Wetenschap
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Iliofemoral Artery Endofibrosis Associated with Microembolization
Endoluminal fibrosis is a rarely described cause of exertional claudication in athletes. It typically is located to the external iliac artery,but has been described in the femoral segment as well. Rare reports have described arterial changes as a nidus...
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In high level endurance competition, 10-20% of the athletes suffer from claudication symptoms. The underlying causes can be intravascular lesion such as endofibrosis, or functional lesions such as kinking and/or excessive length of vessel. We discuss a...
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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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Endofibrose arterial: relato de caso
A endofibrose arterial é uma doença vascular que caracteriza-se pelo espessamento arterial com acometimento das artérias ilíaca externa, femoral comum e poplítea. A população de risco inclui os ciclistas e triatletas. Seu quadro clínico inclui dor e...
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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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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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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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Exercise-induced arterial endofibrosis is an uncommon entity that is most frequently identified in high-performance athletes, especially cyclists. We present this disease in a male professional cyclist of 22 years of age. The course of his condition,...
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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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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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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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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,...
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Arterial endofibrosis is a vascular disease that typically affects the external iliac artery in young patients who undergo extreme exercise, mainly bicyclists.1 The diagnosis is indirectly suspected when these extreme athletes undergo ankle-brachial...
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Gefäßerkrankungen bei Triathlete
Die überwiegende Mehrzahl der Triathleten weist keinerlei kardiovaskuläre Risikofaktoren auf. Dennoch gibt es bei diesem für uns Gefäßchirurgen untypischen Patientenklientel zunehmend Berichte über arterielle Komplikationen. In der Literatur werden 3...
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Pedal power measurement as a diagnostic tool for functional vascular problems
Background: Cyclists with flow limitations in the iliac arteries complain of pain and loss of power. To investigate whether pedal power measurement has added value in diagnosing the underlying cause of flow limitations in the iliac arteries, we...
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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...