Colombier D, Elias A, Rousseau H, Otal P, Leger P, Joffre F
Service de Radiologie, Unité INSERM U 305, Toulouse.
J Mal Vasc. 1997 Jul;22(3):181-6.
Popliteal artery entrapment and adventitial cystic disease are the main causes of claudication in young patients. Adventitial cystic disease is a rare vascular pathology mostly affecting the popliteal artery but other localisations have been reported. Diagnosis and therapeutic management of adventitial cystic disease and particularly percutaneous aspiration are presented.
The authors report six cases (four men and two women; mean age: 55) of CAD of the popliteal artery (n = 4) and unusual cases in the femoral artery (n = 1) and in the femoral vein (n = 1) explored by sonography, computed tomography (CT), magnetic resonance imaging (MRI) and angiography. Five patients were initially treated by CT-guided aspiration and one with endoprosthesis.
Sonography, CT or MRI are more useful to establish the diagnosis because these techniques can directly visualize the arterial wall. All these patients but one have been treated by percutaneous method with a good functional outcome but surgical intervention was necessary for two of them because of cysts recurrence.
Our experience suggests that percutaneous CT-guided aspiration is the first treatment option for small cysts but close long-term follow-up is necessary to detect recurrence.
腘动脉受压和外膜囊肿性疾病是年轻患者间歇性跛行的主要原因。外膜囊肿性疾病是一种罕见的血管病变，主要影响腘动脉，但也有其他部位受累的报道。本文介绍了外膜囊肿性疾病的诊断和治疗方法，尤其是经皮抽吸术。
作者报告了6例腘动脉囊肿性疾病（4例男性，2例女性；平均年龄55岁），其中4例为腘动脉病变，1例为股动脉病变，1例为股静脉病变，均通过超声、计算机断层扫描（CT）、磁共振成像（MRI）和血管造影进行检查。5例患者最初接受CT引导下抽吸治疗，1例接受内置假体治疗。
超声、CT或MRI对诊断更有帮助，因为这些技术可以直接观察动脉壁。除1例患者外，所有患者均接受了经皮治疗，功能恢复良好，但其中2例因囊肿复发需要手术干预。
我们的经验表明，CT引导下经皮抽吸术是小囊肿的首选治疗方法，但需要密切的长期随访以检测复发情况。
