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Wilson C, Elsobky S, Bhattacharya R, Bicknell CD, Amiras D. Ultrasound-guided drainage of a popliteal ganglion cyst extending to the adventitia of the popliteal artery: a case report of cystic adventitial disease of synovial origin. J Ultrasound 2024:10.1007/s40477-024-00955-z. [PMID: 39292370 DOI: 10.1007/s40477-024-00955-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 08/15/2024] [Indexed: 09/19/2024] Open
Abstract
We report a case of a 67-year-old woman suffering from intermittent claudication secondary to severe popliteal stenosis due to compression by a popliteal ganglion cyst extending into the adventitia of the popliteal artery. After declining vein bypass grafting, this patient was successfully treated using ultrasound-guided aspiration of the cyst, which restored normal flow to the popliteal artery. Whilst aspiration of Baker's cysts causing claudication has been attempted before, this represents the first reported case of successful recanalization of the popliteal artery by ganglion cyst aspiration and further supports an important possible aetiology and treatment for cystic adventitial disease.
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Affiliation(s)
- Crispian Wilson
- Department of Imaging, Imperial College Healthcare NHS Trust, London, UK.
| | - Sherif Elsobky
- Department of Radiology, Royal Free Hospital, London, UK
| | - Rajarshi Bhattacharya
- Department of Orthopaedics & Trauma, Imperial College Healthcare NHS Trust, London, UK
| | - Colin D Bicknell
- Imperial Vascular Unit, Imperial College Healthcare NHS Trust, Imperial College Healthcare NHS Trust, London, UK
| | - Dimitri Amiras
- Department of Imaging, Imperial College Healthcare NHS Trust, London, UK
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2
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Woo HY, Hur S, Jae HJ, Min SK. Inadvertent Stenting and Percutaneous Aspiration for Treatment of Adventitial Cystic Disease in the Popliteal Artery: A Case Report. Vasc Specialist Int 2022; 38:21. [PMID: 35770655 PMCID: PMC9244723 DOI: 10.5758/vsi.220020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 06/13/2022] [Accepted: 06/23/2022] [Indexed: 11/20/2022] Open
Abstract
Adventitial cystic disease (ACD) is a rare, non-atherosclerotic disease that mainly affects the popliteal artery. Treatment is primarily surgical as endovascular approaches are affected by high recurrence rates. However, some studies have reported successful endovascular treatments of popliteal ACD cases. A 55-year-old female presented with right calf claudication. Computed tomography angiography revealed segmental occlusion of the right distal superficial femoral artery. Subsequently, a drug-eluting stent was successfully deployed. However, an unusual adventitial cystic lesion occluding the lumen that was characteristic of ACD was detected during a postoperative imaging review. It was aspirated using an ultrasound-guided percutaneous needle and drained using a pigtail catheter for 24 hours. Follow-up images after 39 months showed a patent artery with no recurrence of any cystic lesions, highlighting successful ACD treatment via stenting, ultrasound-guided aspiration, and cyst drainage. Stenting and cyst aspiration can be an alternative option for selected patients with ACD.
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Affiliation(s)
- Hye Young Woo
- Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
| | - Saebeom Hur
- Department of Radiology, Seoul National University College of Medicine, Seoul, Korea
| | - Hwan Jun Jae
- Department of Radiology, Seoul National University College of Medicine, Seoul, Korea
| | - Seung-Kee Min
- Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
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3
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Schultz T. Ultrasound finding of cystic adventitial disease of the popliteal artery—A rare diagnosis for claudication. SONOGRAPHY 2020. [DOI: 10.1002/sono.12241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Teena Schultz
- The Vascular Institute, Bella Vista New South Wales Australia
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4
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Jeong S, Kwon TW, Han Y, Cho YP. Effectiveness of Surgical Treatment with Complete Cyst Excision for Cystic Adventitial Disease of the Popliteal Artery. Ann Vasc Surg 2020; 72:261-269. [PMID: 32946995 DOI: 10.1016/j.avsg.2020.09.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Revised: 08/23/2020] [Accepted: 09/03/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND Cystic adventitial disease is a rare, nonatherosclerotic disease that affects various arteries and veins, involving the formation of a mucinous cyst within the adventitia. The etiology of the cystic adventitial disease is currently unclear, with several hypotheses having been suggested. The purpose of this retrospective observational study was to evaluate the etiology of popliteal cystic adventitial disease based on imaging and surgical findings and to evaluate the efficacy of surgical treatment. METHODS From April 2013 to January 2020, nine patients were diagnosed with the popliteal cystic adventitial disease and underwent surgical treatment. We performed complete resection of the cyst and the affected segment of the popliteal artery, followed by interposition with autologous reversed small saphenous vein or great saphenous vein. RESULTS The resected adventitial cyst tissue was multilobular, filled with high-viscosity mucus. Pathologic examination of the surgical specimen revealed intramural cysts filled with gelatinous material located between the media and the adventitia, consistent with the clinical diagnosis of cystic adventitial disease. The median follow-up period was 27.5 months (range: 2-91 months). All patients underwent cyst excision with graft interposition, and the overall graft patency was 80.9 months (95% CI: 62.2-99.6 months). CONCLUSIONS Computed tomography, magnetic resonance imaging, and surgical findings confirmed communication between the synovial cyst and arterial adventitia. It is recommended that priority be given to surgical resection and graft interposition because this can eliminate the disease's cause and reduce its recurrence.
