In treatment of popliteal artery cystic adventitial disease, primary bypass graft not always first choice: two case reports and a review of the literature

P W J van Rutte; E V Rouwet; E H J Belgers; R F Lim; J A W Teijink

doi:10.1016/j.ejvs.2011.03.003

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 Sep;42(3):347-54. doi: 10.1016/j.ejvs.2011.03.003. Epub 2011 Apr 9.

Authors

P W J van Rutte¹, E V Rouwet, E H J Belgers, R F Lim, J A W Teijink

Affiliation

¹ Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.

PMID: 21481620
DOI: 10.1016/j.ejvs.2011.03.003

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. CAD can be diagnosed by magnetic resonance imaging, computed tomographic angiography, or duplex ultrasound. 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 provide a literature update on the aetiology and treatment of this uncommon condition and present two cases supporting patient tailored treatment without primary bypass grafting.

Publication types

Case Reports
Review

MeSH terms

Adult
Connective Tissue
Humans
Intermittent Claudication / etiology
Male
Peripheral Arterial Disease / complications
Peripheral Arterial Disease / therapy*
Popliteal Artery*
Thrombolytic Therapy
Vascular Surgical Procedures