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In human anatomy, the artery of Adamkiewicz (also arteria radicularis magna) is the largest anterior segmental medullary artery and the dominant segmental feeding vessel to the thoracic cord, supplying the anterior aspect of the cord (from T8 to the conus medullaris) via the anterior spinal artery. [3]
In human anatomy, the anterior spinal artery is the artery that supplies the anterior portion of the spinal cord. It arises from branches of the vertebral arteries and courses along the anterior aspect of the spinal cord. It is reinforced by several contributory arteries, especially the artery of Adamkiewicz.
Anterior spinal artery syndrome is the most common form of spinal cord infarction. [1] The anterior spinal cord is at increased risk for infarction because it is supplied by the single anterior spinal artery and has little collateral circulation , unlike the posterior spinal cord which is supplied by two posterior spinal arteries .
During embryological development, about 75% of the segmental medullary arteries regress, forming the thinner (anterior and posterior) radicular arteries (which supply the two roots and sensory ganglion of each spinal nerve); the remaining segmental medullary arteries persist to contribute arterial supply to the spinal cord, as well as giving rise to the aforementioned radicular arteries.
The axillary artery; The brachial artery; The radial artery; The ulnar artery; The arteries of the trunk The descending aorta. The thoracic aorta; The abdominal aorta; The common iliac arteries The hypogastric artery; The external iliac artery; The arteries of the lower extremity The femoral artery; The popliteal artery; The anterior tibial artery
fibular artery (sometimes from popliteal artery) communicating branch to the anterior tibial artery; perforating branch to the posterior tibial artery; medial plantar artery; lateral plantar artery; sural artery; medial superior genicular artery. Branch to vastus medialis; Branch to surface of the femur and the knee-joint; lateral superior ...
Segmental medullary arteries, notably the artery of Adamkiewicz, could be excluded from circulation after blockage of intercostal arteries by the device, which directly branches from descending aorta. [12] Furthermore, during open repair, blood flow within aorta is halted by clamping to facilitate the sewing of interposition graft. [12]
This artery in turn receives its blood from the different radiculospinal branches, which are formed from the aorta and vertebral arteries. As the largest of the radiculospinal artery branches, the artery of Adamkiewicz provides a large amount of blood to the anterior spinal artery, thereby also supplying a good amount to the anterior spinal cord.