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Affiliation(s)
- Seonjeong Jeong
- Division of Vascular Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
| | - Tae-Won Kwon
- Division of Vascular Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
| | - Youngjin Han
- Division of Vascular Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
| | - Yong-Pil Cho
- Division of Vascular Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
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5
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Esposito D, Masciello F, Dorigo W, Alessi Innocenti A, Santi R, Nesi G, Pratesi C. An unexpected intraoperative finding of cystic adventitial degeneration of the common femoral artery. J Surg Case Rep 2020; 2020:rjaa200. [PMID: 32821365 PMCID: PMC7427030 DOI: 10.1093/jscr/rjaa200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 05/29/2020] [Indexed: 11/13/2022] Open
Abstract
Herein we present a rare case of cystic adventitial degeneration involving the common femoral artery (CFA) of a 71-year-old patient, an unusual site of presentation of the disease. The most commonly affected district is the popliteal artery, and only a few cases of CFA involvement are described in literature. The history and comorbidities of the patient oriented us initially towards the diagnosis of an atherosclerotic obstructive disease. It was only intraoperatively indeed that a diagnosis of cystic adventitial arterial degeneration was made, subsequently confirmed by microscopic examination. Our case shows how both clinical and instrumental diagnosis of cystic adventitial disease can be challenging, given its non-specific presentation and low incidence. Suspicion of cystic adventitial degeneration is recommended in patients with sudden appearance of symptoms and with an isolated lesion of the affected artery without other involvement of the vascular tree.
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Affiliation(s)
- Davide Esposito
- Vascular Surgery Department, Careggi University Hospital, 50134, Florence, Italy
| | - Fabrizio Masciello
- Vascular Surgery Department, Careggi University Hospital, 50134, Florence, Italy
| | - Walter Dorigo
- Vascular Surgery Department, Careggi University Hospital, 50134, Florence, Italy
| | | | - Raffaella Santi
- Pathological Anatomy Unit, Careggi University Hospital, 50134, Florence, Italy
| | - Gabriella Nesi
- Pathological Anatomy Unit, Careggi University Hospital, 50134, Florence, Italy
| | - Carlo Pratesi
- Vascular Surgery Department, Careggi University Hospital, 50134, Florence, Italy
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6
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Abstract
Cystic adventitial disease (CAD) is a rare cause of unilateral intermittent claudication of unknown aetiology, which is characterized by the formation of multiple mucin-filled cysts in the adventitial layer of the arterial wall resulting in obstruction to blood flow. The disease predominantly presents in young otherwise healthy males and most commonly affects the popliteal artery (85% of cases). CAD can be diagnosed by duplex ultrasound, magnetic resonance imaging, magnetic resonance angiography, or computed tomographic angiography. Surgery is the primary mode of treatment, including exarterectomy, or replacement of the affected vascular segment by venous or synthetic interposition graft. Alternatively, the cysts can be drained by percutaneous ultrasound-guided needle aspiration. We conducted a review of the literature on the aetiology, diagnosis and treatment of this uncommon condition and present the case report.
