WordNet

a major thoroughfare that bears important traffic
a blood vessel that carries blood from the heart to the body (同)arteria, arterial blood vessel

PrepTutorEJDIC

動脈 / (道路・水路・鉄道などの)勘線,(通信の)主チャンネル

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/02/26 14:47:09」(JST)

wiki en

In human anatomy, the Artery of Adamkiewicz (also arteria radicularis magna) is the largest anterior segmental medullary artery.^[3] The artery is named after Albert Wojciech Adamkiewicz (August 11, 1850 – October 31, 1921) a Polish-Jewish pathologist born in Żerków.

It has several other names, including:

Adamkiewicz artery
great radicular artery of Adamkiewicz^[4]
major anterior segmental medullary artery
artery of the lumbar enlargement^[5]
great anterior radiculomedullary artery^[6]
great anterior segmental medullary artery^[7]

It typically arises from a left posterior intercostal artery, which branches from the aorta, and supplies the lower two thirds of the spinal cord via the anterior spinal artery.^[8]

Anatomical variation[edit]

Coronal slab volume rendering image of CT aortography shows artery of Adamkiewicz arising from lower thoracic aorta, entering spinal canal(arrowheads), joining the anterior spinal artery (arrows) after a hairpin turn. Ao: aorta

The spinal cord vasculature has a complex and highly variable anatomy.^[9] In a study of approximately 70 people that examined the spinal cord's blood supply it was found that:^[8]

The Adamkiewicz artery sometimes arises from a lumbar vessel.
In approximately 30% of people it arises from the right side.
One quarter of people have two large anterior segmental medullary arteries.

In 75% of people, the artery of Adamkiewicz originates on the left side of the aorta between the T8 and L1 vertebral segments.^[10]

In an extensive literature review, recognition of the AKA using CT and/or MR was achieved in 466 of 555 cases (83.96%)and in 384 (83.3%) cases the AKA originated from a left intercostal artery.^[11]

Clinical significance[edit]

"Great radicular artery of Adamkiewicz… provides the major blood supply to the lumbar and sacral cord."^[12]

When damaged or obstructed, it can result in anterior spinal artery syndrome,^[13] with loss of urinary and fecal continence and impaired motor function of the legs; sensory function is often preserved to a degree.

It is important to identify the location of the artery when treating a thoracic aortic aneurysm or a thoraco-abdominal aortic aneurysm.^[14] Its location can be identified with computed tomographic angiography.^[15]

Eponym[edit]

It is named for Albert Wojciech Adamkiewicz.^[16]^[17]^[18]

References[edit]

