Scientific Institute H. San Raffaele, Chair of Vascular Surgery, Vita Salute San Raffaele University, Milan, Italy.
Eur J Vasc Endovasc Surg. 2010 Apr;39(4):436-40. doi: 10.1016/j.ejvs.2009.11.026. Epub 2010 Jan 19.
Knowledge of the spinal cord (SC) vascular supply is important in patients undergoing procedures that involve the thoracic and thoraco-abdominal aorta; the SC vasculature, however, has a complex and highly variable anatomy. Recent breakthroughs in imaging methods have expanded the non-invasive diagnostic ability to determine a patient's spinal cord vascular pattern, particularly in detecting the presence and location of the artery of Adamkiewicz. CT is the imaging modality of choice for most patients with thoracic and thoraco-abdominal aortic disease for pre-operative planning of endovascular treatment: thus the data set required for our analysis of spinal cord vascular anatomy is already available. This paper provides examples of the SC vasculature imaging that can be obtained with 64 row scanners and appropriate postprocessing.
脊髓(SC)血管供应的知识对于接受涉及胸主动脉和胸腹主动脉手术的患者非常重要;然而,SC 血管解剖结构复杂且高度可变。成像方法的最新突破扩大了非侵入性诊断能力,以确定患者的脊髓血管模式,特别是在检测 Adamkiewicz 动脉的存在和位置方面。CT 是大多数胸主动脉和胸腹主动脉疾病患者的首选成像方式,用于血管内治疗的术前计划:因此,我们分析脊髓血管解剖结构所需的数据集已经可用。本文提供了可以使用 64 排扫描仪和适当的后处理获得的 SC 血管成像示例。