Treatment Failure After Rotational Atherectomy and Balloon Angioplasty in Recurrent Cystic Adventitial Disease of the Popliteal Artery: a Case Report
Abstract Background: Cystic adventitial disease (CAD) is a rare non-atherosclerotic condition in which fluid accumulates in the sub-adventitial layer, compressing the lumen of the arteries and veins. Historically, surgical treatment of CAD is preferred over endovascular or minimally invasive techniques owing to the considerably lower recurrence rates after surgery. Case presentation: We here report the first case in which rotational atherectomy was performed using Jetstream XC (Boston Scientific, Natick, MA) for recurrent CAD. Post-procedure angiography showed that satisfactory increase in the luminal diameter. However, the patient’s symptoms recurred 1 day after procedure, and repeat Computed tomography angiography (CTA) showed recurrent of the disease.Conclusions: Our experience showed that endovascular treatment is not satisfactory for CAD recurrence even with atherectomy.