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Cystic Adventitial Disease
T. Gregory Walker, MD, FSIR; Rahul Sheth, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Rare vascular disorder characterized by focal cystic accumulation of mucinous fluid in arterial adventitia
              • Affects arteries adjacent to large joints
              • Clinically may present with sudden onset of intermittent claudication in young male patients

          IMAGING

          • General Features

            • Imaging Recommendations

              • MR Findings

                • Ultrasonographic Findings

                  • Angiographic Findings

                    • CT Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Bucci F et al: Cystic adventitial disease of the popliteal artery. Vascular. 20(6):311-3, 2012
                                          2. Paravastu SC et al: A contemporary review of cystic adventitial disease. Vasc Endovascular Surg. 46(1):5-14, 2012
                                          3. Sucandy I et al: Surgical management of cystic adventitial disease of the popliteal artery. Am Surg. 78(6):E333-4, 2012
                                          4. Wick MC et al: Claudication due to cystic adventitial degeneration: a classical differential diagnosis of atherosclerotic peripheral artery disease. Circulation. 125(15):1926-7, 2012
                                          5. Wiwanitkit V: Cystic adventitial disease and high spatial resolution magnetic resonance imaging. Ann Vasc Surg. 26(3):443, 2012
                                          6. Baxter AR et al: Cystic adventitial disease of the popliteal artery: is there a consensus in management? Vascular. 19(3):163-6, 2011
                                          7. Tsilimparis N et al: Cystic adventitial disease of the popliteal artery: An argument for the developmental theory. J Vasc Surg. 45(6):1249-1252, 2007
                                          8. Buijsrogge MP et al: "Intermittent claudication intermittence" as a manifestation of adventitial cystic disease communicating with the knee joint. Ann Vasc Surg. 20(5):687-9, 2006
                                          9. Fox CJ et al: Cystic adventitial disease of the popliteal artery. J Vasc Surg. 39(6):1351, 2004
                                          10. Elias DA et al: Clinical evaluation and MR imaging features of popliteal artery entrapment and cystic adventitial disease. AJR Am J Roentgenol. 180(3):627-32, 2003
                                          11. Inoue Y et al: A case of popliteal cystic degeneration with pathological considerations. Ann Vasc Surg. 6(6):525-9, 1992
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Rare vascular disorder characterized by focal cystic accumulation of mucinous fluid in arterial adventitia
                                                      • Affects arteries adjacent to large joints
                                                      • Clinically may present with sudden onset of intermittent claudication in young male patients

                                                  IMAGING

                                                  • General Features

                                                    • Imaging Recommendations

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Angiographic Findings

                                                            • CT Findings

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Bucci F et al: Cystic adventitial disease of the popliteal artery. Vascular. 20(6):311-3, 2012
                                                                                  2. Paravastu SC et al: A contemporary review of cystic adventitial disease. Vasc Endovascular Surg. 46(1):5-14, 2012
                                                                                  3. Sucandy I et al: Surgical management of cystic adventitial disease of the popliteal artery. Am Surg. 78(6):E333-4, 2012
                                                                                  4. Wick MC et al: Claudication due to cystic adventitial degeneration: a classical differential diagnosis of atherosclerotic peripheral artery disease. Circulation. 125(15):1926-7, 2012
                                                                                  5. Wiwanitkit V: Cystic adventitial disease and high spatial resolution magnetic resonance imaging. Ann Vasc Surg. 26(3):443, 2012
                                                                                  6. Baxter AR et al: Cystic adventitial disease of the popliteal artery: is there a consensus in management? Vascular. 19(3):163-6, 2011
                                                                                  7. Tsilimparis N et al: Cystic adventitial disease of the popliteal artery: An argument for the developmental theory. J Vasc Surg. 45(6):1249-1252, 2007
                                                                                  8. Buijsrogge MP et al: "Intermittent claudication intermittence" as a manifestation of adventitial cystic disease communicating with the knee joint. Ann Vasc Surg. 20(5):687-9, 2006
                                                                                  9. Fox CJ et al: Cystic adventitial disease of the popliteal artery. J Vasc Surg. 39(6):1351, 2004
                                                                                  10. Elias DA et al: Clinical evaluation and MR imaging features of popliteal artery entrapment and cystic adventitial disease. AJR Am J Roentgenol. 180(3):627-32, 2003
                                                                                  11. Inoue Y et al: A case of popliteal cystic degeneration with pathological considerations. Ann Vasc Surg. 6(6):525-9, 1992