^ Milen, Mark T.; Bloom, David A.; Culligan, J.; Murasko, K. (1999). "Albert Adamkiewicz (1850-1921) - his artery and its significance for the retroperitoneal surgeon". World Journal of Urology 17 (3): 168–70. doi:10.1007/s003450050126. PMID 10418091.
^ Koshino, T; Murakami, G; Morishita, K; Mawatari, T; Abe, T (1999). "Does the adamkiewicz artery originate from the larger segmental arteries?". The Journal of Thoracic and Cardiovascular Surgery 117 (5): 898–905. doi:10.1016/S0022-5223(99)70369-7. PMID 10220681.
^ Moore, Keith; Anne Agur (2007). Essential Clinical Anatomy, Third Edition. Lippincott Williams & Wilkins. p. 298. ISBN 0-7817-6274-X. Cite uses deprecated parameters (help)
^ Luyendijk W, Cohn B, Rejger V, Vielvoye GJ (1988). "The great radicular artery of Adamkiewicz in man. Demonstration of a possibility to predict its functional territory". Acta neurochirurgica 95 (3–4): 143–6. PMID 3228004.
^ Biondi, Alessandra; Ricciardia, Giuseppe K.; Faillot, Tierry; Capelle, Laurent; Van Effenterre, Rémy; Chiras, Jacques (2005). "Hemangioblastomas of the lower spinal region: report of four cases with preoperative embolization and review of the literature". AJNR 26 (4): 936–45. PMID 15814949.
^ Nijenhuis RJ, Mull M, Wilmink JT, Thron AK, Backes WH (2006). "MR angiography of the great anterior radiculomedullary artery (Adamkiewicz artery) validated by digital subtraction angiography". AJNR 27 (7): 1565–72. PMID 16908582.
^ Greathouse, David G.; Halle, John S.; Dalley, Arthur F. (2001). "Blood supply to the spinal cord". Physical therapy 81 (6): 1264–5. PMID 11380281.
^ ^a ^b Takase, K.; Sawamura, Y.; Igarashi, K.; Chiba, Y.; Haga, K.; Saito, H.; Takahashi, S. (2002). "Demonstration of the Artery of Adamkiewicz at Multi- Detector Row Helical CT". Radiology 223 (1): 39–45. doi:10.1148/radiol.2231010513. PMID 11930046.
^ Melissano, G.; Civilini, E.; Bertoglio, L.; Calliari, F.; Campos Moraes Amato, A.; Chiesa, R. (2010). "Angio-CT Imaging of the Spinal Cord Vascularisation: A Pictorial Essay". European Journal of Vascular and Endovascular Surgery 39 (4): 436–40. doi:10.1016/j.ejvs.2009.11.026. PMID 20034815.
^ Lazorthes, Guy; Gouaze, Andrè; Zadeh, Jean O.; Jacques Santini, Jean; Lazorthes, Yves; Burdin, Phillipe (1971). "Arterial vascularization of the spinal cord". Journal of Neurosurgery 35 (3): 253–62. doi:10.3171/jns.1971.35.3.0253. PMID 22046635.
^ Melissano, G.; Bertoglio, L.; Civelli, V.; Moraes Amato, A.C.; Coppi, G.; Civilini, E.; Calori, G.; De Cobelli, F. et al. (2009). "Demonstration of the Adamkiewicz Artery by Multidetector Computed Tomography Angiography Analysed with the Open-Source Software OsiriX". European Journal of Vascular and Endovascular Surgery 37 (4): 395–400. doi:10.1016/j.ejvs.2008.12.022. PMID 19230726.
^ Blumenfeld, Hal (2010). Neuroanatomy Through Clinical Cases (2nd ed.). Sunderland, Mass: Sinauer Associates. ISBN 978-0-87893-058-6. ^{[page needed]}
^ Wan, Innes Y. P.; Angelini, Gianni D.; Bryan, Alan J.; Ryder, Ian; Underwood, Malcolm J. (2001). "Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery". European Journal of Cardio-Thoracic Surgery 19 (2): 203–13. doi:10.1016/S1010-7940(00)00646-1. PMID 11167113.
^ Yoshioka, K.; Niinuma, H.; Ohira, A.; Nasu, K.; Kawakami, T.; Sasaki, M.; Kawazoe, K. (2003). "MR Angiography and CT Angiography of the Artery of Adamkiewicz: Noninvasive Preoperative Assessment of Thoracoabdominal Aortic Aneurysm". Radiographics 23 (5): 1215–25. doi:10.1148/rg.235025031. PMID 12975511.
^ Nojiri, Junichi; Matsumoto, Koichi; Kato, Akira; Miho, Takahiro; Furukawa, Koujiro; Ohtsubo, Satoshi; Itoh, Tsuyoshi; Kudo, Sho (2007). "The Adamkiewicz artery: demonstration by intra-arterial computed tomographic angiography". European Journal of Cardio-Thoracic Surgery 31 (2): 249–55. doi:10.1016/j.ejcts.2006.11.024. PMID 17182250.
^ Adamkiewicz AA (1882). "Die Blutgefässe des menschlichen Rückenmarkes. II. Die Gefässe der Rückenmarksoberfläche". Sitzungsberichte der Kaiserlichen Akademie der Wissenschaften. Mathematisch-Naturwissenschaftliche Classe 85: 101–30.
^ synd/2233 at Who Named It?
^ Kowalczyk, J (2002). "Albert Wojciech Adamkiewicz and his artery". South African medical journal 92 (9): 702. PMID 12382351.

External links[edit]

00642 at CHORUS
A video showing the Adamkiewicz artery can be seen here: AKA finding using OsiriX

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 脊髄梗塞：血管の解剖学および病因 spinal cord infarction vascular anatomy and etiologies
2. 脊髄障害の解剖学および局在性 anatomy and localization of spinal cord disorders
3. 胸部血管内動脈瘤修復 thoracic endovascular aneurysm repair
4. 超音波内視鏡下の腹腔神経叢および神経節への介入 endoscopic ultrasound guided celiac plexus and ganglia interventions

English Journal

Influential factors on the evaluation of Adamkiewicz artery using a 320-detector row computed tomography device.

Amato ACM1, Parga Filho JR2, Stolf NAG3.
Annals of vascular surgery.Ann Vasc Surg.2017 May 10. pii: S0890-5096(17)30669-6. doi: 10.1016/j.avsg.2017.02.019. [Epub ahead of print]
PMID 28501659

Anterior Spinal Artery Syndrome Following Coronary Artery Bypass Grafting: a Case Report.

