Preoperative Visualization of the Artery of Adamkiewicz by Dual-Phase CT Angiography in Patients with Aortic Aneurysm
スポンサーリンク
概要
- 論文の詳細を見る
To improve our ability to visualize the Adamkiewicz artery (AKA), we developed a modified intravenous CT angiography technique, which we refer to as right atrial CT (RA-CT) angiography. In this study, AKA detection rate and visualization of the arterial continuity from the aorta to the anterior spinal cord artery (ASA) was evaluated using RA-CT angiography.<BR>We performed RA-CT angiography in 110 patients with abdominal, thoracic descending, or thoracoabdominal aortic aneurysms. In RA-CT angiography, contrast medium with a high iodine concentration (370 mg⁄dl) was injected twice into the right atrium at a high injection rate (8.0 ml⁄sec), and two CT scans, starting at 20 sec after the first injection and at 35 sec after the second injection, respectively, were performed. All CT images were obtained using an 8- or 16-detector CT scanner at a slice thickness of 0.625 mm. The AKA was defined as the largest radiculomedullary artery with a characteristic hairpin turn, and with continuity from the aorta to the ASA.<BR>The AKA with hairpin turn was detected in all patients (100%), and continuity from the aorta to the ASA was confirmed in 99 of the 110 patients (90.0%). The AKA arose between Th8 and L1 in 86 of these patients (86.8%), and originated from the left side in 71 patients (71.7%).<BR>RA-CT angiography may be useful for visualizing the AKA and the arterial continuity from the aorta to the ASA in patients with aortic aneurysm, although the use of more advanced CT machines will provide safe and easy identification of the AKA and arterial continuity with a small amount of contrast medium and a single scan.
著者
-
AOYAGI Shigeaki
Department of Cardiovascular Surgery, Kurume University School of Medicine
-
Akashi Hidetoshi
Department Of Cardiovascular Surgery Kurume University School Of Medicine
-
Nakamura Eiji
Department Of Electrical Engineering Faculty Of Engineering Kanagawa University
-
Hosokawa Yukio
Department Of Biology Faculty Of Science Chiba University
-
Tanaka Hiroyuki
Department Of Anesthesia And Clinical Research Institute National Hospital Organization Kyushu Medic
-
Tobinaga Satoru
Department Of Cardiovascular Surgery Munakata Suikokai General Hospital
-
Amako Mau
Department Of Cardiovascular Surgery St. Mary's Hospital
-
NAKAMURA Katsumi
Department of Agricultural Chemistry, The University of Tokyo:(Present office)Department of Biological and Chemical Engineering, Gunma University
-
Yamamoto Yoshiaki
Department of Clinical Research, National Epilepsy Center, Shizuoka Institute of Epilepsy and Neurological Disorders
-
AMAKO MAU
Department of Surgery, Kurume University School of Medicine
-
OHNO TOMOKAZU
Department of Surgery, Kurume University School of Medicine
-
TOBINAGA SATORU
Department of Surgery, Kurume University School of Medicine
関連論文
- A New Hydrocolloid Dressing Prevents Surgical Site Infection of Median Sternotomy Wounds
- Pannus overgrowth after mitral valve replacement with a Carpentier-Edwards pericardial bioprosthesis
- Mitral Valve Repair in a Patient With Acromegaly : Case Report
- Repair of Left Ventricular Rupture Following Mitral Valve Replacement Concomitant With Left Atrial Reduction Procedure : Intracardiac Patch Extracardiac Buttress Suture
- A case of benign bile duct stricture causing difficulty in differential diagnosis from bile duct carcinoma
- Xanthogranulomatous Cholecystitis with a Liver Abscess and Metastatic Endophthalmitis : Report of a Case
- Carcinoma Arising in the Pancreas 17 Years After Primary Excision of a Choledochal Cyst : Report of a Case
- Unusual Liver Carcinomas with Sarcomatous Features : Analysis of Four Cases
- Malignant Sarcomatoid Tumor of the Liver : Report of a Case
- Insulinoma Occurring in Association with Fatty Replacement of Unknown Etiology in the Pancreas : Report of a Case
- Synchronous or Metachronous Double Cancers of the Pancreas and Other Organs : Report on 12 Cases
- Resectable carcinoma of the pancreatic head developing 7 years and 4 months after distal pancreatectomy for carcinoma of the pancreatic tail
- Large acinar cell carcinoma of the pancreas in a patient with elevated serum AFP level
- Gastric enterochromaffin-like-cell tumor with liver and splenic metastases
- Nesidioblastois with Hyperinsulinemic Hypoglycemia in Adults: Report of Two Cases
- Infection management in a patient with a left ventricular assist device : a case report of long-term cefazolin sodium hydrate administration
- Dysfunction of an ATS valve in the aortic position : the first reported case caused by pannus formation
- Does Off-Pump Coronary Artery Bypass Grafting Really Preserve Renal Function?
