Die iliakale Endofibrose im Hochleistungssport - eine diagnostische interdisziplinäre Herausforderung

01 december 2023 Hintergrund: Die iliakale Endofibrose (IE) ist eine seltene arterielle Erkrankung bei Ausdauerathleten, insbesondere Radrennfahrern und Triathleten. Die Diagnostik gilt als Herausforderung, die Latenz vom Beginn erster Symptome bis zur Diagnosestellung...

External Iliac Artery Endofibrosis: A Discussion on Two Unique Cases

01 september 2023 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...

Compelling intermediate-term data on the operative treatment of iliac endofibrosis

01 augustus 2023 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...

Common Femoral Artery Curvature During Hip Flexion

01 juli 2023 Purpose: To assess the conformational changes of the common femoral artery (CFA) during hip joint flexion in patients without atherosclerosis. Methods: Patients who underwent digital subtraction angiography for suspicion of arterial endofibrosis...

Short- and long-term outcomes after endarterectomy with autologous patching in endurance athletes with iliac artery endofibrosis

14 april 2023 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...

Iliac artery flow limitation in athletes: novel diagnostics, efficacy and safety after surgery

13 april 2023 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...

Endofibrosis as a cause of peripheral artery disease: a comprehensive review and proposal of two novel algorithms for diagnosis and treatment

01 februari 2023 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...

Acute limb ischemia secondary to external iliac and common femoral artery dissection in a body builder

01 januari 2023 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...