Wetenschap
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Management of Endurance Athletes with Flow Limitation in the Iliac Arteries: A Case Series
Introduction: Vascular surgeons increasingly encounter flow limitation of iliac arteries (FLIA) in endurance athletes. An experience of managing this condition is reported. Report: This is a retrospective cohort analysis of prospectively collected data...
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Management of a complicated triathlete’s bilateral iliac artery endofibrosis
Introduction: Iliac artery endofibrosis (IAE) is an uncommon disease, poorly studied pathology with devastating effects and different therapeutic approaches affecting young people who practise intensive sports, especially cyclists. The evolution of the...
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The Investigation and Management of Iliac Artery Endofibrosis: Lessons Learned from a Case Series
Objective/background: The objective was to summarise the lessons learned, and evolution in local practice over the last 7 years, in the investigation and surgical management of iliac artery endofibrosis. Methods: This was a retrospective case series. A...
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A Rare Case of Intermittent Claudication Associated with Impaired Arterial Vasodilation
Exercise-related intermittent claudication is marked by reduced blood flow to extremities caused by either stenosis or impaired vascular function. Although intermittent claudication is common in the elderly, it rarely occurs in the young and...
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Long-term results of the surgical treatment of external iliac endofibrosis
The surgery of external iliac endofibrosis (EIE) is considered only in top sportspeople, who are always very demanding. For this reason it remains debated. The aim of our study was to evaluate the long-term results, seldom reported, of this surgery.
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The investigation and management of peripheral arterial diseases in elderly patients, frequently with multiple co-morbidities, are familiar to all vascular surgeons. These patients are at high risk of limb loss and premature death and intervention is...
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Arterial pathologies in athletes
Identification and treatment of arterial pathologies in athletes can present a significant challenge because symptoms may be nonspecific and standard examination is often unremarkable. Sportspeople frequently experience long delays to diagnosis, during...
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Peripheral Non-atherosclerotic Arterial Disorders: What Radiologists Need to Know
Peripheral non-atherosclerotic arterial disorders (NAADs) are a heterogeneous group of rather uncommon conditions that tend to manifest in subjects without atherosclerosis. Each of these conditions has distinctive pathophysiology; however, there are...
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While it is crucial to recognize that atherosclerosis is the most common etiology for lower extremity ischemia, it is important to know the non-atherosclerotic causes of limb ischemia. Since these pathologies are not as prevalent as atherosclerosis,...
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External Iliac Artery Vasospasm in an Elite Female Runner
A 33-year-old elite female runner presented to a tertiary care sports medicine clinic with a 2-year history of progressive anterior thigh and circumferential leg pain with associated foot paresthesias brought on by high-intensity running. She had both...
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A Case of Endofibrosis Presenting with Embolic Symptoms in a 43-Year-Old Cyclist
Background: Endofibrosis is a rare clinical entity that usually manifests as claudication in cyclists and other endurance athletes. We report a case of a 43-year-old cyclist presenting with pain and cyanosis of his toes due to an embolism to his left...
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External iliac artery endofibrosis is a rare medical condition typically encountered in young endurance athletes, mainly cyclists. Iliac endofibrosis usually develops in the external iliac artery and is rarely seen in the common iliac or in common...
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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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Diagnosis and Management of Iliac Artery Endofibrosis: Results of a Delphi Consensus Study
Objective: Iliac endofibrosis is a rare condition that may result in a reduction of blood flow to the lower extremity in young, otherwise healthy individuals. The data to inform everyday clinical management are weak and therefore a Delphi consensus...
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Color Doppler Ultrasound Imaging in the Assessment of Iliac Endofibrosis
Endofibrosis (EF) of the iliac arteries is a flow-limiting condition typically seen in highly trained endurance athletes. Thirty-seven athletes (74 limbs) were referred to our department with suspected EF. All patients had a pre- and postexercise color...
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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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Iliac artery endofibrosis Case study of an elite triathlete
Progressive stenosis of the iliac artery, known as iliac artery endofibrosis, is poorly recognized by primary care physicians. It is mainly found in male endurance cyclists who are younger than 40 years of age.1,2 Because vascular disease is unexpected...
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Endofibrosis: an unusual cause of leg pain in an athlete
Endofibrosis of the external iliac artery can occur as a rare complication of high endurance physical activities, particularly cycling, running, and rowing. Symptoms mimic claudication and typically occur with vigorous exercise and improve with rest....
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Exertional leg pain is a common condition seen in runners and the general population. Given the broad differential diagnosis of this complaint, this article focuses on the incidence, anatomy, pathophysiology, clinical presentation, diagnostic...
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Arterial endofibrosis in professional cyclists
External Iliac Artery Endofibrosis (EIAE) is an uncommon disease usually affecting young, otherwise healthy, patients. It usually involves cyclists but cases have been reported in other groups of endurance athletes. The external iliac artery is the...