- Surgical Treatment for Acute Type A Aortic Dissection in Pregnancy : A Case of Aortic Root Replacement Just After Cesarean Section
- Isolated Primary Chylopericardium
- Early resluts with the Carbo-seal composite valve conduit for aortic root replacement: comparison with St. Jude Medical/Hemashield composite graft
- Surgical Treatment for Graft Stenosis After Repair of an Interrupted Aortic Arch : Report of Two Cases
- A Case Report of Surgical Treatment of Quadricuspid Aortic Valve Associated with Regurgitation
- Effects of Supplemental L-arginine during Warm Blood Cardioplegia
- 5 Hybrid Therapy (Stentgraft and Conventional Open Surgery) for Extended Aortic Aneurysm(Symposium 4 (SY-04) (H) Recent Progress in the Treatment of Aortic Diseases,Special Program,The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Non-occlusive Condition with the Better-Header Roller Pump : Impacts of Flow Dynamics and Hemolysis
- Transcatheter Coil Embolization of a High-Flow Coronary Artery Fistula Using 0.052-Inch Gianturco Coils : A Case Report
- Percutaneous cardiopulmonary support for treatment of massive pulmonary embolism
- Surgical Treatment of a Descending Aortic Aneurysm in a Patient With Noncirrhotic Portal Hypertension and a Portal Systemic Shunt
- Spontaneous Coronary Artery Dissection Causing Myocardial Infarction and Left Ventricular Aneurysm
- Treatment of Acute Massive/Submassive Pulmonary Embolism
- Influence of Colforsin Daropate Hydrochloride on Internal Mammary Artery Grafts
- Coronary Artery Bypass Grafting in an Adult Case with Kawasaki Disease
- Long-distance transportation of patients with a paracorporeal left ventricular assist system
- Triple Valve Replacement With Bileaflet Mechanical Valves : Is the Mechanical Valve the Proper Choice for the Tricuspid Position?
- Coronary Artery Bypass Grafting in Patients With Mild Renal Insufficiency
- A SAM valve prosthesis in the mitral position : report of a case of long-term survival
- Simultaneous Repair of Cardiovascular Disorders and Pectus Deformity in a Patient with Sprintzen-Goldberg Syndrome : A Case Report
- Surgical Treatment of a Coronary Artery Fistula With Concomitant Saccular Coronary Artery Aneurysm : A Case Report
- Plasma and Urinary Levels of Heart Fatty Acid-Binding Protein in Patients Undergoing Cardiac Surgery
- Coronary artery bypass grafting in patients with pulmonary aspergillosis
- Transcatheter coil embolization for patent ductus arteriosus in the elderly : Report of a case and review of the published work
- Embolic Myocardial Infarction and Left Ventricular Rupture Due to Mitral Valve Endocarditis
- Effects of Calcium Channel Blocker Azelnidipine on Experimental Abdominal Aortic Aneurysms
- Initial and Midterm Results for Repair of Aortic Diseases With Handmade Stent Grafts(Clinical Investigation)
- Acquired Arteriovenous Fistula of the Right Forearm Caused by Repeated Blunt Trauma : a Report of a Rare Case
- Infective Endocarditis during Pregnancy : Report of a Case
- Replacement of an Aortic Starr-Edwards Ball Valve Prosthesis 28 Years After Implantation(Author's Reply)
- Replacement of an Aortic Starr-Edwards Ball Valve Prosthesis 28 Years After Implantation
- Rupture of an Aneurysm Resulting From a Coronary Artery Fistula : A Case Report
- Signet-Ring Cell Carcinoma of the Ampulla of Vater : Report of a Case
- Clinical Outcome of Perioperative Nonpermanent Vena Cava Filter Placement in Patients with Deep Venous Thrombosis or Blood Stasis of the Vein
- A Shorter Skin Incision Technique for the Repair of Infrarenal Abdominal Aortic Aneurysms
- Aortic Root Replacement for Takayasu Arteritis Associated With Ulcerative Colitis and Ankylosing Spondylitis : Report of a Case
- Left Ventricular Myxoma : Report of a Case
- Successful surgical treatment for implanted intraperitoneal metastases of hepatocellular carcinoma
