{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T02:18:49Z","timestamp":1778206729709,"version":"3.51.4"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Einf\u00fchrung Die zystische Adventitiadegeneration (CAD) ist eine seltene Gef\u00e4\u00dferkrankung; sie betrifft meist M\u00e4nner im mittleren Alter und stellt als nicht atherosklerotische Erkrankung eine ungew\u00f6hnliche Differenzialdiagnose der Claudicatio intermittens dar.<\/jats:p><jats:p>\n          Anamnese Eine 56-j\u00e4hrige Patientin stellte sich wegen unklarer, nicht konstant belastungabh\u00e4ngiger, rechtsseitiger Wadenschmerzen in unserer Praxis vor. Die Beschwerden fluktuierten erheblich mit l\u00e4ngeren beschwerdefreien Intervallen.<\/jats:p><jats:p>\n          Untersuchung und Befunde Klinisch pr\u00e4sentierte die Patientin regelrechte Pulse, welche auch bei Provokationsman\u00f6vern wie Plantarflexion und Kniebeugung erhalten blieben. Duplexsonografisch waren zystische Raumforderungen um die A. poplitea nachweisbar. Bei der MRT-Untersuchung schien zus\u00e4tzlich eine tubul\u00e4re geschl\u00e4ngelte Verbindung zu der Kniegelenkkapsel darstellbar. Die Diagnose einer zystischen Adventitiadegeneration wurde gestellt.<\/jats:p><jats:p>\n          Therapie und Verlauf Bei nicht konstanter Beeintr\u00e4chtigung der Gehleistung mit beschwerdefreien Intervallen sowie fehlenden Zeichen einer Stenosierung wurde eine interventionelle oder chirurgische Therapie seitens der Patientin nicht gew\u00fcnscht. Bei kurzfristigen Verlaufskontrollen konnte \u00fcber eine Beobachtungsdauer von bislang 6 Monaten klinisch und sonomorphologisch ein stabiler Befund erhoben werden.<\/jats:p><jats:p>\n          Diskussion Auch bei weiblichen Patienten mit atypischen Beinbeschwerden sollte eine CAD erwogen werden. Einheitliche Therapieempfehlungen f\u00fcr die CAD liegen nicht vor, weshalb es eine Herausforderung darstellt, das optimale, in der Regel interventionelle Prozedere auszuw\u00e4hlen. Bei beschwerdearmer Klinik ohne kritische Isch\u00e4mie kann jedoch auch ein konservatives Vorgehen mit engmaschigen Verlaufskontrollen gerechtfertigt sein.<\/jats:p>","DOI":"10.1055\/a-1976-4185","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T23:30:26Z","timestamp":1677540626000},"page":"242-245","source":"Crossref","is-referenced-by-count":1,"title":["Seltene Ursache von Wadenschmerzen bei einer 56-j\u00e4hrigen Patientin: die zystische Adventitiadegeneration"],"prefix":"10.1055","volume":"148","author":[{"given":"Frank","family":"Stammler","sequence":"additional","affiliation":[{"name":"Praxis f\u00fcr Gef\u00e4\u00dfmedizin und Venenzentrum, Bad Wildbad, GERMANY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marion","family":"Wenzler","sequence":"additional","affiliation":[{"name":"Praxis f\u00fcr Gef\u00e4\u00dfmedizin und Venenzentrum, Bad Wildbad, GERMANY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"ref1","first-page":"1721","volume-title":"Nonatheromatous popliteal artery disease","author":"TL Forbes","year":"2010"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1002\/bjs.18003413618","article-title":"A case of myxomatous tumour arising in the adventitia of the left external iliac artery","volume":"34","author":"HJB Atkins","year":"1947","journal-title":"Br J Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.jvs.2014.04.014","article-title":"The etiology and management of cystic advential disease","volume":"60","author":"NM Desy","year":"2014","journal-title":"J VAsc Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"publisher","first-page":"190","DOI":"10.3400\/avd.cr.11.00069","article-title":"Adventitial cystic disease of the popliteal artery","volume":"5","author":"S Kawarai","year":"2012","journal-title":"Ann Vasc Dis"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.ejvs.2004.09.006","article-title":"Cystic adventital disease: a trap for the unwary","volume":"29","author":"K Cassar","year":"2005","journal-title":"Eur J VAsc Endovasc Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1148\/radiol.10082211","article-title":"Case 157: bilateral adventital cystic disease of the popliteal artery","volume":"255","author":"M Franca","year":"2010","journal-title":"Radiology"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"621","DOI":"10.2214\/ajr.180.3.1800621","article-title":"Imaging characteristics of cystic adventitial disease of the peripheral arteries: presentation as soft-tissue masses","volume":"180","author":"JJ Peterson","year":"2003","journal-title":"AM J Roentgenol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0950-821X(05)80216-6","article-title":"Cystic adventitial disease of the popliteal artery \u2013 a case of spontaneous resolution","volume":"4","author":"ERTC Owen","year":"1990","journal-title":"Eur J VAsc Surg"},{"key":"ref9","first-page":"1501","article-title":"Cystic disease of the right popliteal artery with spontaneous resolution","volume":"4","author":"GGZ Nippon","year":"1990","journal-title":"J JAp Surg Soc"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1177\/014107680409700208","article-title":"Spontaneous and permanent resolution of cystic adventitial disease of the poplteal artery","volume":"97","author":"R Pursell","year":"2004","journal-title":"J R Soc Med"},{"key":"ref11","first-page":"323","article-title":"Spontaneous regression of a sub-adventitial cyst of the popliteal artery","volume":"20","author":"P Soury","year":"1995","journal-title":"J Mal VAsc"}],"container-title":["DMW - Deutsche Medizinische Wochenschrift"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1976-4185.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:52:32Z","timestamp":1730814752000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1976-4185"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,27]]},"references-count":11,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2023,2,27]]},"published-print":{"date-parts":[[2023,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1976-4185","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0012-0472","1439-4413"],"issn-type":[{"value":"0012-0472","type":"print"},{"value":"1439-4413","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,27]]}}}