Cor Vasa 2025, 67(1):56-59 | DOI: 10.33678/cor.2025.011
Minimally Invasive Management of Cystic Adventitial Disease in the Popliteal Artery: A Case Report and Review
- Vascular Surgery Department, Acibadem City Clinic, Sofia, Bulgaria
Background: Cystic adventitial disease (CAD) is a rare cause of arterial stenosis, primarily affecting the popliteal artery. Case presentation: A 46-year-old male presented with sudden right calf pain. Physical examination and CT angiography revealed significant stenosis of the right popliteal artery. Initial thrombectomy failed to remove thrombotic material, prompting a hybrid approach with PTA and stent implantation. MRI confirmed CAD, and the patient remained asymptomatic at 24-month follow-up.
Discussion: The etiology of CAD is debated, with theories including local trauma and synovial/ganglion origin. Traditional management has been surgical, but this case demonstrates the efficacy of a minimally invasive approach.
Conclusion: Minimally invasive endovascular treatment may be effective for CAD, with close monitoring needed to ensure long-term patency.
Keywords: Cystic adventitial disease, Endovascular treatment, Hybrid surgery
Received: July 15, 2024; Revised: September 6, 2024; Accepted: January 19, 2025; Prepublished online: June 2, 2012; Published: March 1, 2025 Show citation
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