Adventitial cystic disease

Adventitial cystic disease (also known as cystic adventitial disease) is a rare type of non-atherosclerotic peripheral artery disease.[1] It can present as claudication, critical limb ischemia or acute limb ischemia. The most commonly affected vessel is the popliteal artery.[2] The cause is unknown.

Diagnosis

The definitive diagnosis comes from pathological evaluation of the affected vessel, however adventitial cystic disease can be suspected based on imaging of the affected vessel using CT scan, MRI or angiography.[3] If suspected at the time of angiography, intravascular ultrasound is of use in making the diagnosis.

Treatment

Definitive treatment is resection with or without reconstruction of the affected vessel.[2] Symptoms can be temporarily improved by cyst aspiration.[2]

References
  1. Kim, SH; Lee, CE; Park, HO; Kim, JW; Choi, JY; Lee, JH (April 2013). "Adventitial cystic disease of the common femoral artery: a case report and literature review". The Korean Journal of Thoracic and Cardiovascular Surgery. 46 (2): 150–2. doi:10.5090/kjtcs.2013.46.2.150. PMC 3631792. PMID 23614104.
  2. Li, S; King, BN; Velasco, N; Kumar, Y; Gupta, N (August 2017). "Cystic adventitial disease-case series and review of literature". Annals of Translational Medicine. 5 (16): 327. doi:10.21037/atm.2017.05.04. PMC 5566729. PMID 28861424.
  3. Elias, DA; White, LM; Rubenstein, JD; Christakis, M; Merchant, N (March 2003). "Clinical evaluation and MR imaging features of popliteal artery entrapment and cystic adventitial disease". AJR. American Journal of Roentgenology. 180 (3): 627–32. doi:10.2214/ajr.180.3.1800627. PMID 12591664.
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