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成功的技术笔记——在一名14个月大的儿童中用1.5特斯拉磁共振血管造影术识别Adamkievicz动脉。

Successful technical note-Identification of the Adamkievicz artery with 1.5 Tesla MR angiography in a 14-month-old child.

作者信息

Almeida Ana Isabel, Vasconcelos-Castro Sofia, Sampaio Luísa

机构信息

Neuroradiology Department, Centro Hospitalar e Universitário de São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.

Pediatric Surgery Department, Centro Hospitalar e Universitário de São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.

出版信息

Radiol Case Rep. 2022 Nov 1;18(1):188-191. doi: 10.1016/j.radcr.2022.10.004. eCollection 2023 Jan.

DOI:10.1016/j.radcr.2022.10.004
PMID:36340232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9633571/
Abstract

Posterior mediastinal tumors surgery may be complicated by their proximity to the artery of Adamkiewicz (AKA) and its segmental supplier, increasing the risk of ischemia of the spinal cord. We describe a case of preoperative identification of the AKA with magnetic resonance angiography (MRA) in a 14-month-old boy diagnosed with a thoracic neuroblastoma, thus allowing an accurate surgical planning in order to avoid injury to those vessels. Given the relatively high incidence of posterior mediastinal tumors in the pediatric age, MRA may establish itself as a viable alternative for this purpose, even in young children.

摘要

后纵隔肿瘤手术可能因靠近Adamkiewicz动脉（AKA）及其节段性供血动脉而变得复杂，从而增加脊髓缺血的风险。我们描述了一例在一名诊断为胸段神经母细胞瘤的14个月大男孩中，通过磁共振血管造影（MRA）术前识别AKA的病例，从而能够进行精确的手术规划，以避免损伤这些血管。鉴于小儿后纵隔肿瘤的发病率相对较高，MRA可能成为实现这一目的的可行替代方法，即使对于幼儿也是如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ba/9633571/7f02ef8435ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ba/9633571/f8a2288ef176/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ba/9633571/7f02ef8435ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ba/9633571/f8a2288ef176/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ba/9633571/7f02ef8435ec/gr2.jpg

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1
Successful technical note-Identification of the Adamkievicz artery with 1.5 Tesla MR angiography in a 14-month-old child.成功的技术笔记——在一名14个月大的儿童中用1.5特斯拉磁共振血管造影术识别Adamkievicz动脉。
Radiol Case Rep. 2022 Nov 1;18(1):188-191. doi: 10.1016/j.radcr.2022.10.004. eCollection 2023 Jan.
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本文引用的文献

1
The Relevance of Preoperative Identification of the Adamkiewicz Artery in Posterior Mediastinal Pediatric Tumors.《在后纵隔小儿肿瘤中术前识别 Adamkiewicz 动脉的相关性》。
Ann Surg Oncol. 2022 Jan;29(1):493-499. doi: 10.1245/s10434-021-10381-8. Epub 2021 Jul 31.
2
Artery of Adamkiewicz: a meta-analysis of anatomical characteristics.Adamkiewicz 动脉：解剖学特征的荟萃分析。
Neuroradiology. 2019 Aug;61(8):869-880. doi: 10.1007/s00234-019-02207-y. Epub 2019 Apr 27.
3
The use of spinal angiography in the management of posterior mediastinal tumors: case series and review of the literature.
脊柱血管造影在治疗后纵隔肿瘤中的应用：病例系列及文献复习。
J Pediatr Surg. 2013 Sep;48(9):1871-7. doi: 10.1016/j.jpedsurg.2013.04.029.
4
Presurgical localization of the artery of Adamkiewicz with time-resolved 3.0-T MR angiography.采用时间分辨 3.0TMR 血管造影术对 Adamkiewicz 动脉进行术前定位。
Radiology. 2010 Jun;255(3):873-81. doi: 10.1148/radiol.10091304.
5
The International Neuroblastoma Risk Group (INRG) staging system: an INRG Task Force report.国际神经母细胞瘤风险组（INRG）分期系统：一份INRG特别工作组报告。
J Clin Oncol. 2009 Jan 10;27(2):298-303. doi: 10.1200/JCO.2008.16.6876. Epub 2008 Dec 1.
6
Comparison of magnetic resonance with computed tomography angiography for preoperative localization of the Adamkiewicz artery in thoracoabdominal aortic aneurysm patients.磁共振成像与计算机断层血管造影术在胸腹主动脉瘤患者术前定位Adamkiewicz动脉中的比较。
J Vasc Surg. 2007 Apr;45(4):677-85. doi: 10.1016/j.jvs.2006.11.046. Epub 2007 Feb 15.
7
CT angiography of the artery of Adamkiewicz with 64-section technology: first experience in children.采用64层技术对Adamkiewicz动脉进行CT血管造影：儿童的首次经验。
AJNR Am J Neuroradiol. 2007 Feb;28(2):216-9.
8
MDCT angiography of the spinal vasculature and the artery of Adamkiewicz.脊髓血管及Adamkiewicz动脉的多层螺旋CT血管造影
AJR Am J Roentgenol. 2006 Oct;187(4):1054-60. doi: 10.2214/AJR.05.0562.
9
MR angiography of the great anterior radiculomedullary artery (Adamkiewicz artery) validated by digital subtraction angiography.经数字减影血管造影验证的大前根髓动脉（Adamkiewicz动脉）的磁共振血管造影。
AJNR Am J Neuroradiol. 2006 Aug;27(7):1565-72.
10
Spinal cord vascular injuries following surgery of advanced thoracic neuroblastoma: an unusual catastrophic complication.晚期胸段神经母细胞瘤手术后的脊髓血管损伤：一种罕见的灾难性并发症。
Med Pediatr Oncol. 1999 May;32(5):349-52. doi: 10.1002/(sici)1096-911x(199905)32:5<349::aid-mpo7>3.0.co;2-p.