Wetenschap
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External iliac artery endofibrosis is a recognized cause of exertional leg claudication in young, high-endurance athletes. However, significant diagnostic delays often occur owing to the inability of standard testing to replicate exercise-induced...
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Compelling intermediate-term data on the operative treatment of iliac endofibrosis
The paper by van Hooff et al. presents longer term follow-up on a large number of patients with iliac endofibrosis who have undergone operative repair with endarterectomy and patching (excluding those treated only for a kink, which they have previously...
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Objective: Endurance athletes such as cyclists may develop intermittent claudication owing to iliac artery endofibrosis after long-lasting extreme hemodynamic challenges. This study investigated short-term (5 years) satisfaction and safety after a...
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Spontaneous external iliac artery dissection in highly trained athletes is becoming more recognized, but the reason as to why they are occurring remains a mystery. We present a patient with acute limb ischemia secondary to arterial dissection after...
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Objective: Endurance athletes are prone to develop flow limitations in iliac arteries (FLIA). Especially in cyclists and ice speed skaters, excessive hemodynamic loading coupled with hip hyperflexion may cause kinking in lengthened iliac arteries...
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We determined the diagnostic, surgical, and long-term quality of life outcomes for patients with iliac artery endofibrosis, an underrecognized disease that affects the performance and well-being of elite endurance athletes. {dearflip id=79}
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Iliofemoral Artery Endofibrosis Associated with Microembolization
Endoluminal fibrosis is a rarely described cause of exertional claudication in athletes. It typically is located to the external iliac artery,but has been described in the femoral segment as well. Rare reports have described arterial changes as a nidus...
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Infection of prosthetic vascular grafts can manifest as pain, pseudoaneurysms, or arterial insufficiency in the leg. We present the case of a female patient with a medical history of a right external iliac artery endofibrosis, with a persistently...
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Short- and long-term results of operative iliac artery release in endurance athletes
Objective: Endurance athletes can develop intermittent claudication due to sports-related flow limitations of the iliac artery (FLIA) caused by arterial kinking. In the present study, we investigated the short- and long-term efficacy of an operative...
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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...
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Overview of arterial pathology related to repetitive trauma in athletes
Background/objective: Sport-related vascular trauma is an important consequence of increased physical activity. Repetitive, high-intensity movements predispose athletes to vascular disease, including arterial pathology, by exerting increased pressure...
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Objective: High-performance athletes can develop symptomatic arterial flow restriction during exercise caused by endofibrosis. The pathogenesis is poorly understood; however, coagulation enzymes, such as tissue factor (TF) and coagulation factor Xa,...
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Arterial endofibrosis is a vascular disease that typically affects the external iliac artery in young patients who undergo extreme exercise, mainly bicyclists.1 The diagnosis is indirectly suspected when these extreme athletes undergo ankle-brachial...
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Bilateral external iliac artery thrombosis due to endofibrosis in a 33-year-old female triathlete
External iliac artery endofibrosis is a rare disease predominantly affecting young, male elite performance athletes. The disease is characterized by fibrosis and hypertrophy of the intimal layer of the arterial wall and is likely due to multiple...
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Operative Results of Iliac Artery Endofibrosis in High-Performance Athletes
Objective Prior reports have documented excellent early results after surgery for external iliac endofibrosis in cyclists. We sought to evaluate our long-term functional outcomes in this select cohort of patients. Methods Patients undergoing...
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Intravascular ultrasound imaging as a novel tool for the diagnosis of endofibrosis
Given the rise of high-intensity sport athletes and the paucity of literature on endofibrosis, we describe a novel adjunctive imaging technique to aid in diagnosis. A 41-year-old female triathlete presented with exercise-limiting claudication. Results...
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Minimally invasive surgical repair of iliac artery endofibrosis
Iliac artery endofibrosis is an uncommon condition, which should be considered in young athletes with exertional lower limb symptoms. Imaging often appears normal at rest, and the diagnosis can be missed if clinical assessment is inadequate. We report...
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Results of external iliac artery reconstruction in avid cyclists
Objective: We report the midterm results of external iliac artery reconstruction in 25 high-performance cyclists. Methods: Cyclists undergoing arterial reconstruction for symptomatic external iliac arteriopathy at a single institution between October...
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External iliac artery dissection secondary to endofibrosis in a cyclist
Endofibrosis of the external iliac artery is an uncommon disease affecting primarily young, otherwise healthy, endurance athletes. Thigh pain during maximal exercise with quick resolution postexercise is characteristic of the so-called cyclist's iliac...
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Introduction: High performance athletes, predominantly professional cyclists, can develop symptomatic arterial flow restriction in one or both legs during exercise. The ischemic symptoms are caused by endofibrosis and/or kinking of the external iliac...