Popliteal cystic adventitial disease unmasked by intravascular ultrasound

Hasemaki, Natasha; Lichtenberg, Michael; Stavroulakis, Konstantinos (2026): Popliteal cystic adventitial disease unmasked by intravascular ultrasound. Journal of Vascular Surgery Cases, Innovations and Techniques, 12 (4): 102279. ISSN 2468-4287

Abstract

Cystic adventitial disease (CAD) of the popliteal artery is a rare, nonatherosclerotic cause of intermittent claudication that often mimics peripheral arterial disease, leading to misdiagnosis. We report a 60-year-old man with progressive claudication and duplex evidence of popliteal occlusion. After lesion crossing, intravascular ultrasound (IVUS) revealed a cystic intramural lesion consistent with CAD, prompting surgical repair with complete symptom resolution. A focused literature review identified five IVUS-diagnosed cases, predominantly in middle-aged men. Conventional imaging frequently failed to establish the diagnosis. IVUS reliably identified CAD and guided appropriate management when standard imaging was inconclusive.

• Dokumententyp: Artikel (Klinikum der LMU)
• Organisationseinheit (Fakultäten): 07 Medizin > Klinikum der LMU München > Klinik für Allgemeine, Viszeral-, Gefäß- und Transplantationschirurgie
• DFG-Fachsystematik der Wissenschaftsbereiche: Lebenswissenschaften
• DFG: Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - 491502892