Cystic adventitial degeneration of the popliteal artery.
Cystic adventitial degeneration (CAD) of the popliteal artery is a rare, but well-recognized, disorder leading to claudication. Usually, surgical treatment is indicated. So far, <400 patients have been described. We report on a series of three patients with CAD. Because we observed local recurrence of CAD after local resection, we conclude that 360° resection and venous interposition is preferable for a favorable outcome. Furthermore, we review etiology, pathology, and different surgical treatment approaches.
Clinic for Vascular and Endovascular Surgery, Department of Surgery, Klinikum der Johann Wolfgang Goethe Universität Frankfurt am Main, Frankfurt, Germany. Michael.keese@kgu.de
Michael
M
Keese
Steffen J
SJ
Diehl
Kurt
K
Huck
Philipp
P
Ströbel
Stefan O
SO
Schoenberg
Marco
M
Niedergethmann
D063194:Adventitia / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003560:Cysts / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D012501:Saphenous Vein / Q000637:transplantation; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color
D000925:Anticoagulants