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Case Reports
, 17 (70), 212-216

Ultrasound-guided Percutaneous Aspiration of Adventitial Cysts in the Occluded Popliteal Artery - Clinical Results and MR Findings at 5-year Follow-Up

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Case Reports

Ultrasound-guided Percutaneous Aspiration of Adventitial Cysts in the Occluded Popliteal Artery - Clinical Results and MR Findings at 5-year Follow-Up

Grzegorz Rosiak et al. J Ultrason.

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.

Keywords: peripheral vascular disease; popliteal artery; popliteal cyst.

Figures

Fig. 1
Fig. 1
Patient 1, occlusion of the right popliteal artery – CTA, 3D reconstruction
Fig. 2
Fig. 2
Patient 1, Doppler ultrasound, partially restored flow in the popliteal artery after the first aspiration
Fig. 3
Fig. 3
Patient 1, Doppler ultrasound, good flow in the popliteal artery after the second aspiration
Fig. 4
Fig. 4
Patient 2. A fat suppressed PD-weighted TSE MR image demonstrates an adventitial cyst causing occlusion of the right popliteal artery (arrow)
Fig. 5
Fig. 5
Patient 2, 11 months after aspiration. A small residual cyst (arrow) is seen on a fat suppressed PD-weighted TSE MR image
Fig. 6
Fig. 6
Patient 1, fat suppressed PD-weighted TSE MRI showed no residual cyst 5 years after aspiration
Fig. 7
Fig. 7
Patient 2, Doppler ultrasound, good result still visible 5 years after the procedure

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Cited by 2 PubMed Central articles

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