Case Report: Cystic Adventitial Disease of the External Iliac Artery with Imaging Features of a Complicating Proximal Dissection

Dharmaraj, Rajesh Babu; Griffin, Jon; Ramanathan, A.; Buckenham, T.M.

doi:10.1016/j.ejvs.2011.04.032

Cited by 3 publications

(7 citation statements)

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“…A total of 16 case reports with 17 patients were included. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 In Table 1 , the patient demographic data are summarised. The mean age was 49 years.…”

Section: Resultsmentioning

confidence: 99%

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Cystic Adventitial Disease of the (ilio) Femoral Artery with a Connection to the Hip Joint: Case Report and a Review of the Literature

Frenken

Arnoldussen

Janssen

2022

EJVES Vascular Forum

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Section: Resultsmentioning

confidence: 99%

“… 14 Female/37 - No No L Progressive claudication for 3–4 years, left calf pain Dharmaraj et al. 15 Female/52 - No No L Left sided claudication for 6 months …”

Section: Resultsmentioning

confidence: 99%

Cystic Adventitial Disease of the (ilio) Femoral Artery with a Connection to the Hip Joint: Case Report and a Review of the Literature

Frenken

Arnoldussen

Janssen

2022

EJVES Vascular Forum

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“…Наиболее часто поражается подколенная артерия (85% случаев), реже КБА выявляют в наружной подвздошной, общей бедренной, подмышечной, плечевой, лучевой и локтевой артериях [3,4,6,[10][11][12][13]. В большинстве случаев авторы наблюдали одностороннее поражение, однако КБА встречается и с двух сторон [14,15].…”

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“…Магнитно-резонансная томография (МРТ) и ангиография (МРА), компьютерная томографическая ангиография (КТА) позволяют получить объективную информацию о размерах кисты, ее взаимоотношении с окружающими тканями и степени вовлечения подколенной артерии в патологический процесс, помогают в дифференциальной диагностике с другими поражениями подколенной артерии [4,9,14,15,28,36,40]. Некоторые авторы указывают, что КТА не всегда может отличить кистозную болезнь адвентиции от аневризмы подколенной артерии [24].…”

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“…При стенозировании просвета артерии возможно иссечение кисты, а при ее окклюзии -резекция пораженного участка артерии и протезирование [4,21,39,42], в качестве материала для шунта большинство авторов используют большую или малую подкожные вены.…”

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Cystic Adventitial Disease of the Popliteal Artery

Захматова

2018

Lučevaâ diagn. ter.

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Cystic adventitial disease (CAD) is a rare cause of unilateral intermittent claudication of unknown aetiology, which is characterized by the formation of multiple mucin-filled cysts in the adventitial layer of the arterial wall resulting in obstruction to blood flow. The disease predominantly presents in young otherwise healthy males and most commonly affects the popliteal artery (85% of cases). CAD can be diagnosed by duplex ultrasound, magnetic resonance imaging, magnetic resonance angiography, or computed tomographic angiography. Surgery is the primary mode of treatment, including exarterectomy, or replacement of the affected vascular segment by venous or synthetic interposition graft. Alternatively, the cysts can be drained by percutaneous ultrasound-guided needle aspiration. We conducted a review of the literature on the aetiology, diagnosis and treatment of this uncommon condition and present the case report.

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Cystic Adventitial Disease Presenting as Occlusion of the External Iliac Artery: A Rare Manifestation

Lovelock

Dean

Mow³

et al. 2020

Vasc Endovascular Surg

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Cystic adventitial disease (CAD) is a rare, non-atherosclerotic cause of peripheral arterial disease characterized by mucinous cyst formation in the adventitial layer of arteries; with approximately 80% to 90% of cases involving the popliteal artery. We describe a case of CAD presenting in a female with left external iliac artery occlusion and intermittent claudication, for whom an intra-operative diagnosis of CAD of the ilio-femoral segment was made. A 37-year-old mother-of-two was referred to a Vascular Surgeon with a 3 to 4-year history of progressive intermittent claudication. A computed tomography (CT) angiogram demonstrated a left external iliac artery occlusion. Given the location of the lesion, the absence of cardiovascular risk factors and the patient’s history of cycling, a diagnosis of left external iliac artery occlusion secondary to arterial endofibrosis or spontaneous arterial dissection was thought to be likely. A left Rutherford-Morrison incision was made and an extraperitoneal approach used to expose the left iliac system. A cyst was opened and marsupialized along the superior aspect of the external iliac artery, releasing gelatinous material. A provisional intra-operative diagnosis of CAD was made. The patient was systemically heparinized and an external iliac to common femoral artery bypass was performed using reversed ipsilateral greater saphenous vein. CAD primarily involves the popliteal artery. Under 40 cases of CAD with iliofemoral involvement have been reported. Our case is unusual given the location of CAD, as well as its occurrence in a female. Management options for similar cases have been described in the literature ranging from cyst excision and arterial patching, to interposition bypass and even exclusion bypass, in the case of longer segment occlusions. In our case, an exclusion bypass was deemed the most appropriate treatment given the extensive length and complete occlusion of the external iliac artery.

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Case Report: Cystic Adventitial Disease of the External Iliac Artery with Imaging Features of a Complicating Proximal Dissection

Cited by 3 publications

References 0 publications

Cystic Adventitial Disease of the (ilio) Femoral Artery with a Connection to the Hip Joint: Case Report and a Review of the Literature

Cystic Adventitial Disease of the (ilio) Femoral Artery with a Connection to the Hip Joint: Case Report and a Review of the Literature

Cystic Adventitial Disease of the Popliteal Artery

Cystic Adventitial Disease Presenting as Occlusion of the External Iliac Artery: A Rare Manifestation

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