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Tanaka S, Tanaka K, Okazaki J. Cystic Adventitial Disease of the Popliteal Artery With Recurrent Intermittent Claudication After Drug-Coating Balloon Angioplasty: A Case Report Treated by Surgical Treatment. Cureus 2022; 14:e23190. [PMID: 35444903 PMCID: PMC9009971 DOI: 10.7759/cureus.23190] [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] [Accepted: 03/15/2022] [Indexed: 11/23/2022] Open
Abstract
Cystic adventitial disease of the popliteal artery is a rare cause of unilateral intermittent claudication. The etiology of cystic adventitial disease is unknown, and affected patients are younger than those diagnosed with chronic arteriosclerosis. A 62-year-old man presented with a history of right leg claudication, which occurred after walking a distance of 500 m. The patient had no history of cardiovascular risk factors or trauma in the lower extremities. The ankle-brachial pressure index (ABI) was 0.58 in the affected leg. The patient was referred to the cardiovascular department. On Doppler ultrasonography, popliteal artery stenosis was detected. Following an angiogram, drug-coated balloon angioplasty was performed. The claudication improved, as indicated by an ABI of 1.11 in the affected leg. However, following one month of endovascular treatment, claudication had recurred, indicated by an ABI of 0.59. Computed tomography indicated the presence of a stenotic lesion in the popliteal artery, which may have developed from compression on the artery due to the presence of a surrounding periarterial cyst. The patient was subsequently diagnosed with cystic adventitial disease of the popliteal artery and was referred for vascular surgery. During surgery, the popliteal artery was exposed by the posterior approach; the artery showed circumferential enlargement and complete resection of the adventitial layer was performed. The patient had a successful postoperative recovery and the claudication disappeared (ABI of 1.14). Surgical management is an effective curative treatment for cystic adventitial disease of the popliteal artery that shows better efficacy than endovascular treatment. In the future, diagnostic methods for cystic adventitial disease should include computed tomography or magnetic resonance imaging with T1- and T2-weighted images.
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2
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Mikhaylov IP, Lavrenov VN, Titova GP, Lepekhina IS. [Adventitial cyst of the popliteal artery]. Khirurgiia (Mosk) 2021:83-89. [PMID: 33395517 DOI: 10.17116/hirurgia202101183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Vascular cystic adventitious degeneration (CAD) is a rare disease of unclear etiology that affects mainly the popliteal artery (up to 85-90% of cases). Clinical manifestations are similar to aneurysm of the popliteal artery. CAD occurs mainly in males of the 4th and 5th decades of life (range 10-77 years). These patients usually have no risk factors of cardiovascular diseases. Unilateral symptoms prevail. We report a review and a 46-year-old patient with CAD of the popliteal artery.
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Affiliation(s)
- I P Mikhaylov
- Sklifosovsky Research Institute for Emergency Care, Moscow, Russia
| | - V N Lavrenov
- Sklifosovsky Research Institute for Emergency Care, Moscow, Russia
| | - G P Titova
- Sklifosovsky Research Institute for Emergency Care, Moscow, Russia
| | - I S Lepekhina
- Sklifosovsky Research Institute for Emergency Care, Moscow, Russia
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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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Lim JH, Chung BH, Kang JH, Heo SH, Kim DI, Kim YW, Park YJ. Surgical Strategy to Reduce the Recurrence of Adventitial Cystic Disease after Treatment. Vasc Specialist Int 2019; 35:217-224. [PMID: 31915666 PMCID: PMC6941769 DOI: 10.5758/vsi.2019.35.4.217] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 11/17/2019] [Accepted: 11/21/2019] [Indexed: 11/30/2022] Open
Abstract
Purpose Adventitial cystic disease (ACD) is a rare condition that causes intermittent claudication and non-atherosclerotic disease without cardiovascular risk factors. The etiology and optimal treatment of ACD remain controversial. The purpose of this study was to analyze surgical treatment results for ACD and to elucidate optimal treatment options. Materials and Methods We retrospectively reviewed 30 patients with ACD who underwent surgery from 2006 to 2018. Twenty-two patients had arterial ACD, six had venous ACD, and two had combined venous and arterial ACD. We reviewed demographic and clinical characteristics, treatment details, and procedure outcomes. Results Recurrence occurred in 6 cases either after cyst excision alone (4/17) or patch angioplasty (2/2). There was no recurrence after vessel excision with interposition grafting (0/7). Therefore, vessel excision was a statistically significant factor in recurrence prevention (P=0.026). Among the six recurrences, joint connections of the cystic lesions were found in four of the six (66.7%). Conclusion As a curative surgery for ACD, vessel excision with interposition grafting is a better strategy to prevent recurrence than simple cyst excision alone.
