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

Drác, P; Köcher, Martin; Utíkal, P; Černá, Marie; Kozák, Jiří; Bachleda, Petr

doi:10.5507/bp.2011.065

Cited by 25 publications

(49 citation statements)

References 70 publications

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“…As in this case, CAD often presents with symptoms of calf claudication and pain, which is the primary symptom in 88% of the reported cases 10. Symptoms fluctuate in intensity6 11 and are often related to prolonged postexercise recovery time of 10–20 min 5. This is secondary to increased pressure on the cyst during exercise and a gradual opening of the artery secondary to decompression of the cyst postexercise 5 12.…”

Section: Discussionmentioning

confidence: 72%

“…This is typically reserved for cases of complete occlusion or involvement of the media where degeneration is present. Non-resection approaches include open cyst evacuation, intraoperative cyst aspiration and radiological interventions such as CT-guided aspiration, and percutaneous ultrasound-guided and percutaneous transluminal angioplasty 6. In a study of 724 patients with CAD, Desy and Spinner10 found 28% required cyst resection and saphenous vein reconstruction; the most commonly used treatment modality.…”

Section: Discussionmentioning

confidence: 99%

“…Cyst aspiration provides a less-invasive approach, but is coupled with a high recurrence rate 2 4 6 10. This option is often unsuccessful as the highly viscous components of the cyst make it difficult to aspirate 6 12 14.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, orthopaedic surgeons and primary care practitioners who may not be familiar with the disease process commonly see young athletes. When misdiagnosed, the disease can result in severe vessel stenosis and occlusion over time 5 6. Timely diagnosis can help prevent morbidity and allows for early surgical referral, if necessary.…”

Section: Introductionmentioning

confidence: 99%

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A young male runner with a posterior knee mass—not just your typical Baker's cyst

et al. 2016

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We present the case of a 28-year-old man with a growing mass in his right popliteal fossa causing pain on exertion. The differential diagnosis included Baker's cyst, entrapment syndrome of the popliteal artery, as well as a benign or malignant neoplasm. An ultrasound was non-specific. Follow-up MRI of the knee demonstrated cystic adventitial disease (CAD). With only about 500 cases reported in the literature since its discovery in 1947, CAD is a rare entity. The disease is characterised by mucinous or gelatinous cysts in the arterial or venous adventitia. The disease is predominantly seen in the popliteal artery and typically affects otherwise healthy males in the fourth to fifth decade of life. It presents clinically as intermittent exertional claudication. Examination of our case and a review of the literature will highlight the importance of considering CAD in patients who report of a popliteal mass and intermittent claudication.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A young male runner with a posterior knee mass—not just your typical Baker's cyst

et al. 2016

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“…Mucinfilled cysts develop in the adventitial layer of the artery, which can cause arterial stenosis [36]. Patients are usually young or middleage men who present with intermittent knee claudication [37]. The estimated incidence is 1 in 1200 per year who present with lower extremity claudication [38].…”

Section: Cystic Adventitial Diseasementioning

confidence: 99%

Knee MRI: Vascular Pathology

Gaetke‐Udager

Fessell

Liu

et al. 2015

American Journal of Roentgenology

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Multicenter analysis of stereotactic radiotherapy of the resection cavity in patients with brain metastases

et al. 2018

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Brain metastases show a recurrence rate of about 50% after surgical resection. Adjuvant radiotherapy can prevent progression; however, whole‐brain radiotherapy (WBRT) can be associated with significant side effects. Local hypofractionated stereotactic radiotherapy (HFSRT) is a good alternative to provide local control with minimal toxicity. In this multicenter analysis, we evaluated the treatment outcome of local HFSRT after resection brain metastases in 181 patients. Patient's characteristics, treatment data as well as follow‐up data were collected and analyzed with special focus on local control, locoregional control and survival. After a median follow‐up of 12.6 months (range 0.3–80.2 months), the crude rate for local control was 80.5%; 1‐ and 2‐year local recurrence‐free survival rates were 75% and 70% (median not reached). Resection cavity size was a significant predictor for local recurrence (P = 0.033). The median overall survival was 16.0 months. Both graded prognostic assessment score and recursive partitioning analysis were accurate predictors of survival. HFSRT leads to excellent local control and has a high potential to consolidate results after surgery; acute and late toxicity is low. Distant intracerebral metastases occur frequently during follow‐up, and therefore, a close patient monitoring needs to be warranted if whole‐brain radiotherapy is omitted.

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

Cited by 25 publications

References 70 publications

A young male runner with a posterior knee mass—not just your typical Baker's cyst

A young male runner with a posterior knee mass—not just your typical Baker's cyst

Knee MRI: Vascular Pathology

Multicenter analysis of stereotactic radiotherapy of the resection cavity in patients with brain metastases

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