Bicycle exercise ankle brachial index recovery time as a novel metric for evaluating the hemodynamic significance of external iliac endofibrosis in competitive cyclists
Diagnostics
  • Title: Bicycle exercise ankle brachial index recovery time as a novel metric for evaluating the hemodynamic significance of external iliac endofibrosis in competitive cyclists
  • Open Access: Ja
  • Language: English
  • Year: 2021
  • DOI/URL: https://doi.org/10.1016/j.jvscit.2021.08.013
  • Publication Date: 01-09-2021
  • Journal: Elsevier - Journal of Vascular Surgery Cases Innovations and Techniques
  • Authors:

    Kenneth Tran, Shernaz S Dossabhoy, Sabina Sorondo and Jason T Lee
  • Pubmed ID: 34746530

Subtle radiographic findings can increase the challenge of diagnosing external iliac artery endofibrosis. We evaluated a new metric, the bicycle exercise ankle brachial index recovery time (BART), in a cohort of cyclists with symptomatic external iliac artery endofibrosis. BART was defined as the time required in minutes for the ankle brachial index to return to 0.9 after a period of exercise. Surgical correction resulted in an improvement in BART postoperatively (4.5 ± 4.1 vs 9.1 ± 4.3 minutes; P < .001), with improved values correlating with better patient satisfaction. Documentation of the BARTs before and after surgical treatment provides an additional measure of postoperative hemodynamic improvement.

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