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Affiliation(s)
- Ji-Ha Lim
- Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Byeong-Hoon Chung
- Department of Surgery, Chonbuk National University Hospital, Jeonju, Korea
| | - Ji-Hee Kang
- Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Seon-Hee Heo
- Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Dong-Ik Kim
- Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Young-Wook Kim
- Department of Surgery, Kangbuk Samsung Hospital, Seoul, Korea
| | - Yang-Jin Park
- Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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5
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Lun Y, Zhang J, Jiang H, Xu D, Sun J, Wang S, Xin S. Treatment Options for Venous Cystic Adventitial Disease: A Case Report and Literature Review. Ann Vasc Surg 2019; 64:413.e1-413.e4. [PMID: 31669477 DOI: 10.1016/j.avsg.2019.10.057] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 09/29/2019] [Accepted: 10/12/2019] [Indexed: 12/01/2022]
Abstract
Venous cystic adventitial disease (CAD) is an uncommon vascular anomaly that most frequently affects the common femoral vein. Transluminal or transadventitial evacuation followed by cyst excision is considered an effective treatment for this condition, although the recurrence rate is relatively high. Herein, we report a case of a 59-year-old man with venous CAD that was successfully treated with saphenous vein patch angioplasty after mucoid evacuation and cyst excision, and we discuss the options for treating venous CAD.
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Affiliation(s)
- Yu Lun
- Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Jian Zhang
- Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China.
| | - Han Jiang
- Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Dongdong Xu
- Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Jianjian Sun
- Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Shiyue Wang
- Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Shijie Xin
- Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China
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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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Combs SE, Bilger A, Diehl C, Bretzinger E, Lorenz H, Oehlke O, Specht HM, Kirstein A, Grosu A. Multicenter analysis of stereotactic radiotherapy of the resection cavity in patients with brain metastases. Cancer Med 2018; 7:2319-2327. [PMID: 29696815 PMCID: PMC6010760 DOI: 10.1002/cam4.1477] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Revised: 01/03/2018] [Accepted: 01/03/2018] [Indexed: 11/06/2022] Open
Abstract
Brain metastases show a recurrence rate of about 50% after surgical resection. Adjuvant radiotherapy can prevent progression; however, whole-brain radiotherapy (WBRT) can be associated with significant side effects. Local hypofractionated stereotactic radiotherapy (HFSRT) is a good alternative to provide local control with minimal toxicity. In this multicenter analysis, we evaluated the treatment outcome of local HFSRT after resection brain metastases in 181 patients. Patient's characteristics, treatment data as well as follow-up data were collected and analyzed with special focus on local control, locoregional control and survival. After a median follow-up of 12.6 months (range 0.3-80.2 months), the crude rate for local control was 80.5%; 1- and 2-year local recurrence-free survival rates were 75% and 70% (median not reached). Resection cavity size was a significant predictor for local recurrence (P = 0.033). The median overall survival was 16.0 months. Both graded prognostic assessment score and recursive partitioning analysis were accurate predictors of survival. HFSRT leads to excellent local control and has a high potential to consolidate results after surgery; acute and late toxicity is low. Distant intracerebral metastases occur frequently during follow-up, and therefore, a close patient monitoring needs to be warranted if whole-brain radiotherapy is omitted.
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Affiliation(s)
- Stephanie E. Combs
- Department of Radiation OncologyTechnische Universität MünchenKlinikum rechts der IsarMünchenGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner Site MunichMunichGermany
- Department of Radiation Sciences (DRS)Institute of Innovative Radiotherapy (iRT)Helmholtz Zentrum MünchenNeuherbergGermany
| | - Angelika Bilger
- Department of Radiation OncologyUniversitätsklinikum FreiburgFreiburgGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner SiteFreiburgGermany
| | - Christian Diehl
- Department of Radiation OncologyTechnische Universität MünchenKlinikum rechts der IsarMünchenGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner Site MunichMunichGermany
- Department of Radiation Sciences (DRS)Institute of Innovative Radiotherapy (iRT)Helmholtz Zentrum MünchenNeuherbergGermany
| | - Eva Bretzinger
- Department of Radiation OncologyUniversitätsklinikum FreiburgFreiburgGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner SiteFreiburgGermany
| | - Hannah Lorenz
- Department of Radiation OncologyUniversitätsklinikum FreiburgFreiburgGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner SiteFreiburgGermany
| | - Oliver Oehlke
- Department of Radiation OncologyUniversitätsklinikum FreiburgFreiburgGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner SiteFreiburgGermany
| | - Hanno M. Specht
