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  • Title: Clinical results of cystic excision for popliteal artery cystic adventitial disease: long-term benefits of preserving the intact intima.
    Author: Kikuchi S, Sasajima T, Kokubo T, Koya A, Uchida H, Azuma N.
    Journal: Ann Vasc Surg; 2014 Aug; 28(6):1567.e5-8. PubMed ID: 24530570.
    Abstract:
    Surgical treatment for popliteal artery cystic adventitial disease (PACAD) is still controversial. PACAD often occurs in young or middle-aged adults. Therefore, the maintenance of graft patency for very long periods is a concern if a prosthesis is used. Because the intima is intact in PACAD patients with popliteal artery stenosis, a treatment that preserves the healthy intima is ideal. We describe the cases of 3 patients who underwent cystic excision for PACAD with severe stenosis. No recurrence was observed for up to 11 years, and these long-term results revealed that cystic excision could be reconsidered as one of the first-line therapeutic methods.
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