radiologyРадиология — практикаRadiology - Practice2713-0118Центральный научно-исследовательский институт лучевой диагностикиradiology-39Research ArticleПРОДОЛЖЕННОЕ МЕДИЦИНСКОЕ ОБРАЗОВАНИЕCONTINUING MEDICAL EDUCATIONКистозная болезнь адвентиции подколенной артерии (обзор литературы и клинический случай)Cystic Adventitial Disease of the Popliteal Artery (Literature Review and Case Report)ЗахматоваТ. В.ZakhmatovaT. V.tvzakh@mail.ruЕгороваЕ. А.EgorovaE. A.tylsit@mail.ruФГБОУ ВО «Северо-Западный государственный медицинский университет им. И. И. Мечникова» Минздрава РоссииРоссияMechnikov North-West State Medical University, Ministry of Healthcare RussiaRussian FederationФГБОУ ВО «Московский государственный медико-стоматологический университет им. А. И. Евдокимова» Минздрава РоссииРоссияMoscow State Medical University of Medicine and Dentistry named after A. I. Evdokoimov, Ministry of Healthcare of RussiaRussian Federation201828122018063545Copyright © Захматова Т.В., Егорова Е.А., 20182018Захматова Т.В., Егорова Е.А.Zakhmatova T.V., Egorova E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.radp.ru/jour/article/view/39

Кистозная болезнь адвентиции - редкое заболевание неизвестной этиологии, которое является причиной односторонней перемежающейся хромоты, характеризуется образованием множественных муцинсодержащих кист в адвентиции артериальной стенки и приводит к нарушению кровотока. Болезнь встречается преимущественно у молодых здоровых мужчин, наиболее часто поражается подколенная артерия (85 % случаев). Кистозная дегенерация адвентиции 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. Представляем обзор литературы по вопросам этиологии, диагностики и лечения этого необычного состояния и проводим демонстрацию клинического случая.

Cystic adventitial disease 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). Cystic adventitial degeneration can be diagnosed by duplex ultrasound, magnetic resonance imaging, magnetic resonance angiography, or computed tomographic angiography. Surgery is the primary mode of treatment, including 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 literature review of 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.