Wetenschap
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Vascular complications in high-performance athletes
Purpose: The purpose of this study was to evaluate our experience with the diagnosis and management of vascular injuries in a group of high-performance athletes. Methods: Between June 1994 and June 2000, we treated 26 patients who sustained vascular...
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Purpose: This study defined how ankle arterial blood pressure measurements should be analyzed for the detection of moderate arterial disease (asymptomatic while walking). We used external iliac artery endofibrosis as a unique model of an isolated...
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In current medical practice new disease entities are encountered scarcely. However, sometimes due to progress in knowledge and especially due to application of new diagnostic techniques, unknown diseases may still be found and unravelled. The current...
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Cyclist's iliac syndrome: temporary relief by balloon angioplasty
External iliac stenosis due to endofibrosis is a rare condition that predominantly affects top level cyclists. Short term symptomatic relief is reported in an Olympian after percutaneous transluminal angioplasty, which was performed to allow the...
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Exercise induced leg pain in young athletes misdiagnosed as pain of musculo-skeletal origin
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Exercise-induced External Iliac Artery Intimal Fibrosis: Confirmation with Intravascular Ultrasound
EXTERNAL iliac artery intimal fibrosis is an uncommon entity that causes transient lower extremity ischemic symptoms in well-trained athletes, particularly cyclists. Diagnosis requires a high index of suspicion and is supported by noninvasive vascular...
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Pain and powerless feeling in the leg during cycling may indicate a serious problem that limits the performance in cyclists. Apart from the well-known muscular and neurological origin, such complaints can also be attributed to flow limitations in the...
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External Iliac Artery Endofibrosis in a Young Cyclist
An 18-year-old cyclist was referred to the laboratory for unexplained pain in his left lower limb during exercise. He had started competition at 14 years of age and had cycled ≈10 000 km/y in the preceding 5 years. He had complained for 18 months of a...
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External iliac artery endofibrosis: a 40-year course
External iliac artery endofibrosis is a rare disease affecting mainly highly trained cyclists. As the disease has only recently been described, the long term spontaneous evolution of external iliac artery endofibrosis is not known. We report a...
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External Iliac Artery Endofibrosis in Athletes
Atherosclerosis and inflammatory arterial diseases are rare in young people. Since the early 1980s, an increasing incidence of iliac arterial stenosis in competition cyclists has been reported. Histological findings in these individuals are specific,...
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Lower Extremity Arterial Disease in Sports
The recent description of exercise-induced intimal fibrosis affecting mainly the iliac artery (and therefore usually described as external iliac artery endofibrosis) has dramatically changed the diagnostic approach of unexplained recurrent lower limb...
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There have been recent reports of exercise induced claudication in endurance trained athletes attributed to narrowing of the external iliac artery. Most patients have been competitive cyclists, and intimal hyperplasia has been cited as the cause. The...
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Stenosis of the external iliac artery in healthy athletes, although uncommon, has been reported in competition cyclists. A case of a racing cyclist whose chronic vague leg symptoms were incorrectly attributed to L4/5 nerve root irritation is reported....
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External iliac artery stenosis in a young body builder
With increased interest in vigorous sports for competition or leisure, the number of related injuries has increased. Arterial complications are rare, but have been described in competition cyclists' and longdistance runners. We describe a case of...
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Dissection of the external iliac artery in highly trained athletes
We report a series of four acute external iliac artery dissections occurring in three patients within days of completion of ultraendurance athletic events. Acute dissection of the external iliac artery in highly trained athletes after competition has...
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Echography of external iliac artery endofibrosis in cyclists
Forty-eight cyclists were studied for suspected external iliac artery endofibrosis with ultrasound B-mode imaging. In highly trained competition cyclists, symptoms of external iliac artery endofibrosis were characterized by lower limb claudication...
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Intermittent claudication in a professional rugby player
Intermittent claudication in a professional rugby player is described. The typical features of a delayed and difficult diagnosis of an external iliac artery stenosis were found. The noninvasive diagnostic protocol used to investigate this young patient...