- First-year Experience in New Postgraduate Clinical Training System
- Surgical Management of a Graftenteric Fistula : A Modified Method of In Situ Reconstruction
- How Do Poly Lactide-Co-Glycolide Microspheres for Prostaglandin E1 Operate in Ischemic Tissue? : Local Sustained Release of Prostaglandin E1 Induces Neovascularization in Murine Hindlimb Ischemia
- Ileo-abdominal wall fistula caused by diverticulum of the ileum
- Spontaneous Rupture of the Dorsalis Pedis Artery : Report of a Case
- Left Atrial Thrombus Without Mitral Valve Disease in a Patient with Nephrotic Syndrome : Report of a Case
- Malignant Fibrous Histiocytoma of the Heart : Case Report and Review of 46 Cases in the Literature
- 胆嚢の腺-内分泌細胞癌
- A Case Report of Disseminated Recurrence of Inferior Bile Duct Carcinoma in PTCD Fistula
- Aortic Dissections Complicating Open Cardiac Surgery : Report of Three Cases
- Safety Management of a Patient Undergoing Thoracic Aortic Surgery by Spinal Evoked Potential Monitoring
- Serous cystadenocarcinoma of the pancreas with liver metastases
- Spontaneous Rupture of the Spleen Caused by a Bacillus Infection : Report of a Case
- Cardiac Operations in Cirrhotic Patients
- Concentric Wear of the Delrin Disc in a Bjork-Shiley Heart Valve Prosthesis: Report of Two Cases
- Prosthetic Valve Thrombosis After Abdominal Surgical Procedures : A Case Report
- Concurrent Submitral Left Ventricular Aneurysm and an Aneurysm of the Sinus of Valsalva : Report of a Case
- Constrictive Pericarditis Following Hemopericardium due to Ascending Aortic Dissection : A Case Report
- Open Heart Operation in a Patient with Hereditary Spherocytosis : A Case Report
- Thoracic Endovascular Aortic Repair with Homemade Stent Grafts : Early and Mid-Term Outcomes
- A Case of Gallbladder Cancer Associated with Pancreaticobiliary Maljunction
- Right Atrial Myxoma in a Patient Presenting with Syncope
- Left Atrial Intramural Hematoma after Resection of Myxoma : Report of a Case
- A Case of Unilateral Leg Edema Due to Abdominal Aortic Aneurysm with Aortocaval Fistula
- A Case of Intrahepatic Gallstone Formation around Nylon Suture for Hepatectomy
- A Case of Pulmonary Embolism after Abdominal Angiography
- Effect of Preoperative Immunonutrition in Patients Undergoing Hepatectomy; A Randomized Controlled Trial
- Influence of Angiogenesis by Implantation of Bone Marrow Mononuclear Cells in the Rat Ischemic Heart
- A Case of Intraabdominal Bleeding Following Pancreatoduodenectomy Successfully Treated by Transcatheter Arterial Embolization
- Twelve-year experience with the Carpentier-Edwards pericardial aortic valve at a single Japanese center
- Preoperative Visualization of the Artery of Adamkiewicz by Dual-Phase CT Angiography in Patients with Aortic Aneurysm
- Structural Valve Deterioration in a Starr-Edwards Mitral Caged-Disk Valve Prosthesis
- Study of Cholelithiasis after Gastrectomy.
- A Case of Duodenal Papillary Carcinoma Complicated by Repeated Acute Pancreatitis.
- Xanthogranulomatous Cholecystitis.
- Treatments of Non-parasitic Giant Hepatic Cysts.
- A Case of Hilar Bile Duct Cancer with Intestinal Behcet's Disease
- Clinicopathological Evaluation of Surgical Treatment for Early Gallbladder Cancer.
- Coronary bypass surgery after thrombolytic therapy for total occlusion of the left main coronary artery.
- A case report of coronary revascularization for Kawasaki disease.
- Evaluation of Prosthetic Valve Obstruction on Electrocardiographically Gated Multidetector-Row Computed Tomography:– Identification of Subprosthetic Pannus in the Aortic Position –
- Structural Valve Deterioration in a Starr-Edwards Mitral Caged-Disk Valve Prosthesis
- 経カテーテル動脈塞栓術が有効であった経皮経肝胆管ドレナージ (PTBD) 後胆道出血の2例
- A Case of Ileus Caused by Implantation of Cancer after Surgical Treatment of Bile Duct Carcinoma.