In order to study the contribution of the radicular arteries to the blood supply of the spinal cord, we performed experimental occlusion of these arteries in cats. In 43 cats, under thiopental anaesthesia, unilateral, bilateral, single or multiple ligations of dorsal radicular arteries were carried out. The animals were killed at the 1st, 2nd and 7th postoperative day. The spinal cords were removed and preserved in formalin solution for 1 month and then examined, using light microscopy. We conclude that bilateral or multiple ligations are capable of producing ischaemic lesions in the spinal cord, more profound by the seventh postoperative day, while single ligations do not produce such lesions, unless a medullary artery is involved. The ischaemic lesions which were observed were associated with clinical neurological deficits.
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http://dx.doi.org/10.1080/02688699550041610 | DOI Listing |
Spine (Phila Pa 1976)
January 2025
Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Study Design: Systematic Review and Meta-analysis.
Objective: This study aims to compare the efficacy and safety of surgical and endovascular treatments for SDAVFs.
Summary Of Background Data: Spinal dural arteriovenous fistulas (SDAVFs) result from an abnormal connection between the radiculomeningeal artery and the radicular vein, leading to venous hypertension and potential neurological damage.
Interv Pain Med
December 2024
Department of Rehabilitation, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
A 78-year-old female with a remote history of L3-4 decompression and fusion presented with several months of low back and radicular leg pain. MRI revealed moderate L2-L3 spinal canal stenosis, ligamentum flavum infolding, moderate bilateral foraminal stenosis, and a grade I retrolisthesis. A right sided L2-L3 TFESI was performed using multiplanar fluoroscopic imaging with a subpedicular supraneural approach.
View Article and Find Full Text PDFObjective: The authors report on a broad range of microsurgical procedures in which the suboccipital median technique was used to treat craniocervical junction arteriovenous fistulas. Their aim was to evaluate the efficacy of the suboccipital posteromedian approach and to assess the associated clinical outcomes.
Methods: The authors extracted information on the fistula site, clinical manifestation, and structural characteristics of arterial and venous vessels by retrospectively evaluating cases from a neurointerventional database spanning 10 years.
J Endovasc Ther
November 2024
Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck Hospital of USC, University of Southern California, Los Angeles, CA, USA.
Purpose: Despite advances in complex endovascular aortic repair techniques, spinal cord ischemia (SCI) remains a devastating complication following endovascular thoracoabdominal aortic repairs. Novel strategies to preserve key intercostal/lumbar arteries have been described. We report our early results of patients who underwent direct intercostal/lumbar artery revascularization using endovascular incorporation of fenestrations/branches or extra-anatomic approaches for fenestrated-branched endovascular aortic repairs (FBEVARs).
View Article and Find Full Text PDFJ Cardiothorac Surg
November 2024
Department of Cardiac Surgery, Amiens Picardie University Hospital Center, 1 Rue du Professeur Christian Cabrol, 80054, Amiens, Cedex1, France.
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