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7
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Rosiak G, Milczarek K, Cieszanowski A, Rowiński O. Ultrasound-guided percutaneous aspiration of adventitial cysts in the occluded popliteal artery - clinical results and MR findings at 5-year follow-up. J Ultrason 2017; 17:212-216. [PMID: 29075527 PMCID: PMC5647617 DOI: 10.15557/jou.2017.0031] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 04/10/2017] [Accepted: 04/13/2017] [Indexed: 12/02/2022] Open
Abstract
Cystic adventitial disease is a rare disorder that occurs in peripheral arteries. Calf claudication caused by compression of the popliteal artery is a typical presentation of this disease. This is a report of two cases of occluded popliteal artery decompression by percutaneous ultrasound-guided cyst aspiration. In both cases, decompression of the artery was achieved with a significant decrease in the size of adventitial cysts and restoration of flow. Both patients reported complete resolution of symptoms and no calf pain 5 years after the procedure. MR findings and resolution of symptoms in these two patients show the efficacy of percutaneous adventitial cyst aspiration in a 5-year follow-up.
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Affiliation(s)
- Grzegorz Rosiak
- II Department of Radiology, Medical University of Warsaw, Warsaw, Poland
| | | | | | - Olgierd Rowiński
- II Department of Radiology, Medical University of Warsaw, Warsaw, Poland
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8
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Hennessy MM, McGreal G, O'Brien GC. Two Cases of Popliteal Cystic Adventitial Disease Treated With Excision and Primary Bypass Graft: A Review of the Literature. Vasc Endovascular Surg 2017; 51:480-484. [PMID: 28859600 DOI: 10.1177/1538574417722921] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Cystic adventitial disease (CAD) is a rare vascular pathology which predominantly affects peripheral vessels of young otherwise healthy males. Much debate exists regarding its exact etiology. It is characterized by a collection of mucinous material within the adventitial wall layer of the affected vessel, resulting in arterial stenosis and rapidly progressive calf claudication. Treatment is primarily surgical, although radiological interventions have been reported. Its rarity makes evidence-based surgical or radiological management difficult. With this in mind, we report two cases of popliteal artery CAD treated successfully with primary excision and bypass grafting. We analyzed all literature published on CAD since first reported in 1947 and we propose an algorithm for appropriate management pathways.
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Affiliation(s)
- Mairead M Hennessy
- 1 Department of General and Vascular Surgery, Mercy University Hospital, Cork, Ireland
| | - Gerald McGreal
- 1 Department of General and Vascular Surgery, Mercy University Hospital, Cork, Ireland
| | - Gavin C O'Brien
- 1 Department of General and Vascular Surgery, Mercy University Hospital, Cork, Ireland
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9
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Clifford T, Moore J. Two otherwise healthy young brothers present with intermittent claudication, just a coincidence? BMJ Case Rep 2017; 2017:bcr-2016-218852. [PMID: 28684644 DOI: 10.1136/bcr-2016-218852] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Popliteal artery entrapment syndrome (PAES) is a recognised cause of lower limb peripheral arterial disease in young adults. We describe the cases of two otherwise healthy brothers who presented with the condition 5 years apart. The first brother, who is also the first author of this case report, presented aged 19 with worsening, right-sided, exercise-induced lower leg pain and transient foot pallor. Imaging confirmed PAES and irreversible localised arterial damage. Surgery was performed to release the entrapment and resect the section of diseased artery. The limb was revascularised using an autologous interposition saphenous vein graft. The second brother began experiencing left-sided, exercise-induced lower leg pain aged 24. Again, imaging revealed PAES and irreversible arterial damage. A similar revascularisation procedure was performed. Both siblings fully recovered and are symptom free. Arterial duplex scans have confirmed patent grafts. A correlation in siblings has only been reported in the literature five times previously.
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Affiliation(s)
| | - Jonathan Moore
- General Surgery, Lewisham and Greenwich NHS Trust, London, UK
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10
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Uncommon Diseases of The Popliteal Artery: A Pictorial Review. Insights Imaging 2016; 7:679-88. [PMID: 27525419 PMCID: PMC5028342 DOI: 10.1007/s13244-016-0513-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 07/06/2016] [Accepted: 07/19/2016] [Indexed: 12/19/2022] Open
Abstract
Uncommon diseases of the popliteal artery include cystic adventitial disease, popliteal artery entrapment syndrome (PAES) and popliteal artery aneurysm (PAA). Because all of these conditions may present with pain or intermittent claudication, imaging is crucial for differentiating them and directing management. Delayed diagnosis can lead to major complications, including acute limb ischemia. Our aim is to provide an illustrative overview of these conditions in order to make radiologists aware of them and avoid misdiagnosis for timely appropriate management. Teaching Points • Cystic adventitial disease diagnosis is based on evidence of cysts within artery walls. • A variety of anatomic variations may result in PAES. • PAES may be bilateral. • PAA is most commonly encountered in men. • Acute complications of PAA include acute thrombosis and distal embolization.