Mirhosseini SM1, Meghdadi S2, Moghaddam AS3.
Brazilian journal of cardiovascular surgery.Braz J Cardiovasc Surg.2017 Mar-Apr;32(2):136-137. doi: 10.21470/1678-9741-2016-0039.
PMID 28492795

Dynamic contrast-enhanced magnetic resonance angiography for the localization of spinal dural arteriovenous fistulas at 3T.

Zhou G1, Li MH1, Lu C2, Yin YL3, Zhu YQ1, Wei XE1, Lu HT1, Zheng QQ4, Gao WW5.
Journal of neuroradiology. Journal de neuroradiologie.J Neuroradiol.2017 Feb;44(1):17-23. doi: 10.1016/j.neurad.2016.10.002. Epub 2016 Nov 1.
PMID 27814888

Japanese Journal

Dissection Aneurysm of the Radiculomedullary Branch of the Artery of Adamkiewicz With Subarachnoid Hemorrhage : Case Report

IIHOSHI Satoshi,MIYATA Kei,MURAKAMI Tomohiro,KANEKO Takahisa,KOYANAGI Izumi
Neurologia medico-chirurgica = 神経外科 51(9), 649-652, 2011-09-15
… Spinal angiography in the early arterial phase revealed a small pearl and string-like aneurysm of the proximal radiculomedullary artery on the left side at the T12 level. … Forty days after the onset of SAH, CT angiography demonstrated complete occlusion of the dissecting aneurysm and the preserved anterior spinal artery. …
NAID 10029458166

b)胸腹部大動脈瘤 : 特に対麻痺予防(2.人工血管置換術,<特集>大動脈瘤治療のup to date)

川原田修義,樋上哲哉
日本外科学会雑誌 112(1), 11-16, 2011-01-01
NAID 110008440712

「大前根動脈」

Artery: Artery of Adamkiewicz
	Animated 3D reconstruction of a magnetic resonance angiography showing the arteries branching from the abdominal aorta. Initial view from the right side.
Latin	rami spinales arteriae vertebralis
Supplies	lumbar enlargement of lower spinal cord
Source	abdominal aorta, vertebral artery
Branches	anterior spinal artery

　　[★]

英: major radiculomedullary artery
ラ: arteria radicularis magna
同: アダムキービッツ動脈 アダムキーヴィッツ動脈 Adamkiewicz's artery Adamkiewicz artery、前根髄動脈、大腹側根動脈 great ventral radicular artery (SCN)
関: 前根動脈、根動脈

[show details]

Adamkiewicz動脈 : 約 965 件
アダムキービッツ動脈 : 31 件
アダムキーヴィッツ動脈 : 22 件
アダムキービック動脈 : 2 件
アダムキーウィク動脈 : 1 件
アダムキーヴィック動脈 : 1 件
大前根動脈 : 63 件
大脊髄根動脈 : 約 4 件
前根髄動脈 : 約 7 件 (N)
大腹側根動脈 : 1 件 (SCN)

概念

前根動脈の一つ。
脊髄の下約1/3の血液供給に関与。
主に左第8肋間動脈から第2腰動脈の間に分岐。

臨床関連

前脊髄動脈症候群

[pmid10418091-1] Milen, Mark T.; Bloom, David A.; Culligan, J.; Murasko, K. (1999). "Albert Adamkiewicz (1850-1921) - his artery and its significance for the retroperitoneal surgeon". World Journal of Urology 17 (3): 168–70. doi:10.1007/s003450050126. PMID 10418091.

[pmid10220681-2] Koshino, T; Murakami, G; Morishita, K; Mawatari, T; Abe, T (1999). "Does the adamkiewicz artery originate from the larger segmental arteries?". The Journal of Thoracic and Cardiovascular Surgery 117 (5): 898–905. doi:10.1016/S0022-5223(99)70369-7. PMID 10220681.

[Moore298-3] Moore, Keith; Anne Agur (2007). Essential Clinical Anatomy, Third Edition. Lippincott Williams & Wilkins. p. 298. ISBN 0-7817-6274-X. Cite uses deprecated parameters (help)

[pmid3228004-4] Luyendijk W, Cohn B, Rejger V, Vielvoye GJ (1988). "The great radicular artery of Adamkiewicz in man. Demonstration of a possibility to predict its functional territory". Acta neurochirurgica 95 (3–4): 143–6. PMID 3228004.

