ArticleJournal of vascular surgery cases and innovative techniques2026
Popliteal cystic adventitial disease unmasked by intravascular ultrasound.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Cystic adventitial disease (CAD) of the popliteal artery is a rare, nonatherosclerotic cause of intermittent claudication that often mimics peripheral arterial disease, leading to misdiagnosis. We report a 60-year-old man with progressive claudication and duplex evidence of popliteal occlusion. After lesion crossing, intravascular ultrasound (IVUS) revealed a cystic intramural lesion consistent with CAD, prompting surgical repair with complete symptom resolution. A focused literature review identified five IVUS-diagnosed cases, predominantly in middle-aged men. Conventional imaging frequently failed to establish the diagnosis. IVUS reliably identified CAD and guided appropriate management when standard imaging was inconclusive.
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