Operative Strategy for Descending and Thoracoabdominal Aneurysm Repair With Preoperative Demonstration of the Adamkiewicz Artery

Intraarterial computed tomographic angiography reliably identifies the segmental-AKA. Furthermore, selective perfusion of the segmental artery-AKA, based on accurate preoperative identification, might be one option for preventing intraoperative spinal cord ischemia.