Preoperative Identification of Adamkiewicz Artery in Pediatric Posterior Thoracic Tumors: Fact or Fiction? A Systematic Review from the International Society of Pediatric Surgical Oncology (IPSO)

Topic overview

Key takeaways

• Preoperative identification of the Adamkiewicz artery may reduce spinal cord ischemia risk during posterior thoracic tumor resection.
• The artery of Adamkiewicz supplies critical blood flow to the anterior spinal cord in the lower thoracic region.
• Complete macroscopic excision of neuroblastoma must be balanced against risk of neurologic complications from vascular injury.
• Advanced imaging techniques can map spinal vascular anatomy before resecting posterior mediastinal masses in children.
• Systematic review evaluates whether preoperative arterial mapping improves surgical outcomes in pediatric thoracic oncology.

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