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Cojoined spinal arteries

Date: Mar 6, 2012

Question:

Good morning Dr. Z,

I have a question on the selectively order of conjoined arteries.  In my research I found that a conjoined (combined) vessels share the same root and are nearly always unilateral.   Would this be correct?

This question is raised from a recent Spinal Angiogram done on patient with conjoined T6-L6 radicular arteries and I do not have the nervous system illustration of this spinal anatomical variant. My thinking is that the nerve root is first order vessel and this would change the selective order. Example: the conjoined RT  (T5 – T7).  36216-T6, 36218-T6 and 36218-T7.

Your feedback will be greatly appreciated.
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