- Department of Radiation OncologyTechnische Universität MünchenKlinikum rechts der IsarMünchenGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner Site MunichMunichGermany
- Department of Radiation Sciences (DRS)Institute of Innovative Radiotherapy (iRT)Helmholtz Zentrum MünchenNeuherbergGermany
| | - Anna Kirstein
- Department of Radiation OncologyTechnische Universität MünchenKlinikum rechts der IsarMünchenGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner Site MunichMunichGermany
- Department of Radiation Sciences (DRS)Institute of Innovative Radiotherapy (iRT)Helmholtz Zentrum MünchenNeuherbergGermany
| | - Anca‐Ligia Grosu
- Department of Radiation OncologyUniversitätsklinikum FreiburgFreiburgGermany
- Deutsches Konsortium für Translationale Krebsforschungs (dktk), Partner SiteFreiburgGermany
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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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Motaganahalli RL, Smeds MR, Harlander-Locke MP, Lawrence PF, Fujimura N, DeMartino RR, De Caridi G, Munoz A, Shalhub S, Shin SH, Amankwah KS, Gelabert HA, Rigberg DA, Siracuse JJ, Farber A, Debus ES, Behrendt C, Joh JH, Saqib NU, Charlton-Ouw KM, Wittgen CM. A multi-institutional experience in adventitial cystic disease. J Vasc Surg 2017; 65:157-161. [DOI: 10.1016/j.jvs.2016.08.079] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Accepted: 08/12/2016] [Indexed: 10/20/2022]
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10
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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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11
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Meecham L, Wright A, Atwal A. Cystic Adventitial Disease of Popliteal Artery: Case Report. Int J Angiol 2016; 25:68-9. [PMID: 26900314 DOI: 10.1055/s-0034-1382810] [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: 10/22/2022] Open
Abstract
Cystic adventitial disease (CAD) is a rare cause of arterial stenosis. A total of 85% of cases are usually found in the popliteal artery. Men in their fourth and fifth decade are more commonly affected. If untreated the disease will progress eventually ending in occlusion of the affected vessel and limb-threatening ischemia. With this in mind an effective and long-lasting treatment is required, and here we present a case with CAD of the popliteal artery and discuss the merits of different treatment strategies.
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Affiliation(s)
- Lewis Meecham
- Department of Vascular Surgery, Worcestershire Royal Hospital, Worcester, Worcestershire, United Kingdom
| | - Anna Wright
- Department of Vascular Surgery, Worcestershire Royal Hospital, Worcester, Worcestershire, United Kingdom
| | - Amarjit Atwal
- Department of Vascular Surgery, Worcestershire Royal Hospital, Worcester, Worcestershire, United Kingdom
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12
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Fatic N, Nikolic A, Maras D, Bulatovic N. Cystic Adventitial Disease in Former Athlete. Open Access Maced J Med Sci 2015; 3:429-31. [PMID: 27275264 PMCID: PMC4877833 DOI: 10.3889/oamjms.2015.084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2015] [Revised: 07/01/2015] [Accepted: 07/02/2015] [Indexed: 11/05/2022] Open
Abstract
In this paper we present a 39-year old former athlete complaining with pain in his legs during long walk resembling to intermittent claudication. Color duplex scan described a popliteal artery with 10 mm in diameter with mural thrombus that caused stenosis 75% of lumen. Digital subtraction angiography demonstrated a stenosis of right popliteal artery. The suspicion for Cystic adventitial disease was set. The patient was operated on by posterior direct approach. After incision, a yellowish viscous material was observed in adventitia. Partial resection of the affected popliteal artery and replacement by an autogenous great saphenous vein graft was performed. Patient was dismissed on the seventh postoperative day, in good condition and without any complication. Cystic adventitial disease of the popliteal artery should be considered in the differential diagnosis of intermittent claudication, especially in former sportsmen patients. Partial resection of the affected popliteal artery and replacement by an autogenous great saphenous vain graft produces excellent results.
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Affiliation(s)
- Nikola Fatic
- Clinical Centre of Montenegro, University of Montenegro, Podgorica, Montenegro
| | - Aleksandar Nikolic
- Clinical Centre of Montenegro, University of Montenegro, Podgorica, Montenegro
| | - Dejan Maras
- Clinical Centre of Montenegro, University of Montenegro, Podgorica, Montenegro
| | - Nikola Bulatovic
- Clinical Centre of Montenegro, University of Montenegro, Podgorica, Montenegro
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13
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14
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Abstract
OBJECTIVE Patients who undergo knee MRI for presumed musculoskeletal disease can have unexpected vascular findings or pathology in the imaged field. Some vascular processes are limb threatening and affect treatment planning and patient outcome. CONCLUSION Unexpected vascular findings on knee MRI can range from incidental to symptomatic and can include such processes as variant anatomy, aneurysm, traumatic injury, and neoplasm. The assessment for vascular pathology should be a key component of every radiologist's search pattern when evaluating knee MRI.