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11
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Abstract
Atherosclerotic peripheral artery disease is the most common cause of intermittent claudication. Nonatherosclerotic peripheral artery disease is a heterogeneous collection of diseases affecting the extracoronary arteries which is not due to atherosclerosis. These diseases include, but are not limited to, popliteal artery entrapment syndrome, cystic adventitial disease, external iliac endofibrosis, and thromboangiitis obliterans. Due to its relatively low prevalence, nonatherosclerotic peripheral artery disease may be misdiagnosed leading to the mismanagement of potentially treatable conditions. The proper and timely diagnosis of these conditions is paramount to the prevention of adverse outcomes as treatments widely vary. The diagnostic approach to patients presenting with intermittent claudication must take into account both atherosclerotic as well as nonatherosclerotic causes of peripheral artery disease making the differential vital to clinical practice.
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Affiliation(s)
- Ari J Mintz
- Internal Medicine, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA, 01805, USA,
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12
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Abid A, Kelley JF, Flemming DJ, Silvis ML. A young male runner with a posterior knee mass--not just your typical Baker's cyst. BMJ Case Rep 2016; 2016:bcr-2015-213750. [PMID: 26933185 DOI: 10.1136/bcr-2015-213750] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
We present the case of a 28-year-old man with a growing mass in his right popliteal fossa causing pain on exertion. The differential diagnosis included Baker's cyst, entrapment syndrome of the popliteal artery, as well as a benign or malignant neoplasm. An ultrasound was non-specific. Follow-up MRI of the knee demonstrated cystic adventitial disease (CAD). With only about 500 cases reported in the literature since its discovery in 1947, CAD is a rare entity. The disease is characterised by mucinous or gelatinous cysts in the arterial or venous adventitia. The disease is predominantly seen in the popliteal artery and typically affects otherwise healthy males in the fourth to fifth decade of life. It presents clinically as intermittent exertional claudication. Examination of our case and a review of the literature will highlight the importance of considering CAD in patients who report of a popliteal mass and intermittent claudication.
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Affiliation(s)
- Ayesha Abid
- Department of Family and Community Medicine, Penn State Milton S Hershey Medical Center, Hershey, Pennsylvania, USA Department of Radiology, Penn State Milton S Hershey Medical Center, Hershey, Pennsylvania, USA
| | - James Fitzhugh Kelley
- Department of Family and Community Medicine, Penn State Milton S Hershey Medical Center, Hershey, Pennsylvania, USA
| | - Donald J Flemming
- Department of Radiology, Penn State Milton S Hershey Medical Center, Hershey, Pennsylvania, USA
| | - Matthew L Silvis
- Department of Family and Community Medicine, Penn State Milton S Hershey Medical Center, Hershey, Pennsylvania, USA Department of Orthopedics and Rehabilitation, Penn State Milton S Hershey Medical Center, Hershey, Pennsylvania, USA
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13
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Maeda H, Umeda T, Kawachi H, Iida A, Ishii Y, Kono M, Shiono M. Cystic Adventitial Disease of the Common Femoral Artery. Case Report and Review of the Literature. Ann Thorac Cardiovasc Surg 2015; 22:315-317. [PMID: 26581497 DOI: 10.5761/atcs.cr.15-00269] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
PURPOSE Cystic adventitial artery disease is an uncommon non-atherosclerotic peripheral vessel disease. Furthermore cystic adventitial disease of the common femoral artery is an extremely rare entity. We report the case of a 54 year-old man complaining of intermittent claudication who was referred to our vascular service. METHODS AND RESULTS Doppler ultrasound and multidetector-row computed tomography (CT) with 3-dimensional volume rendering revealed severe stenosis with cystic an adventitial cyst in the common femoral artery. Intra-operative Doppler ultrasound showed the cyst to be multilocular type. Reversed great saphenous vein interposition was successfully placed. CONCLUSION Removal of cyst together with artery and interposition using reversed great saphenous vein is the optimal treatment procedure to prevent recurrence.
