Wetenschap
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External iliac artery endofibrosis in an elite female endurance cyclist
External iliac artery endofibrosis is a rare pathology that affects high-level endurance athletes, especially cyclists. Classical symptoms include pain, loss of power, and/or cramp in the affected limb while training at maximal effort. The patient's...
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Exercise induced leg pain due to endofibrosis of external iliac artery
Due to monotonous movement patterns, muscular hypertrophy, and increased cardiac output peripheral vasculature of athletes are subject to extreme stresses during athletic performance. Individuals suffering from exercise induced non-traumatic lower leg...
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Claudicatio des jungen Menschen Vaskuläre Kompressionssyndrome der unteren Extremität
Die Claudicatio beim jungen Menschen ist eine seltene Entität. In Abwesenheit bekannter Risikofaktoren der Atherosklerose ist die klassische periphere arterielle Verschlusskrankheit (pAVK) als Ursache eher unwahrscheinlich. An Differenzialdiagnosen...
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Debilitating Claudication in an Ultramarathon Runner: A Case of Iliac Artery Endofibrosis
External iliac artery endofibrosis is characterized by intimal fibrosis and often presents as a gradual decrease of exercise capacity due to exertional claudication-like symptoms, traditionally of the lower extremities.1 The data on the prevalence of...
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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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Peripheral Vascular Imaging Focusing on Nonatherosclerotic Disease
A variety of nonatherosclerotic diseases affect the arteries of the pelvis and lower extremities. Chronic repetitive traumatic conditions, such as popliteal entrapment and external iliac artery fibroelastosis, vasculitis and connective tissue diseases,...
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Long Distance Triathlete With Iliac Endofibrosis
A 48 year old long distance triathlete complained of exercise induced thigh pain on the left side for several years. Physical examination in the presence of strongly palpable foot pulses was uneventful at rest, but there was a drop in ankle brachial...
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A 45-year-old woman was presented with a 2-year history of left lower limb claudication symptoms occurring only during long-distance running. Multimodal imaging with exercise duplex ultrasonography and magnetic resonance angiogram confirmed the...
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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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Diagnosis and management of external iliac endofibrosis: A case report
External iliac artery endofibrosis is an uncommon, nonatherosclerotic disease seen in endurance cyclists. It is poorly identified by providers. These otherwise healthy patients usually present with symptoms of arterial insufficiency, such as thigh or...
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External Iliac Artery Endofibrosis in a Female Cyclist: A Case Report
External iliac artery endofibrosis is a rare disease described mainly in male endurance athletes. It presents as claudication of the lower limb during near-maximum effort. The patients lack the usual risk factors for atherosclerosis, which makes...
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Endurance cyclists have a substantial risk to develop flow limitations in the iliac arteries during their career. These flow limitations are due to extreme hemodynamic stress which may result in functional arterial kinking and/or intravascular lesions....
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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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Don’t Just Blame it on the Veins: An Update on Vascular Exertional Limb Pain
Exertional limb pain is a common problem encountered in recreational and competitive athletes. Affecting both the upper and lower extremities, this broad entity can be musculoskeletal, vascular, neurologic, oncologic, or infectious in origin. This...
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The main goal of the present document is to provide a set of practical recommendations for ultrasound imagers who are interested in artery diseases or for physicians who intend to undertake vascular procedures. This is the first part of the work. It is...
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MRI to investigate iliac artery wall thickness in triathletes
Objectives: Endofibrosis was first described in endurance athletes. This rare disease is characterized by intimal hyperplasia of iliac arteries. Due to non-specific symptoms diagnosing could be very challenging and delayed. This represents a serious...
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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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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...