ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Center10.22328/2079-5343-2018-9-3-85-91ldt-327Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИPRACTICAL CASESКИСТОЗНАЯ БОЛЕЗНЬ АДВЕНТИЦИИ ПОДКОЛЕННОЙ АРТЕРИИCYSTIC ADVENTITIAL DISEASE OF THE POPLITEAL ARTERYЗахматоваТ. В.ZakhmatovаT. V.

Захматова Татьяна Владимировна — кандидат медицинских наук, доцент кафедры лучевой диагностики

191015, Санкт-Петербург, Кирочная ул., д. 41; тел. 8 (905) 283-43-65

St. Petersburg

tvzakh@mail.ruСеверо-Западный государственный медицинский университет им. И. И. МечниковаРоссияNorth-West State Medical University named after I. I. MechnikovRussian Federation201821112018038591Copyright © Захматова Т.В., 20182018Захматова Т.В.Zakhmatovа T.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/327

Кистозная болезнь адвентиции (КБА) — редкое заболевание неизвестной этиологии, которое является причиной односторонней перемежающейся хромоты, характеризуется образованием множественных муцин-содержащих кист в адвентиции артериальной стенки и приводит к нарушению кровотока. Болезнь встречается преимущественно у молодых здоровых мужчин, наиболее часто поражается подколенная артерия (85% случаев). КБА может быть диагностирована с помощью дуплексного сканирования, магнитно-резонансной томографии, магнитно-резонансной ангиографии или компьютерной томографической ангиографии. Основным способом лечения является хирургический метод, включая резекцию пораженного сегмента артерии с заменой резецированного участка венозным или синтетическим трансплантатом. Также возможна чрескожная аспирация кист под ультразвуковым контролем. Мы провели обзор литературы по вопросам этиологии, диагностики и лечения этого необычного состояния и представляем клинический случай.

Cystic adventitial disease (CAD) is a rare cause of unilateral intermittent claudication of unknown aetiology, which is characterized by the formation of multiple mucin-filled cysts in the adventitial layer of the arterial wall resulting in obstruction to blood flow. The disease predominantly presents in young otherwise healthy males and most commonly affects the popliteal artery (85% of cases). CAD can be diagnosed by duplex ultrasound, magnetic resonance imaging, magnetic resonance angiography, or computed tomographic angiography. Surgery is the primary mode of treatment, including exarterectomy, or replacement of the affected vascular segment by venous or synthetic interposition graft. Alternatively, the cysts can be drained by percutaneous ultrasound-guided needle aspiration. We conducted a review of the literature on the aetiology, diagnosis and treatment of this uncommon condition and present the case report.

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The authors declare that there are no conflicts of interest present.