[pmid15814949-5] Biondi, Alessandra; Ricciardia, Giuseppe K.; Faillot, Tierry; Capelle, Laurent; Van Effenterre, Rémy; Chiras, Jacques (2005). "Hemangioblastomas of the lower spinal region: report of four cases with preoperative embolization and review of the literature". AJNR 26 (4): 936–45. PMID 15814949.

[pmid16908582-6] Nijenhuis RJ, Mull M, Wilmink JT, Thron AK, Backes WH (2006). "MR angiography of the great anterior radiculomedullary artery (Adamkiewicz artery) validated by digital subtraction angiography". AJNR 27 (7): 1565–72. PMID 16908582.

[7] Greathouse, David G.; Halle, John S.; Dalley, Arthur F. (2001). "Blood supply to the spinal cord". Physical therapy 81 (6): 1264–5. PMID 11380281.

[takase-8] Takase, K.; Sawamura, Y.; Igarashi, K.; Chiba, Y.; Haga, K.; Saito, H.; Takahashi, S. (2002). "Demonstration of the Artery of Adamkiewicz at Multi- Detector Row Helical CT". Radiology 223 (1): 39–45. doi:10.1148/radiol.2231010513. PMID 11930046.

[melissano-9] Melissano, G.; Civilini, E.; Bertoglio, L.; Calliari, F.; Campos Moraes Amato, A.; Chiesa, R. (2010). "Angio-CT Imaging of the Spinal Cord Vascularisation: A Pictorial Essay". European Journal of Vascular and Endovascular Surgery 39 (4): 436–40. doi:10.1016/j.ejvs.2009.11.026. PMID 20034815.

[10] Lazorthes, Guy; Gouaze, Andrè; Zadeh, Jean O.; Jacques Santini, Jean; Lazorthes, Yves; Burdin, Phillipe (1971). "Arterial vascularization of the spinal cord". Journal of Neurosurgery 35 (3): 253–62. doi:10.3171/jns.1971.35.3.0253. PMID 22046635.

[amato-11] Melissano, G.; Bertoglio, L.; Civelli, V.; Moraes Amato, A.C.; Coppi, G.; Civilini, E.; Calori, G.; De Cobelli, F. et al. (2009). "Demonstration of the Adamkiewicz Artery by Multidetector Computed Tomography Angiography Analysed with the Open-Source Software OsiriX". European Journal of Vascular and Endovascular Surgery 37 (4): 395–400. doi:10.1016/j.ejvs.2008.12.022. PMID 19230726.

[12] Blumenfeld, Hal (2010). Neuroanatomy Through Clinical Cases (2nd ed.). Sunderland, Mass: Sinauer Associates. ISBN 978-0-87893-058-6. ^{[page needed]}

[13] Wan, Innes Y. P.; Angelini, Gianni D.; Bryan, Alan J.; Ryder, Ian; Underwood, Malcolm J. (2001). "Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery". European Journal of Cardio-Thoracic Surgery 19 (2): 203–13. doi:10.1016/S1010-7940(00)00646-1. PMID 11167113.

[14] Yoshioka, K.; Niinuma, H.; Ohira, A.; Nasu, K.; Kawakami, T.; Sasaki, M.; Kawazoe, K. (2003). "MR Angiography and CT Angiography of the Artery of Adamkiewicz: Noninvasive Preoperative Assessment of Thoracoabdominal Aortic Aneurysm". Radiographics 23 (5): 1215–25. doi:10.1148/rg.235025031. PMID 12975511.

[pmid17182250-15] Nojiri, Junichi; Matsumoto, Koichi; Kato, Akira; Miho, Takahiro; Furukawa, Koujiro; Ohtsubo, Satoshi; Itoh, Tsuyoshi; Kudo, Sho (2007). "The Adamkiewicz artery: demonstration by intra-arterial computed tomographic angiography". European Journal of Cardio-Thoracic Surgery 31 (2): 249–55. doi:10.1016/j.ejcts.2006.11.024. PMID 17182250.

[16] Adamkiewicz AA (1882). "Die Blutgefässe des menschlichen Rückenmarkes. II. Die Gefässe der Rückenmarksoberfläche". Sitzungsberichte der Kaiserlichen Akademie der Wissenschaften. Mathematisch-Naturwissenschaftliche Classe 85: 101–30.

[17] synd/2233 at Who Named It?

[pmid12382351-18] Kowalczyk, J (2002). "Albert Wojciech Adamkiewicz and his artery". South African medical journal 92 (9): 702. PMID 12382351.

匿名

検索

案内

案内

Adamkiewicz artery