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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

Lena S. Becker 
1   Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hanover, Germany
,
E.R. Becker
2   Private Neurological Practice, Braunschweig, Germany
,
T. Stuebig
3   Department of Traumatology, Hannover Medical School, Hanover, Germany
,
J.B. Hinrichs
1   Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hanover, Germany
› Author Affiliations Funding Not applicable.
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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

Ethical Approval

Ethical approval was waived, and written informed consent was obtained from the patient for publication of this case report and accompanying images.


Consent for Publication

Written informed consent was obtained from the patient for publication of this case report and accompanying images.


Authors' Contributions

All authors have made a substantial contribution to the concept and design of the article as well as the acquisition and analysis of the data presented. L.B. and E.R.B. drafted the article, while T.S. and J.H. revised it critically for important intellectual content. All authors approved the version to be published.




Publication History

Article published online:
13 February 2023

© 2023. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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