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Clinical results of cystic excision for popliteal artery cystic adventitial disease: long-term benefits of preserving the intact intima.

Abstract：

:Surgical treatment for popliteal artery cystic adventitial disease (PACAD) is still controversial. PACAD often occurs in young or middle-aged adults. Therefore, the maintenance of graft patency for very long periods is a concern if a prosthesis is used. Because the intima is intact in PACAD patients with popliteal artery stenosis, a treatment that preserves the healthy intima is ideal. We describe the cases of 3 patients who underwent cystic excision for PACAD with severe stenosis. No recurrence was observed for up to 11 years, and these long-term results revealed that cystic excision could be reconsidered as one of the first-line therapeutic methods.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Kikuchi S,Sasajima T,Kokubo T,Koya A,Uchida H,Azuma N

doi

10.1016/j.avsg.2014.01.016

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

1567.e5-8

issue

6

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(14)00086-7

journal_volume

28

pub_type

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