Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
, 42 (3), 347-54

In Treatment of Popliteal Artery Cystic Adventitial Disease, Primary Bypass Graft Not Always First Choice: Two Case Reports and a Review of the Literature

Affiliations
Review

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 et al. Eur J Vasc Endovasc Surg.

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.

Similar articles

See all similar articles

Cited by 7 PubMed Central articles

See all "Cited by" articles

LinkOut - more resources

Feedback