Wetenschap
Dankzij wetenschappelijk onderzoek kunnen we blijven streven naar betere inzichten en zorg voor sporters wereldwijd.
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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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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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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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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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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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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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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...
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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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Intravascular Ultrasound as a Valuable Tool in Iliac Endofibrosis Diagnostics
Iliac endofibrosis (IE) may cause lower limb ischaemia in younger endurance athletes (cyclists, triathletes, and long distance runners) as a result of subintimal fibrosis of predominantly the external iliac artery. Typical symptoms are reversible...
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Vascular Disease Patient Information Page: External iliac artery endofibrosis
External iliac artery endofibrosis (EIAE), also known as ‘cyclist’s iliac syndrome’, is an uncommon condition typically affecting young high-endurance athletes. Though EIAE was first described in the 1980s as a cause of lower leg pain in professional...
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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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The ankle-brachial index is an accurate tool for detecting claudication in atherosclerotic patients. However, this technique fails to identify subtle flow limitations of the iliac arteries (FLIA) in endurance athletes. Near-infrared spectroscopy (NIRS)...
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L’endofibrose est une pathologie vasculaire du sportif de haut niveau, principalement le cycliste, mais aussi le coureur ou le skieur de fond, le joueur de rugby ou de football. Elle est définie comme un épaississement progressif du mur endothélial de...
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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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A phenomenological and multiscale modeling of arterial growth and remodeling under endofibrosis
High level endurance sports, like biking, may lead to a vascular pathology called endofibrosis. Its symptoms are an arterial wall thickening and a reduction of the artery lumen calibre. Cyclists are impacted in the iliac arteries due to a pinching and...
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Purpose: To prospectively compare the diagnostic capabilities of computed tomography angiography (CTA) to those of digital subtraction angiography (DSA) in endurance athletes with suspicion of arterial endofibrosis. Materials and methods: Forty-five...
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Ankle and arm pressure recordings for the diagnosis of exercise-induced arterial endofibrosis
BACKGROUND: Measurement of ankle and brachial blood pressure after maximal exercise is largely used to diagnose exercise‑induced arterial endofibrosis (EIAE). AIMS AND OBJECTIVES: We aimed to compare the different available methods and combination of...
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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,...