Adventitial cystic disease of the radial artery
Adriano Carvalho Guimarães1, Ricardo Herkenhoff Moreira2, Walter Junior Boim de Araujo3
1V&P Health Excelência Médica, Santo Antônio da Platina, PR, Brasil.
Insights
Adventitial cystic disease (ACD) is a rare radial artery condition. Surgical resection and preservation of the artery effectively treat ACD, preventing recurrence.
Area of Science:
- Vascular Surgery
- Radiology
- Case Reports
Background:
- Adventitial cystic disease (ACD) is an uncommon condition affecting peripheral arteries, particularly the popliteal artery.
- ACD of the radial artery is exceptionally rare, with limited documented cases.
Observation:
- A 62-year-old male patient with diabetes, hypertension, and chronic kidney disease presented for arteriovenous fistula creation.
- A cystic lesion was identified in the radial artery during the planned surgical procedure.
Findings:
- The cystic lesion was surgically resected, preserving the radial artery.
- Arteriovenous fistula creation was successfully completed following the resection.
Implications:
- Early diagnosis and surgical intervention are crucial for managing radial artery ACD.
- This approach can prevent serious complications and reduce the likelihood of disease recurrence.
Abstract:
Adventitial cystic disease (ACD) of the radial artery is a rare condition, with few cases described in the literature. We report the case of a 62-year-old white male with a history of diabetes, hypertension, and chronic kidney disease with indications for renal replacement therapy who was found to have a cystic lesion of the radial artery while undergoing surgical creation of an arteriovenous fistula. The surgical technique adopted was resection of the cystic segment and preservation of the radial artery. Fistula creation was completed successfully. Early diagnosis and appropriate treatment of ACD are effective, and can prevent complications and recurrence.
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