Popliteal artery occlusion caused by cystic adventitial disease: Successful treatment by urokinase followed by nonresectional cystotomy  Russell H. Samson,

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Presentation transcript:

Popliteal artery occlusion caused by cystic adventitial disease: Successful treatment by urokinase followed by nonresectional cystotomy  Russell H. Samson, MD, FACS, Paul D. Willis, MD  Journal of Vascular Surgery  Volume 12, Issue 5, Pages 591-593 (November 1990) DOI: 10.1016/0741-5214(90)90017-5 Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Preoperative composite arteriogram shows occlusion of the right popliteal artery with reconstitution and three-vessel runoff. Arrows mark area occluded by cyst. Journal of Vascular Surgery 1990 12, 591-593DOI: (10.1016/0741-5214(90)90017-5) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Posturokinase angiogram demonstrates typical “scimitar sign.” Journal of Vascular Surgery 1990 12, 591-593DOI: (10.1016/0741-5214(90)90017-5) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Postcompletion intraoperative arteriogram, demonstrates full restoration of the arterial lumen. Black arrows mark original extent of cyst. Journal of Vascular Surgery 1990 12, 591-593DOI: (10.1016/0741-5214(90)90017-5) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 After incision of the total length of the cyst. The inner media is clearly visualized. Journal of Vascular Surgery 1990 12, 591-593DOI: (10.1016/0741-5214(90)90017-5) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions