Y, Sugawara T, Chiba T, Arakita K, Schuijf JD. Systematic evaluation of collateral pathways to the artery of Adamkiewicz using computed tomography. Eur J Cardiothorac Surg. 2018 Jul 1;54(1):19-25. doi: 10.1093/ejcts/ezx509.
Koakutsu T, Aizawa T, Yuzawa H, Itoi E, Kushimoto S. Lesão da artéria lombar da qual a artéria de Adamkiewicz se originou associada a lesão da coluna lombar: tratada com sucesso por embolização arterial transcateter. Eur Spine J., maio de 2016; 25 Suppl 1: 124-8. doi: 10.1007 / s00586-015-4225-2.