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Published on: March 31, 2023
Cystic adventitial disease-case series and review of literature
Shuo Li1, Brian N King2, Noel Velasco1
1Department of Radiology, Yale New Haven Health - Bridgeport Hospital, Bridgeport, CT, USA.
Insights
Cystic adventitial disease (CAD) is a rare vascular condition affecting arteries, primarily the popliteal artery. Diagnosis involves clinical suspicion and imaging, with treatment options including surgery or aspiration, though recurrence is possible.
Area of Science:
- Vascular Surgery
- Radiology
- Medical Diagnostics
Background:
- Cystic adventitial disease (CAD) is a rare, non-atherosclerotic vascular disorder.
- It predominantly affects the popliteal artery in middle-aged males.
- The etiology remains uncertain, lacking a consensus agreement.
Abstract:
Cystic adventitial disease (CAD) is a rare vascular disorder that involves the arteries and rarely the veins, most commonly found in the popliteal artery of male patients. Etiology of CAD is uncertain and currently without a consensus agreement. Clinically, the most common presenting symptom is claudication. Diagnosis requires a strong clinical suspicion in patients with intermittent claudication, but without other risk factors for atherosclerotic disease. Angiography, ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) can all be used for diagnosis. Treatment of CAD can be done via surgical resection or percutaneous intervention such as aspiration. CAD can rarely recur after treatment.
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