title: Popliteal Artery Cystic Adventitial Disease: Early Lessons in Treatment.
abstract: BACKGROUND
  We present 6 patients who had operative repair of symptomatic popliteal cystic adventitial disease (pCAD). Developmental theories for pCAD and surgical alternatives are presented.
  
  
  METHODS
  All patients who had repair of pCAD over the past 3 years are included.
  
  
  RESULTS
  Three patients had cyst excision alone, whereas the remaining 3 had cyst and artery excision with interposition vein grafting. Cyst recurrence occurred in 2 patients who had cyst excision alone. Four of the patients had a patent communication between the cyst and the joint capsule.
  
  
  CONCLUSIONS
  Our small series suggests that the articular (synovial) theory of development may be the most likely and that cyst and artery excision with interposition vein grafting may be preferred over cyst excision alone.
authors.affiliation: Division of Vascular Diseases and Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Shantanu
authors.initials: S
authors.lastname: Warhadpande
authors.affiliation: Division of Vascular Diseases and Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Go
authors.affiliation: Division of Vascular Diseases and Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Hosam
authors.initials: H
authors.lastname: El Sayed
authors.affiliation: Division of Vascular Diseases and Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Bhagwan
authors.initials: B
authors.lastname: Satiani
authors.affiliation: Division of Vascular Diseases and Surgery, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address: patrick.vaccaro@osumc.edu.
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Vaccaro
mesh_terms: D000328:Adult; D055109:Ankle Brachial Index; D000072226:Computed Tomography Angiography; D003251:Constriction, Pathologic; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color