title: Clinical results of cystic excision for popliteal artery cystic adventitial disease: long-term benefits of preserving the intact intima.
abstract: Surgical treatment for popliteal artery cystic adventitial disease (PACAD) is still controversial. PACAD often occurs in young or middle-aged adults. Therefore, the maintenance of graft patency for very long periods is a concern if a prosthesis is used. Because the intima is intact in PACAD patients with popliteal artery stenosis, a treatment that preserves the healthy intima is ideal. We describe the cases of 3 patients who underwent cystic excision for PACAD with severe stenosis. No recurrence was observed for up to 11 years, and these long-term results revealed that cystic excision could be reconsidered as one of the first-line therapeutic methods.
authors: Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Japan.
authors: Shinsuke
authors: S
authors: Kikuchi
authors: Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Japan; Department of Vascular Surgery, Edogawa Hospital, Tokyo, Japan.
authors: Tadahiro
authors: T
authors: Sasajima
authors: Department of Vascular Surgery, Edogawa Hospital, Tokyo, Japan.
authors: Taku
authors: T
authors: Kokubo
authors: Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Japan.
authors: Atsuhiro
authors: A
authors: Koya
authors: Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Japan.
authors: Hisashi
authors: H
authors: Uchida
authors: Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Japan. Electronic address: nazuma@asahikawa-med.ac.jp.
authors: Nobuyoshi
authors: N
authors: Azuma
mesh_terms: D063194:Adventitia / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000368:Aged; D003251:Constriction, Pathologic; D003560:Cysts / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D012720:Severity of Illness Index; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014652:Vascular Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D014654:Vascular Patency