The etiology and management of cystic adventitial disease

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Presentation transcript:

The etiology and management of cystic adventitial disease Nicholas M. Desy, MD, FRCSC, Robert J. Spinner, MD Journal of Vascular Surgery Volume 60, Issue 1, Pages 235-245.e11 (July 2014) DOI: 10.1016/j.jvs.2014.04.014 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2009 flow diagram depicting our search strategy and study selection for the systematic review. CAD, Cystic adventitial disease. Journal of Vascular Surgery 2014 60, 235-245.e11DOI: (10.1016/j.jvs.2014.04.014) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Artistic drawing demonstrating the various sites of cystic adventitial disease (CAD) reported in the human body in the world's literature. STFJ, Superior tibiofibular joint. By permission of Mayo Foundation for Medical Education and Research. All rights reserved. Journal of Vascular Surgery 2014 60, 235-245.e11DOI: (10.1016/j.jvs.2014.04.014) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Magnetic resonance (MR) images of cystic adventitial disease (CAD) of the radial artery. A, Axial T1-weighted fast spoiled gradient-recalled echo image with fat suppression after contrast at the level of the radiocarpal joint shows a nonenhancing cyst extending into the adventitia of the radial artery (asterisk). B, Oblique sagittal T2-weighted fast spin echo image with fat suppression shows the origin of the adventitial cyst from the far radial aspect of the radiocarpal joint with proximal extension of the cyst along the radial artery (asterisk). RS, Radial styloid. Journal of Vascular Surgery 2014 60, 235-245.e11DOI: (10.1016/j.jvs.2014.04.014) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 Intraoperative photographs of a patient treated at our institution for cystic adventitial disease (CAD) of the popliteal artery. A, Adventitial cyst with an identified knee joint connection. B, Large cystic mass contained within the adventitia of the popliteal artery. C, Incision of the adventitia of the popliteal artery with the emergence of cyst fluid after cyst decompression. Courtesy of Peter Gloviczki, MD. Journal of Vascular Surgery 2014 60, 235-245.e11DOI: (10.1016/j.jvs.2014.04.014) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 5 The articular (synovial) theory for cystic adventitial disease (CAD) formation within the popliteal artery. Reproduced from Spinner et al.2 By permission of Mayo Foundation for Medical Education and Research. All rights reserved. Journal of Vascular Surgery 2014 60, 235-245.e11DOI: (10.1016/j.jvs.2014.04.014) Copyright © 2014 Society for Vascular Surgery Terms and Conditions