Evidence map›Paper›PMID 39831139›Full record

ArticleRadiology case reports2025

Identification of Adamkiewicz artery by 4D flow MRI and intra-arterial ultra-high-resolution CT angiography in preoperative assessment of patients with chronic aortic dissection: A case report.

Satoshi Higuchi, Yuta Sato, Hideki Ota, Ryuichi Mori, Yuki Ichinoseki, Hitoshi Nemoto, Shingo Kayano, Kiichiro Kumagai, Yoshikatsu Saiki, Kei Takase

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Satoshi HiguchiDepartment of Diagnostic Radiology, Tohoku University Hospital, Sendai, Miyagi, Japan.
Yuta SatoDepartment of Diagnostic Radiology, Tohoku University Hospital, Sendai, Miyagi, Japan.
Hideki OtaDepartment of Diagnostic Radiology, Tohoku University Hospital, Sendai, Miyagi, Japan.
Ryuichi MoriDepartment of Radiological Technology, Tohoku University Hospital, Sendai, Miyagi, Japan.
Yuki IchinosekiDepartment of Radiological Technology, Tohoku University Hospital, Sendai, Miyagi, Japan.
Hitoshi NemotoDepartment of Radiological Technology, Tohoku University Hospital, Sendai, Miyagi, Japan.
Shingo KayanoDepartment of Radiological Technology, Tohoku University Hospital, Sendai, Miyagi, Japan.
Kiichiro KumagaiDepartment of Cardiovascular Surgery, Tohoku University Hospital, Sendai, Miyagi, Japan.
Yoshikatsu SaikiDepartment of Cardiovascular Surgery, Tohoku University Hospital, Sendai, Miyagi, Japan.
Kei TakaseDepartment of Diagnostic Radiology, Tohoku University Hospital, Sendai, Miyagi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preoperative identification of the Adamkiewicz artery (AKA) with adequate reconstruction or preservation during surgery is useful for protecting the spinal cord from ischemia during thoracoabdominal aortic repair. However, the identification of the AKA remains challenging in some cases, especially with chronic aortic dissection. In a 45-year-old man with chronic aortic dissection requiring thoracoabdominal aortic repair, conventional contrast-enhanced CT or MR angiography failed to detect AKA due to the large entry tear and an enlarged false lumen. Intra-arterial ultra-high-resolution CT angiography combined with hemodynamic assessment using 4D flow MRI successfully identified the AKA, allowing for aortic repair with targeted intercostal artery reconstruction without postoperative signs of spinal cord ischemia.

Indexed as

Adamkiewicz arteryChronic aortic dissectionFour-dimensional flow MRIIntra-arterial CT angiographySpinal cord ischemia

Identifiers

PMID39831139
PMCPMC11742573

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