Adventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest Pain
Arterial cystic disease (ACD) affecting the popliteal artery (PA) is a rare form of non-atherosclerotic vascular disease. This cystic tumor is defined by the accumulation of a mucinous substance in the adventitia. Treatment options include percutaneous cyst aspiration, percutaneous transluminal ball...
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MDPI AG
2025-01-01
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| author | Grigol Keshelava Serguei Malikov |
| author_facet | Grigol Keshelava Serguei Malikov |
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| description | Arterial cystic disease (ACD) affecting the popliteal artery (PA) is a rare form of non-atherosclerotic vascular disease. This cystic tumor is defined by the accumulation of a mucinous substance in the adventitia. Treatment options include percutaneous cyst aspiration, percutaneous transluminal balloon angioplasty, the evacuation of the cyst through a surgical approach, and resection of the affected artery segment followed by arterial reconstruction using autologous venous or prosthetic grafting. Our hospital received a 36-year-old man who had an intermittent claudication and periodically nocturnal rest pain in the left lower limb. Duplex scanning and CTA showed an entrapment of the left PA by a structure related to the arterial wall with an approximate 80% stenosis. The pedal and posterior tibial pulses faded when the knee was flexed. The ACD of the PA was diagnosed. An excision of an affected arterial segment and revascularization of the PA with great saphenous vein procedures were performed. We were unable to locate any instances in the literature of ACD accompanied by nocturnal rest pain that resembled the case we have presented. At a seventeen-year follow-up, the patient’s condition was reported as normal with no intermittent claudication or rest pain in the left lower limb. |
| format | Article |
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| institution | DOAJ |
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| spelling | doaj-art-375df3eaaf30421e8065a4e6d2b03aa02025-08-20T02:44:42ZengMDPI AGLife2075-17292025-01-0115213710.3390/life15020137Adventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest PainGrigol Keshelava0Serguei Malikov1Department of Vascular Surgery, Clinic Healthycore, 0112 Tbilisi, GeorgiaDepartment of Vascular Surgery, Nancy University Hospital, 54500 Nancy, FranceArterial cystic disease (ACD) affecting the popliteal artery (PA) is a rare form of non-atherosclerotic vascular disease. This cystic tumor is defined by the accumulation of a mucinous substance in the adventitia. Treatment options include percutaneous cyst aspiration, percutaneous transluminal balloon angioplasty, the evacuation of the cyst through a surgical approach, and resection of the affected artery segment followed by arterial reconstruction using autologous venous or prosthetic grafting. Our hospital received a 36-year-old man who had an intermittent claudication and periodically nocturnal rest pain in the left lower limb. Duplex scanning and CTA showed an entrapment of the left PA by a structure related to the arterial wall with an approximate 80% stenosis. The pedal and posterior tibial pulses faded when the knee was flexed. The ACD of the PA was diagnosed. An excision of an affected arterial segment and revascularization of the PA with great saphenous vein procedures were performed. We were unable to locate any instances in the literature of ACD accompanied by nocturnal rest pain that resembled the case we have presented. At a seventeen-year follow-up, the patient’s condition was reported as normal with no intermittent claudication or rest pain in the left lower limb.https://www.mdpi.com/2075-1729/15/2/137adventitial cystpopliteal arteryrest pain |
| spellingShingle | Grigol Keshelava Serguei Malikov Adventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest Pain Life adventitial cyst popliteal artery rest pain |
| title | Adventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest Pain |
| title_full | Adventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest Pain |
| title_fullStr | Adventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest Pain |
| title_full_unstemmed | Adventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest Pain |
| title_short | Adventitial Cystic Disease of the Popliteal Artery with Nocturnal Rest Pain |
| title_sort | adventitial cystic disease of the popliteal artery with nocturnal rest pain |
| topic | adventitial cyst popliteal artery rest pain |
| url | https://www.mdpi.com/2075-1729/15/2/137 |
| work_keys_str_mv | AT grigolkeshelava adventitialcysticdiseaseofthepoplitealarterywithnocturnalrestpain AT sergueimalikov adventitialcysticdiseaseofthepoplitealarterywithnocturnalrestpain |