The aetiology of cystic arterial disease

Shute, K; Rothnie, N. G.

doi:10.1002/bjs.1800600523

Cited by 66 publications

(49 citation statements)

References 7 publications

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“…The repetitive local trauma theory is based on the proximity of the popliteal artery to the knee joint, resulting in the artery being subjected to repetitive flexion and extension [16,17]. However, the trauma theory does not explain why ACD is also encountered in children and also fails to explain the occurrence of this condition in the veins.…”

Section: Discussionmentioning

confidence: 99%

Adventitial cystic disease of the popliteal artery: a potential cause of intermittent claudication

Papas

Georgiadis

Maltezos³

et al. 2007

Wien Klin Wochenschr

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Adventitial cystic disease (ACD) is an uncommon and rare vascular entity characterized by a highly viscous and mucinous cyst located in the adventitia of an artery. Although first described in the external iliac artery, the disease is more frequently sited in the popliteal artery. ACD characteristically occurs in young adults, mostly male, with intermittent claudication as the initial presenting symptom. As the cyst enlarges, it leads to vascular compression with stenosis or occlusion. Because cystic formation of the popliteal artery is uncommon, the disease is often unrecognized. We report a case of popliteal artery ACD in a 54-year-old woman who was successfully treated surgically.

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Section: Discussionmentioning

confidence: 99%

Adventitial cystic disease of the popliteal artery: a potential cause of intermittent claudication

Papas

Georgiadis

Maltezos³

et al. 2007

Wien Klin Wochenschr

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“…Su etiología sigue siendo incierta [11][12][13][14][15] , existiendo cuatro hipótesis: -Traumatismos repetidos, frecuentemente mínimos, que producirían una degeneración de la adventicia de la arteria generando así los cambios quísticos en la pared de esta. -Degeneración mucosa de la adventicia ligada a un trastorno generalizado del organismo.…”

Section: Discussionunclassified

Degeneración quística de la arteria poplítea: Presentación de caso clínico

et al. 2015

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“…Both cystic degeneration of the adventitia and adventitial cyst disease are restricted designations, for they do not encompass all cases, because cysts may be located on the outer layers of the media 4 . More comprehensive names, such as cystic disease, or degeneration of the arterial wall, or even degeneration or cystic disease of the popliteal artery, are more appropriate 11,12 . The pathogenesis of the disease remains unknown, but four theories have tried to explain it: microtrauma 13 ; systemic disease 4 ; embryonic origin 14 ; true synovial cysts 1,12,15,16 .…”

Section: Discussionmentioning

confidence: 99%

“…More comprehensive names, such as cystic disease, or degeneration of the arterial wall, or even degeneration or cystic disease of the popliteal artery, are more appropriate 11,12 . The pathogenesis of the disease remains unknown, but four theories have tried to explain it: microtrauma 13 ; systemic disease 4 ; embryonic origin 14 ; true synovial cysts 1,12,15,16 . The incidence of cystic disease of the popliteal artery is 1 case per 1,200 cases of intermittent claudication, or 1 case in 1,000 femoral angiographies performed 14 .…”

Section: Discussionmentioning

confidence: 99%

Isquemia crítica em membro inferior em paciente jovem com doença cística de artéria poplítea

et al. 2012

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The patient is a 45-year-old male physician, non-diabetic, non hypertensive, non-smoker and athlete, who was admitted to the Emergency Room complaining of severe pain on the left lower limb for 4 hours, decreased temperature, absence of left popliteal and distal pulse, accompanied by decreased sensitivity in the left foot, but with the motor function preserved. The patient reported bilateral calf intermittent claudication that had began one year earlier and had worsened to approximately 120 m in the last days.Ankle-brachial index (ABI) measurements showed an, ABI=0.40 at the left and ABI=0.85 at the right lower limb. Color Doppler ultrasound showed a thrombosed left popliteal artery aneurysm and approximately 50% stenosis of the right popliteal artery (Figures 1 and 2). The physician performing the examination raised the suspicion AbstractCystic adventitial disease of the popliteal artery is a rare vascular disease of unknown etiology in which a mucin-containing cyst may compromise the artery and, because of the compression, develops stenosis or occlusion of affected artery. We report the case of a 45-year-old male with cystic adventitial disease of the left popliteal artery, after admission for an acute limb ischemia in his left leg, diagnosed non-invasively with EcoDoppler vascular dual scan, magnetic resonance angiography, angiography. Performed complete removal of the cyst with arteriectomy and venous replacement. The pathologic result ware consistent with the diagnostic of cystic adventitial disease. The patient is in ambulatory follow up and was affected by cystic disease in the contralateral limb. The authors described the best methods of diagnosis and treatment for cystic adventitial disease, discussing if the urgency procedure was the most appropriate and whether there was an alternative treatment for the case. Finally, questioning what would be the best procedure to be performed in the other limb.Keywords: intermittent claudication; cyst; popliteal artery. ResumoDegeneração cística da artéria poplítea é uma doença vascular rara, de etiologia desconhecida, na qual um cisto com conteúdo mucinoide compromete a artéria e desenvolve estenose ou oclusão do vaso. Apresentamos um caso de um paciente do sexo masculino, 45 anos, admitido na emergência hospitalar, que apresentava quadro de isquemia aguda no membro inferior esquerdo. Submetido à EcoDoppler, angiorressonância magnética e angiografia pré-operatória. Realizada arterectomia com enxerto fêmoro-poplíteo infrainguinal de safena invertida. O exame patológico foi consistente com o diagnóstico de doença cística da artéria poplítea. O paciente encontra-se em acompanhamento ambulatorial e foi acometido pela doença cística no membro contralateral. Os autores descreveram os melhores métodos de diagnóstico e tratamento para a doença, discutindo se o procedimento de urgência foi o mais adequado e se haveria opções terapêuticas alternativas para o caso, além de qual seria a melhor conduta a ser realizada no membro contralateral também acometido pela doença.Palavra...

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The aetiology of cystic arterial disease

Abstract: Two cases of cystic arterial disease of the popliteal artery are described in which a communication with the capsule of the knee‐joint was demonstrated. The importance of this finding in the aetiology of the condition is discussed.

Cited by 66 publications

References 7 publications

Adventitial cystic disease of the popliteal artery: a potential cause of intermittent claudication

Adventitial cystic disease of the popliteal artery: a potential cause of intermittent claudication

Degeneración quística de la arteria poplítea: Presentación de caso clínico

Isquemia crítica em membro inferior em paciente jovem com doença cística de artéria poplítea

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