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Case Reports
. 2017 Sep;17(70):212-216.
doi: 10.15557/JoU.2017.0031. Epub 2017 Sep 29.

Ultrasound-guided percutaneous aspiration of adventitial cysts in the occluded popliteal artery - clinical results and MR findings at 5-year follow-up

Grzegorz Rosiak  1 , Krzysztof Milczarek  1 , Andrzej Cieszanowski  1 , Olgierd Rowiński  1
Affiliations
Case Reports

Ultrasound-guided percutaneous aspiration of adventitial cysts in the occluded popliteal artery - clinical results and MR findings at 5-year follow-up

Grzegorz Rosiak et al. J Ultrason. 2017 Sep.

Abstract

Cystic adventitial disease is a rare disorder that occurs in peripheral arteries. Calf claudication caused by compression of the popliteal artery is a typical presentation of this disease. This is a report of two cases of occluded popliteal artery decompression by percutaneous ultrasound-guided cyst aspiration. In both cases, decompression of the artery was achieved with a significant decrease in the size of adventitial cysts and restoration of flow. Both patients reported complete resolution of symptoms and no calf pain 5 years after the procedure. MR findings and resolution of symptoms in these two patients show the efficacy of percutaneous adventitial cyst aspiration in a 5-year follow-up.

Keywords: peripheral vascular disease; popliteal artery; popliteal cyst.

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Figures

Fig. 1
Fig. 1
Patient 1, occlusion of the right popliteal artery – CTA, 3D reconstruction
Fig. 2
Fig. 2
Patient 1, Doppler ultrasound, partially restored flow in the popliteal artery after the first aspiration
Fig. 3
Fig. 3
Patient 1, Doppler ultrasound, good flow in the popliteal artery after the second aspiration
Fig. 4
Fig. 4
Patient 2. A fat suppressed PD-weighted TSE MR image demonstrates an adventitial cyst causing occlusion of the right popliteal artery (arrow)
Fig. 5
Fig. 5
Patient 2, 11 months after aspiration. A small residual cyst (arrow) is seen on a fat suppressed PD-weighted TSE MR image
Fig. 6
Fig. 6
Patient 1, fat suppressed PD-weighted TSE MRI showed no residual cyst 5 years after aspiration
Fig. 7
Fig. 7
Patient 2, Doppler ultrasound, good result still visible 5 years after the procedure
See this image and copyright information in PMC

References

    1. Baxter AR, Garg K, Lamparello PJ, Mussa FF, Cayne NS, Berland T. Cystic adventitial disease of the popliteal artery: is there a consensus in management? Vascular. 2011;19:163–166. - PubMed
    1. Del Canto Peruyera P, Vázquez MJV-V, Velasco MB, Álvarez PC, Salgado AÁ, Álvarez JC, et al. Cystic adventitial disease of the popliteal artery: two case reports and a review of the literature. Vascular. 2015;23:204–210. - PubMed
    1. Igari K, Kudo T, Toyofuku T, Inoue Y. Surgical treatment of cystic adventitial disease of the popliteal artery: five case reports. Case Rep Vasc Med. 2015;2015:1–6. - PMC - PubMed
    1. Motaganahalli RL, Smeds MR, Harlander-Locke MP, Lawrence PF, Fujimura N, DeMartino RR, et al. A multi-institutional experience in adventitial cystic disease. J Vasc Surg. 2016;65:157–161. - PubMed
    1. Ortmann J, Widmer MK, Gretener S, Do DD, Willenberg T, Daliri A, et al. Cystic adventitial degeneration: ectopic ganglia from adjacent joint capsules. VASA Zeitschrift für Gefässkrankheiten. 2009;38:374–377. - PubMed

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