Vasc Spec Int.  2024 Sep;40(3):33. 10.5758/vsi.240070.

Late Treatment Failure after Stenting and Percutaneous Aspiration for Adventitial Cystic Disease in the Popliteal Artery: A Follow-up Case Report

• Lee J
• Min SK

• KMID: 2560039
• DOI: http://doi.org/10.5758/vsi.240070

Abstract

Adventitial cystic disease (ACD), a rare vascular disease characterized by mucus accumulation in the adventitia of blood vessels, typically affects the popliteal artery. We present the case of a 61-year-old female diagnosed with ACD in 2018 who was initially treated with endovascular stenting and percutaneous aspiration of the cyst. The patient, who had been asymptomatic for 5 years, developed a stent fracture and pseudoaneurysm requiring surgical intervention. Despite initial successful treatment, complications such as stent fracture and recurrence can occur; therefore, surgical treatment is recommended to optimize outcomes in patients with ACD. Endovascular treatment and cyst aspiration should only be considered in cases with high surgical risk. After treatment, long-term follow-up and individualized management strategies are important to monitor ACD recurrence.

Keyword

Adventitia; Popliteal cyst; Stents; Pseudoaneurysm; Recurrence