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15
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Del Canto Peruyera P, Vázquez MJVV, Velasco MB, Álvarez PC, Salgado AÁ, Álvarez JC, Fernández LJÁ. Cystic adventitial disease of the popliteal artery: Two case reports and a review of the literature. Vascular 2014; 23:204-10. [PMID: 24986869 DOI: 10.1177/1708538114541652] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Two cases of cystic adventitial disease treated at our institution over the last year are presented. They were middle-aged and apparently healthy patients, and the symptoms begin with a sudden onset of unilateral claudication. After performing a magnetic resonance angiography, a cystic formation attached to the adventitia of the popliteal artery was identified. Both patients were treated in the same manner, with resection of the affected arterial segment and vein bypass interposition. Both remain asymptomatic after one year of follow-up in one case and six months in the other. Cystic adventitial disease is a rare entity, which presents in patients without cardiovascular risk factors, so sometimes it takes long to reach a definitive diagnosis. Concerning the different treatment options, cyst excision together with the affected arterial segment seems to offer better mid- and long-term results when compared with other treatment options such as cyst aspiration or endovascular techniques, although there are no multicenter trials evidencing the superiority of one against the others.
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Affiliation(s)
- P Del Canto Peruyera
- Department of Angiology, Vascular and Endovascular Surgery, Cabueñes Hospital, Gijón, Spain
| | | | - M Botas Velasco
- Department of Angiology, Vascular and Endovascular Surgery, Cabueñes Hospital, Gijón, Spain
| | - P Calvín Álvarez
- Department of Angiology, Vascular and Endovascular Surgery, Cabueñes Hospital, Gijón, Spain
| | - A Álvarez Salgado
- Department of Angiology, Vascular and Endovascular Surgery, Cabueñes Hospital, Gijón, Spain
| | - J Cerviño Álvarez
- Department of Angiology, Vascular and Endovascular Surgery, Cabueñes Hospital, Gijón, Spain
| | - L J Álvarez Fernández
- Department of Angiology, Vascular and Endovascular Surgery, Cabueñes Hospital, Gijón, Spain
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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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17
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Hernández Mateo MM, Serrano Hernando FJ, Martínez López I, González Sánchez S, Hernando Rydings M, Saiz Jerez A, Revuelta Suero S, Marqués de Marino P. Cystic Adventitial Degeneration of the Popliteal Artery: Report on 3 Cases and Review of the Literature. Ann Vasc Surg 2014; 28:1062-9. [DOI: 10.1016/j.avsg.2013.09.013] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2013] [Revised: 09/09/2013] [Accepted: 09/12/2013] [Indexed: 11/28/2022]
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18
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Wu X, Lun Y, Jiang H, Gang Q, Duan Z, Xin S, Zhang J. Cystic Adventitial Disease of the Common Femoral Vessels. Vasc Endovascular Surg 2014; 48:325-8. [PMID: 24420055 DOI: 10.1177/1538574413518616] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Cystic adventitial disease (CAD) is a rare vascular disorder that is most seen in the popliteal artery. Only a small number of cases involved in femoral artery or vein have been reported and it becomes more difficult to be recognized preoperatively, especially when the femoral artery or vein is affected. We presented 2 cases of CAD affecting the femoral artery or vein, all of which received the “circumferential removal of the adventitia” with promising results. The presentation, investigation, and treatment of CAD were discussed.
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Affiliation(s)
- Xiaoyu Wu
- Department of Vascular & Thyroid Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Yu Lun
- Department of Vascular & Thyroid Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Han Jiang
- Department of Vascular & Thyroid Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Qingwei Gang
- Department of Vascular & Thyroid Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Zhiquan Duan
- Department of Vascular & Thyroid Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Shijie Xin
- Department of Vascular & Thyroid Surgery, The First Hospital, China Medical University, Shenyang, China
| | - Jian Zhang
- Department of Vascular & Thyroid Surgery, The First Hospital, China Medical University, Shenyang, China
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19
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Gupta R, Mittal P, Gupta P, Jindal N. Cystic adventitial disease of popliteal artery with significant stenosis. Indian J Radiol Imaging 2013; 23:148-50. [PMID: 24082480 PMCID: PMC3777325 DOI: 10.4103/0971-3026.116572] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Cystic adventitial disease of popliteal artery is a rare condition of unknown etiology which usually presents in middle-aged men. We present Doppler and computed tomography angiography findings in a case of cystic adventitial disease with significant obstruction of popliteal artery, with secondary narrowing of popliteal vein.
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Affiliation(s)
- Ranjana Gupta
- Department of Radiodiagnosis, Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India
| | - Puneet Mittal
- Department of Radiodiagnosis, Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India
| | - Praveen Gupta
- Department of Medicine, Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India
| | - Nancy Jindal
- Department of Radiodiagnosis, Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India
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