Adventitial cystic disease of the radial artery

Abstract

Adventitial cystic disease (ACD) of the radial artery is a rare condition, with few cases described in the literature. We report the case of a 62-year-old white male with a history of diabetes, hypertension, and chronic kidney disease with indications for renal replacement therapy who was found to have a cystic lesion of the radial artery while undergoing surgical creation of an arteriovenous fistula. The surgical technique adopted was resection of the cystic segment and preservation of the radial artery. Fistula creation was completed successfully. Early diagnosis and appropriate treatment of ACD are effective, and can prevent complications and recurrence.

Adventitial cysts of the radial artery are joint connected

“…A previous case report by these authors described an adventitial cyst involving the radial artery with a connection to the radiocarpal joint visualized on MRI and at surgery and as such, was the impetus for this study (Wang et al, ). One (Torres‐Blanco et al, ) of two cases (Guimarães et al, ) of CAD of the radial artery published since the recent meta‐analysis (Desy and Spinner, ) has demonstrated a wrist joint connection. The consistent finding of a joint connection has also been demonstrated in patients with CAD affecting arteries and veins at various sites, including the most common site, the popliteal artery at the knee region (Spinner et al, ; Desy and Spinner, ) as well as the only report of an ulnar artery adventitial cyst at the wrist (Pivec et al, ).…”