Circumferential removal of the adventitia for cystic degeneration of the popliteal artery

Abstract

Did not result in aneurysmal degeneration

Cystic Adventitial Disease of the Popliteal Artery: Report on Three Cases and Review of the Literature

“…Another modification of the open cyst evacuation with the removal of the cystic wall refers to extended adventitial resection called the "circumferential removal of the adventitia". This was the method preferred by Stierli et al 70 . Any type of surgery should also be complemented by the identification of any communication between the affected artery and the joint, and the communication needs to be resected or ligated in order to reduce the risk of recurrence 28,31,36 .…”

“…This approach is commonly used. Nevertheless, the medial approach involving the transection of the medial gastrocnemius head is also possible 70 . Even though there is no significant difference between the resectional a non-resectional groups based on the previously reported treatment outcomes 24,69 some surgeons prefer the first or the second treatment modality.…”

“…The outcome concerning CAD recurrence is better after graft interposition 6 , but the failure of this method is also possible, as mentioned above 84,85 . In order to reduce recurrence after evacuation with the removal of the cystic wall, Stierli et al 70 use the so-called "circumferential removal" of the adventitia. Although the adventitial cysts are often located asymmetrically, they authors report that resecting the adventitial layer along its full length circumferentially around the entire vessel wall prevents small cysts from giving rise to recurrence.…”

Doença cística da artéria poplítea: relato de caso

“…Due to the viscosity of the fluid, simple aspiration may not be easy 9 . In this case, adventitia resection is an alternative 27 . Angioplasty must only be considered in exceptional cases 28,29 .…”

Zystische Adventitiadegeneration (CAD) als Ursache einer invalidisierenden Claudicatio intermittens

“…Jedoch zeigt die alleinige Zystektomie ohne zusätzliche Resektion der angrenzenden betroffenen Adventitia ein hohes Rezidivrisiko. Gerade bei jungen Patienten sollte die gefäßerhaltende Therapie mittels "Exarterektomie" evaluiert werden [12]. In Spätstadien mit arteriellem Verschluss, bei mehrkammerigen Zysten oder nach PTA-bedingter Zystenruptur ist die Implantation eines autologen Veneninterponats erforderlich [4,5,6].…”