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Two Cases of Popliteal Cystic Adventitial Disease Treated With Excision and Primary Bypass Graft: A Review of the Literature.
Vasc Endovascular Surg. 2017 Oct; 51(7):480-484.VE

Abstract

Cystic adventitial disease (CAD) is a rare vascular pathology which predominantly affects peripheral vessels of young otherwise healthy males. Much debate exists regarding its exact etiology. It is characterized by a collection of mucinous material within the adventitial wall layer of the affected vessel, resulting in arterial stenosis and rapidly progressive calf claudication. Treatment is primarily surgical, although radiological interventions have been reported. Its rarity makes evidence-based surgical or radiological management difficult. With this in mind, we report two cases of popliteal artery CAD treated successfully with primary excision and bypass grafting. We analyzed all literature published on CAD since first reported in 1947 and we propose an algorithm for appropriate management pathways.

Authors+Show Affiliations

1 Department of General and Vascular Surgery, Mercy University Hospital, Cork, Ireland.1 Department of General and Vascular Surgery, Mercy University Hospital, Cork, Ireland.1 Department of General and Vascular Surgery, Mercy University Hospital, Cork, Ireland.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

28859600

Citation

Hennessy, Mairead M., et al. "Two Cases of Popliteal Cystic Adventitial Disease Treated With Excision and Primary Bypass Graft: a Review of the Literature." Vascular and Endovascular Surgery, vol. 51, no. 7, 2017, pp. 480-484.
Hennessy MM, McGreal G, O'Brien GC. Two Cases of Popliteal Cystic Adventitial Disease Treated With Excision and Primary Bypass Graft: A Review of the Literature. Vasc Endovascular Surg. 2017;51(7):480-484.
Hennessy, M. M., McGreal, G., & O'Brien, G. C. (2017). Two Cases of Popliteal Cystic Adventitial Disease Treated With Excision and Primary Bypass Graft: A Review of the Literature. Vascular and Endovascular Surgery, 51(7), 480-484. https://doi.org/10.1177/1538574417722921
Hennessy MM, McGreal G, O'Brien GC. Two Cases of Popliteal Cystic Adventitial Disease Treated With Excision and Primary Bypass Graft: a Review of the Literature. Vasc Endovascular Surg. 2017;51(7):480-484. PubMed PMID: 28859600.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Two Cases of Popliteal Cystic Adventitial Disease Treated With Excision and Primary Bypass Graft: A Review of the Literature. AU - Hennessy,Mairead M, AU - McGreal,Gerald, AU - O'Brien,Gavin C, Y1 - 2017/09/01/ PY - 2017/9/2/pubmed PY - 2017/10/31/medline PY - 2017/9/2/entrez KW - arterial bypass KW - cystic adventitial disease KW - endovascular KW - vascular SP - 480 EP - 484 JF - Vascular and endovascular surgery JO - Vasc Endovascular Surg VL - 51 IS - 7 N2 - Cystic adventitial disease (CAD) is a rare vascular pathology which predominantly affects peripheral vessels of young otherwise healthy males. Much debate exists regarding its exact etiology. It is characterized by a collection of mucinous material within the adventitial wall layer of the affected vessel, resulting in arterial stenosis and rapidly progressive calf claudication. Treatment is primarily surgical, although radiological interventions have been reported. Its rarity makes evidence-based surgical or radiological management difficult. With this in mind, we report two cases of popliteal artery CAD treated successfully with primary excision and bypass grafting. We analyzed all literature published on CAD since first reported in 1947 and we propose an algorithm for appropriate management pathways. SN - 1938-9116 UR - https://www.unboundmedicine.com/medline/citation/28859600/Two_Cases_of_Popliteal_Cystic_Adventitial_Disease_Treated_With_Excision_and_Primary_Bypass_Graft:_A_Review_of_the_Literature_ L2 - http://journals.sagepub.com/doi/full/10.1177/1538574417722921?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -