Editing Artery of Adamkiewicz (section)

==Clinical significance==
The artery provides blood supply to the [[anterior|front]] two-thirds of the lumbar and sacral cord.<ref>{{cite book |last=Blumenfeld |first=Hal |title=Neuroanatomy Through Clinical Cases |edition=2nd |publisher=Sinauer Associates |location=Sunderland, Mass |year=2010 |isbn=978-0-87893-058-6}}{{Page needed|date=November 2010}}</ref> When damaged or obstructed, it can result in a syndrome of spinal cord ischemia, similar to [[anterior spinal artery syndrome]],<ref>{{cite journal |last1=Wan |first1=Innes Y. P. |last2=Angelini |first2=Gianni D. |last3=Bryan |first3=Alan J. |last4=Ryder |first4=Ian |last5=Underwood |first5=Malcolm J. |title=Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery |journal=European Journal of Cardio-Thoracic Surgery |volume=19 |issue=2 |pages=203–13 |year=2001 |pmid=11167113 |doi=10.1016/S1010-7940(00)00646-1|doi-access=free }}</ref> with loss of [[urinary incontinence|urinary]] and [[fecal incontinence|fecal continence]] and impaired motor function of the legs; sensory function is often preserved to a degree.

It is important to identify the location of the artery when surgically treating an [[aortic aneurysm]] to prevent damage which would result in a loss of blood supply to the spinal cord.<ref>{{cite journal |last1=Yoshioka |first1=K. |last2=Niinuma |first2=H. |last3=Ohira |first3=A. |last4=Nasu |first4=K. |last5=Kawakami |first5=T. |last6=Sasaki |first6=M. |last7=Kawazoe |first7=K. |title=MR Angiography and CT Angiography of the Artery of Adamkiewicz: Noninvasive Preoperative Assessment of Thoracoabdominal Aortic Aneurysm |journal=Radiographics |volume=23 |issue=5 |pages=1215–25 |year=2003 |pmid=12975511 |doi=10.1148/rg.235025031}}</ref> 

In [[bronchial artery]] [[embolization]] for treatment of massive [[hemoptysis|lung bleeding]], one of the most serious complications is to lose blood flow to the spinal cord caused by accidental closure of the artery of Adamkiewicz.<ref name="LopezLee2006">{{cite journal|last1=Lopez|first1=January|last2=Lee|first2=Hsin-Yi|title=Bronchial Artery Embolization for Treatment of Life-Threatening Hemoptysis|journal=Seminars in Interventional Radiology|volume=23|issue=3|year=2006|pages=223–229|issn=0739-9529|doi=10.1055/s-2006-948759|pmid=21326768|pmc=3036375}}</ref> Its location can be identified with [[computed tomographic angiography]].<ref name="pmid17182250">{{cite journal |last1=Nojiri |first1=Junichi |last2=Matsumoto |first2=Koichi |last3=Kato |first3=Akira |last4=Miho |first4=Takahiro |last5=Furukawa |first5=Koujiro |last6=Ohtsubo |first6=Satoshi |last7=Itoh |first7=Tsuyoshi |last8=Kudo |first8=Sho |title=The Adamkiewicz artery: demonstration by intra-arterial computed tomographic angiography |journal=European Journal of Cardio-Thoracic Surgery |volume=31 |issue=2 |pages=249–55 |year=2007 |pmid=17182250 |doi=10.1016/j.ejcts.2006.11.024|doi-access=free }}</ref>