Surgical Strategy to Reduce the Recurrence of Adventitial Cystic Disease after Treatment
Vascular Specialist International
;
: 217-224, 2019.
Article
in English
| WPRIM
| ID: wpr-786692
ABSTRACT
PURPOSE:
Adventitial cystic disease (ACD) is a rare condition that causes intermittent claudication and non-atherosclerotic disease without cardiovascular risk factors. The etiology and optimal treatment of ACD remain controversial. The purpose of this study was to analyze surgical treatment results for ACD and to elucidate optimal treatment options.MATERIALS ANDMETHODS:
We retrospectively reviewed 30 patients with ACD who underwent surgery from 2006 to 2018. Twenty-two patients had arterial ACD, six had venous ACD, and two had combined venous and arterial ACD. We reviewed demographic and clinical characteristics, treatment details, and procedure outcomes.RESULTS:
Recurrence occurred in 6 cases either after cyst excision alone (4/17) or patch angioplasty (2/2). There was no recurrence after vessel excision with interposition grafting (0/7). Therefore, vessel excision was a statistically significant factor in recurrence prevention (P=0.026). Among the six recurrences, joint connections of the cystic lesions were found in four of the six (66.7%).CONCLUSION:
As a curative surgery for ACD, vessel excision with interposition grafting is a better strategy to prevent recurrence than simple cyst excision alone.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Retrospective Studies
/
Risk Factors
/
Angioplasty
/
Transplants
/
Adventitia
/
Intermittent Claudication
/
Joints
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Vascular Specialist International
Year:
2019
Type:
Article
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