Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz

Lena S. Becker; E.R. Becker; T. Stuebig; J.B. Hinrichs

doi:10.1055/s-0043-1761623

Journal of Clinical Interventional Radiology ISVIR, Table of Contents

CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2023; 07(03): 204-207
DOI: 10.1055/s-0043-1761623

Case Report

Preoperative Coil-Embolization of a Large, Myelon-Compressing Vertebral Metastasis Involving the Artery of Adamkiewicz

Authors

Lena S. Becker

¹Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hanover, Germany
E.R. Becker

²Private Neurological Practice, Braunschweig, Germany
T. Stuebig

³Department of Traumatology, Hannover Medical School, Hanover, Germany
J.B. Hinrichs

¹Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hanover, Germany

Abstract

Metastatic spinal cord compression causes neurologic impairment and pain, potentially improved by decompression surgery at the risk of heavy intraoperative bleeding. Preoperative embolization carries the risk of nontarget embolization, potentially causing spinal ischemia. Current evidence indicates that knowledge of artery of Adamkiewicz (AKA) location and the amount of collateralization may help estimate the risk of postinterventional spinal cord injury. In this case of a 73-year-old female patient with progression of a large, myelon-compressing vertebral metastasis of L1, protective, blood-flow-controlling occlusion of the proximal-most points of the AKA and segmental spinal arteries was safely performed prior to tumor embolization, surgical decompression, and tumor debulking.

Keywords

artery of Adamkiewicz - spinal cord injury - interventional radiology

Full Text

References

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