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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Athlete’s iliac artery endofibrosis—the inguinal ligament plays a major role
Background Athlete's iliac artery syndrome, first described in 1984, is a condition in which the iliac arteries, typically the external iliac, develop endofibrosis, leading to arterial stenosis and blood flow disruption during exercise. The syndrome...
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Diagnostic Approach and Management of Iliac Artery Endofibrosis in Athletes: A Scoping Review
Iliac artery endofibrosis (IAE) is a rare vascular condition with an estimated global prevalence of 0.01%. It primarily affects endurance athletes, especially cyclists, and often presents with exercise-induced leg discomfort or reduced performance....
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L’endofibrose artérielle (EA) iliaque externe est une maladie vasculaire non-athéromateuse spécifique du sportif. 90% des patients sont des cyclistes jeunes sans facteur de risque de maladie cardiovasculaire traditionnelle. L’EA est une lésion...
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Introduction: Injury and illness rates within cycling are a growing concern for riders, medical personnel, and event organisers. This study is the first to document injury and illness rates in professional cyclists throughout one competitive season...
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Background: Flow limitations in the iliac arteries (FLIA) is a sport-related vascular condition increasingly recognised as an occupational risk for professional cyclists and other endurance athletes. Surgical reconstruction is the definitive treatment...
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External Iliac Artery Endofibrosis: A Systematic Literature Review and a Report of Two Cases
Background: External iliac artery endofibrosis is a non-atherosclerotic disease. It affects young individuals, particularly cyclists. Materials and Methods: A systematic literature review was conducted to highlight the intriguing aspects of this...
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Pedaling Through Pain: A Case Report of Iliac Artery Endofibrosis in a Competitive Cyclist
Iliac artery endofibrosis (IAE) is a rare cause of leg pain in young, healthy endurance athletes, particularly in male competitive cyclists. The prevailing hypothesis suggests that it is due to mechanical trauma of the iliac artery from long-standing...
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External iliac artery endofibrosis in females: Case reports and review of the literature
In the past four decades, reports of an unusual vascular disease affecting young and otherwise healthy endurance athletes have begun to emerge. This rare entity has been coined as external iliac artery endofibrosis (EIAE). It has been primarily...
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Long-term outcome of percutaneous endovascular stenting in external iliac artery endofibrosis
Background: External iliac artery endofibrosis (EIAE) is a rare vascular disease which has been traditionally seen in avid cyclists. The conventional approach has been surgery, although no high-quality evidence suggests superiority of surgery over...
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Iliac artery endofibrosis: diagnostic dilemna and treatment options
Background: External iliac artery endofibrosis (EIAE) is an uncommon pathology, predominantly occurring in cyclists, caused by thickening of the external iliac artery intima. Symptoms are exercise-dependent and typically consist of pain, muscle cramps...
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External Iliac Artery Endofibrosis: A Discussion on Two Unique Cases
Iliac artery endofibrosis (IAE), as the name suggests, involves subintimal fibrosis of the iliac artery. IAE is most commonly associated with competitive athletics, particularly cycling, and remains a rather underappreciated diagnosis in the clinical...
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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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Iliac artery flow limitation in athletes: novel diagnostics, efficacy and safety after surgery
Atherosclerosis is the most common cause for an iliac artery flow limitation, typically in older patients. However, diminished perfusion of the leg may also occur in young, otherwise healthy endurance athletes especially if they are engaged in cycling...
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Endofibrosis is a rare condition affecting blood vessels, occurring mainly among young healthy athletes. This condition arises as progressive stenosis of the iliac arteries, which attenuates the blood circulation of the limb, thus leading to pain...
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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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Diagnosing Sport-Related Flow Limitations in the Iliac Arteries Using Near-Infrared Spectroscopy
Background: A flow limitation in the iliac arteries (FLIA) in endurance athletes is notoriously difficult to diagnose with the currently available diagnostic tools. At present, a commonly used diagnostic measure is a decrease in ankle brachial index...
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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...