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Surgical Treatment of Cystic Adventitial Disease of the Popliteal Artery: Five Case Reports.

Igari K, Kudo T, Toyofuku T, Inoue Y - Case Rep Vasc Med (2015)

Bottom Line: The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause.Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate.Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

View Article: PubMed Central - PubMed

Affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.

ABSTRACT
Cystic adventitial disease (CAD) is a rare cause of intermittent claudication and nonatherosclerotic conditions in middle-aged men without cardiovascular risk factors. The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause. We herein report a case series of CAD of the popliteal artery (CADPA), in which patients were treated with surgical resection and vascular reconstruction. Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate. Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

No MeSH data available.


Related in: MedlinePlus

Intraoperative findings showing (a) the controlled left popliteal artery (white arrow) and (b) the performance of resection with graft interposition (white arrow). The patient's head was to the right.
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fig4: Intraoperative findings showing (a) the controlled left popliteal artery (white arrow) and (b) the performance of resection with graft interposition (white arrow). The patient's head was to the right.

Mentions: A 63-year-old female presented with intermittent claudication in her left calf with a symptom-free walk interval of 100 meters without rest pain. On physical examination, her left popliteal and pedal pulses were diminished, and her left ABI was 0.87. CT showed a stenosis of the left popliteal artery, compressed by a low density cystic mass. Under general anesthesia, her right great saphenous vein was harvested, and she was positioned prone for a posterior approach. The affected popliteal artery, including the cyst, was exposed and resected (Figure 4(a)), with revascularization using a harvested autologous vein graft (Figure 4(b)). The patient's postoperative course was uneventful. Her postoperative ABI increased to 1.2.


Surgical Treatment of Cystic Adventitial Disease of the Popliteal Artery: Five Case Reports.

Igari K, Kudo T, Toyofuku T, Inoue Y - Case Rep Vasc Med (2015)

Intraoperative findings showing (a) the controlled left popliteal artery (white arrow) and (b) the performance of resection with graft interposition (white arrow). The patient's head was to the right.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4539061&req=5

fig4: Intraoperative findings showing (a) the controlled left popliteal artery (white arrow) and (b) the performance of resection with graft interposition (white arrow). The patient's head was to the right.
Mentions: A 63-year-old female presented with intermittent claudication in her left calf with a symptom-free walk interval of 100 meters without rest pain. On physical examination, her left popliteal and pedal pulses were diminished, and her left ABI was 0.87. CT showed a stenosis of the left popliteal artery, compressed by a low density cystic mass. Under general anesthesia, her right great saphenous vein was harvested, and she was positioned prone for a posterior approach. The affected popliteal artery, including the cyst, was exposed and resected (Figure 4(a)), with revascularization using a harvested autologous vein graft (Figure 4(b)). The patient's postoperative course was uneventful. Her postoperative ABI increased to 1.2.

Bottom Line: The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause.Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate.Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

View Article: PubMed Central - PubMed

Affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.

ABSTRACT
Cystic adventitial disease (CAD) is a rare cause of intermittent claudication and nonatherosclerotic conditions in middle-aged men without cardiovascular risk factors. The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause. We herein report a case series of CAD of the popliteal artery (CADPA), in which patients were treated with surgical resection and vascular reconstruction. Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate. Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

No MeSH data available.


Related in: MedlinePlus