Wetenschap
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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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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...