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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

Computed tomography shows (a) the occlusion of the left popliteal artery (white arrow) and (b) a cystic mass compressing the popliteal artery (white arrow).
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Related In: Results  -  Collection


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fig5: Computed tomography shows (a) the occlusion of the left popliteal artery (white arrow) and (b) a cystic mass compressing the popliteal artery (white arrow).

Mentions: A 68-year-old male presented with intermittent claudication in his right calf with a symptom-free walk interval of 200 meters without rest pain. On physical examination, his right popliteal and pedal pulses were diminished, and his right ABI was 0.65. CT showed an occlusion of the right popliteal artery with a length of 6 cm (Figure 5(a)) and a cystic lesion which compressed the popliteal artery (Figure 5(b)). Under general anesthesia, he was positioned supine, and the affected popliteal artery was exposed through a medial approach. The occluded popliteal artery, including the cystic lesion, was resected and the patient was interposed with an 8 mm expanded polytetrafluoroethylene graft. The polytetrafluoroethylene graft was used because the patient's veins were small and unsuitable for the creation of an autologous graft. The patient's postoperative course was uneventful without any evidence of lower limb ischemia. His postoperative ABI increased to 1.11.


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)

Computed tomography shows (a) the occlusion of the left popliteal artery (white arrow) and (b) a cystic mass compressing the popliteal artery (white arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig5: Computed tomography shows (a) the occlusion of the left popliteal artery (white arrow) and (b) a cystic mass compressing the popliteal artery (white arrow).
Mentions: A 68-year-old male presented with intermittent claudication in his right calf with a symptom-free walk interval of 200 meters without rest pain. On physical examination, his right popliteal and pedal pulses were diminished, and his right ABI was 0.65. CT showed an occlusion of the right popliteal artery with a length of 6 cm (Figure 5(a)) and a cystic lesion which compressed the popliteal artery (Figure 5(b)). Under general anesthesia, he was positioned supine, and the affected popliteal artery was exposed through a medial approach. The occluded popliteal artery, including the cystic lesion, was resected and the patient was interposed with an 8 mm expanded polytetrafluoroethylene graft. The polytetrafluoroethylene graft was used because the patient's veins were small and unsuitable for the creation of an autologous graft. The patient's postoperative course was uneventful without any evidence of lower limb ischemia. His postoperative ABI increased to 1.11.

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