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Affiliation(s)
- Hideaki Maeda
- Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
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14
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Prasad N, Amrami KK, Winn J, Spinner RJ. Cystic adventitial disease in the popliteal artery with a joint connection to the superior tibiofibular joint: Radiological evidence to support the unifying articular theory. Clin Anat 2015; 28:957-9. [PMID: 26296389 DOI: 10.1002/ca.22616] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Revised: 08/05/2015] [Accepted: 08/15/2015] [Indexed: 11/08/2022]
Affiliation(s)
- Nikhil Prasad
- Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota
| | | | - Justin Winn
- Department of Radiology, University of Connecticut Health Center, Farmington, Connecticut
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15
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Zhang H, Zhang Y, Wang Q, Zhao WG, Wang JJ. Cystic adventitial disease of the popliteal artery: report of two cases. Surg Today 2014; 44:1760-3. [PMID: 23904046 PMCID: PMC4138484 DOI: 10.1007/s00595-013-0675-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2012] [Accepted: 04/01/2013] [Indexed: 11/29/2022]
Abstract
Cystic adventitial disease (CAD) of the popliteal artery is a rare vascular disorder in which a mucin-containing cyst develops in the adventitial layer of the artery. We report two such cases, each of which was treated differently. The first case was of a 49-year-old man, treated by excision of the involved arterial segment and interposition of an autologous saphenous vein graft. The second case was of a 36-year-old man, treated by local excision of the affected arterial segment and interposition with prosthetic bypass grafting. Both patients presented with rapidly progressing intermittent claudication of the lower extremities, but without remarkable evidence of atherosclerotic disease. Physical examination revealed diminished or absent popliteal, posterior tibial and dorsalis pedis pulses in the lower extremities. Color Doppler ultrasound of the popliteal artery revealed hypoechoic cystic lesions surrounding the vessel, and popliteal arterial stenosis, in both patients. Surgery resulted in immediate improvement of the arterial pulse distal to the lesion. Both patients recovered uneventfully. Thus, resection of the involved artery segment and interposition bypass grafting, using either patient or prosthetic veins, offers favorable results for CAD of the popliteal artery.
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Affiliation(s)
- Hua Zhang
- Department of Vascular Surgery, The First Affiliated Hospital of Jilin University, 908 Mingde Road, Chaoyang District, Changchun, 130021 Jilin Province China
| | - Yang Zhang
- Department of Vascular Surgery, The First Affiliated Hospital of Jilin University, 908 Mingde Road, Chaoyang District, Changchun, 130021 Jilin Province China
| | - Qi Wang
- Department of Vascular Surgery, The First Affiliated Hospital of Jilin University, 908 Mingde Road, Chaoyang District, Changchun, 130021 Jilin Province China
| | - Wen-Guang Zhao
- Department of Vascular Surgery, The First Affiliated Hospital of Jilin University, 908 Mingde Road, Chaoyang District, Changchun, 130021 Jilin Province China
| | - Jia-Ju Wang
- Department of Vascular Surgery, The First Affiliated Hospital of Jilin University, 908 Mingde Road, Chaoyang District, Changchun, 130021 Jilin Province China
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16
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Desy NM, Spinner RJ. The etiology and management of cystic adventitial disease. J Vasc Surg 2014; 60:235-45, 245.e1-11. [DOI: 10.1016/j.jvs.2014.04.014] [Citation(s) in RCA: 78] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Accepted: 04/06/2014] [Indexed: 12/20/2022]
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García Familiar A, Fernández Fernández JC, Sánchez Abuín J, Zevallos Quiroz JC, Egaña Barrenechea JM. Enfermedad quística adventicial de la arteria poplítea. Cir Esp 2013; 91:609-11. [DOI: 10.1016/j.ciresp.2012.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2011] [Accepted: 08/21/2012] [Indexed: 10/27/2022]
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18
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Vázquez Berges I, Marzo Alvarez A, Rivera Rodríguez M, Bernardos Alcalde C. Enfermedad quística adventicial: casos clínicos. ANGIOLOGIA 2013. [DOI: 10.1016/j.angio.2013.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Spinner RJ, Desy NM, Agarwal G, Pawlina W, Kalra M, Amrami KK. Evidence to support that adventitial cysts, analogous to intraneural ganglion cysts, are also joint-connected. Clin Anat 2012; 26:267-81. [DOI: 10.1002/ca.22152] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2012] [Accepted: 07/26/2012] [Indexed: 11/09/2022]
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20
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Wiwanitkit V. Cystic Adventitial Disease and High Spatial Resolution Magnetic Resonance Imaging. Ann Vasc Surg 2012; 26:443. [DOI: 10.1016/j.avsg.2011.03.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2011] [Revised: 02/25/2011] [Accepted: 03/07/2011] [Indexed: 11/25/2022]
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Paravastu SCV, Regi JM, Turner DR, Gaines PA. A Contemporary Review of Cystic Adventitial Disease. Vasc Endovascular Surg 2011; 46:5-14. [DOI: 10.1177/1538574411419377] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Cystic adventitial disease (CAD) is a rare vascular disorder, predominantly seen in young healthy men with minimal cardiovascular risk factors. Cystic adventitial disease can affect both arteries and veins. Patients with arterial CAD present with sudden onset or rapidly progressing claudication symptoms, and those with venous CAD present with limb swelling or very rarely deep vein thrombosis. Diagnosis is confirmed with the aid of imaging techniques such as ultrasonography, computed tomography, or magnetic resonance scan. Surgical resection or evacuation of the lesion is usually the preferred approach, with only mixed results reported for percutaneous endovascular techniques.
