Adventitial cystic disease of the popliteal artery: Angioplasty resulting in thrombosis

Academic Article


  • We report a case of adventitial cystic disease of the right popliteal artery in a 43-year-old female patient admitted with complaints of her right foot "falling asleep," claudication, and cool toes for 6 days. Noninvasive studies indicated some degree of arterial insufficiency of the right lower extremity. The lesion was identified by angiography and treated with percutaneous transluminal angioplasty resulting in segmental thrombosis of the popliteal artery. The patient subsequently underwent resection of the abnormal segment of the blood vessel and interposition vein grafting. Endovascular treatment of this disease process with currently available technology is not the treatment of choice. In the acute setting, the best treatment option is resection of the affected segment of blood vessel and interposition grafting.
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  • Gupta N; Spangler E
  • Volume

  • 9
  • Issue

  • 9