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Affiliation(s)
- Sharath C. V. Paravastu
- Academic Vascular Unit, School of Health and Related Research, University of Sheffield, Sheffield, South Yorkshire, UK
| | - John M. Regi
- Department of Vascular Interventional Radiology, Northern General Hospital, Sheffield, South Yorkshire, UK
| | - Douglas R. Turner
- Department of Vascular Interventional Radiology, Northern General Hospital, Sheffield, South Yorkshire, UK
| | - Peter A. Gaines
- Department of Vascular Interventional Radiology, Northern General Hospital, Sheffield, South Yorkshire, UK
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Drac P, Köcher M, Utikal P, Cerna M, Kozak J, Bachleda P. CYSTIC ADVENTITIAL DISEASE OF THE POPLITEAL ARTERY: REPORT ON THREE CASES AND REVIEW OF THE LITERATURE. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2011; 155:309-21. [DOI: 10.5507/bp.2011.065] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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23
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In Treatment of Popliteal Artery Cystic Adventitial Disease, Primary Bypass Graft not Always First Choice: Two Case Reports and a Review of the Literature. Eur J Vasc Endovasc Surg 2011; 42:347-54. [DOI: 10.1016/j.ejvs.2011.03.003] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2010] [Accepted: 03/07/2011] [Indexed: 11/24/2022]
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24
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Hébert-Blouin MN, Pirola E, Amrami KK, Wang H, Desy NM, Spinner RJ. An anatomically based imaging sign to detect adventitial cyst derived from the superior tibiofibular joint. Clin Anat 2011; 24:893-902. [DOI: 10.1002/ca.21190] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2010] [Revised: 03/05/2011] [Accepted: 03/07/2011] [Indexed: 11/05/2022]
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Use of 3.0-Tesla High Spatial Resolution Magnetic Resonance Imaging for Diagnosis and Treatment of Cystic Adventitial Disease of the Popliteal Artery. Ann Vasc Surg 2011; 25:385.e5-385.e10. [DOI: 10.1016/j.avsg.2010.09.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2010] [Revised: 09/04/2010] [Accepted: 09/08/2010] [Indexed: 11/19/2022]
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Synovial cyst that compressed the peroneal nerve: case report. Acta Neurochir (Wien) 2010; 152:1241-4. [PMID: 20013006 DOI: 10.1007/s00701-009-0567-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2009] [Accepted: 11/11/2009] [Indexed: 01/15/2023]
Abstract
We report a case of synovial cyst that induced the compression of the peroneal nerve. The patient presented with foot drop and impossibility to stand on his right heel associated with numbness of anterolateral surfaces of the right shin and the dorsal surface of the foot within a 1-month period. Based on the clinical examination and electroneuromyography data, the compression of nerve by soft elastic mass was confirmed. We treated the patient by total microsurgical excision of the soft elastic mass adherent to the right peroneal nerve at the top third of the patient's shin. Histological study revealed the cyst of synovial membrane. During the postoperative period, a force in extensors of the right foot was restored. On the seventh day, the patient began to step on his right heel, while the zone of tenderness and temperature hypoesthesia in the area of the peroneal nerve innervation remained.
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