Wetenschap
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Thrombosis of external iliac artery due to endofibrosis
A 53-year-old cyclist without any cardiovascular or thrombotic risk factors attended the emergency department for pain and a sensation of cold in the right leg the day after a cycling outing. The patient started cycling at the age of 28 years and...
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Minimally invasive surgical repair of iliac artery endofibrosis
Iliac artery endofibrosis is an uncommon condition, which should be considered in young athletes with exertional lower limb symptoms. Imaging often appears normal at rest, and the diagnosis can be missed if clinical assessment is inadequate. We report...
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External iliac artery fibrosis in endurance athletes successfully treated with bypass grafting
Endofibrosis of the external iliac artery is a rare cause of performance-limiting claudication in elite athletes. We describe a 47-year-old male competitive cyclist and a 52-year-old female former international triathlete, with unilateral and bilateral...
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Vasospasm as a cause for claudication in athletes with external iliac artery endofibrosis
Background: Exercise-induced external iliac artery endofibrosis (EIAE) is rare and has been described primarily in endurance male cyclists. Clinically, it presents as claudication during maximal exercise with quick resolution after exercise. Most...
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Lower limb vascular dysfunction in cyclists
Sports-related vascular insufficiency affecting the lower limbs is uncommon, and early signs and symptoms can be confused with musculoskeletal injuries. This is also the case among professional cyclists, who are always at the threshold between...
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Exertional leg pain in the athlete
Exertional leg pain is a common condition seen in athletes and the general population. Although the differential diagnosis of exertional leg pain is broad, this article focuses on the incidence, anatomy, pathophysiology, clinical presentation,...
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[External Iliac Artery Endofibrosis in Marathoner] 마라토너에서 발생한 외장골동맥의 혈관섬유증
Endofibrosis of the external iliac arteries (IE) occurs in some high-performance athletes can develop symptomatic arterial flow restriction in one or both (15%) legs due to kinking and/or IE, particularly female cyclists, and causes leg pain on extreme...
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Endofibrose de l’artère iliaque externe diagnostiquée par écho-doppler post-effort
Résumé L’endofibrose artérielle est une pathologie de découverte récente qui touche le sportif de haut niveau, avec une prédominance chez les cyclistes. La localisation préférentielle est l’artère iliaque externe. La symptomatologie est hétérogène...
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Results of external iliac artery reconstruction in avid cyclists
Objective: We report the midterm results of external iliac artery reconstruction in 25 high-performance cyclists. Methods: Cyclists undergoing arterial reconstruction for symptomatic external iliac arteriopathy at a single institution between October...
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Introduction: Endurance athletes may suffer from intermittent claudication. A subgroup of 16% has severe iliac artery stenosis due to endofibrosis. In this study we report the short- and mid-term results of endarterectomy with venous patching....
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Endofibrosis and Kinking of the Iliac Arteries in Athletes: A Systematic Review
Introduction: Kinking and endofibrosis of the iliac arteries are uncommon and poorly recognized conditions affecting young endurance athletes. Deformation or progressive stenosis of the iliac artery may reduce blood flow to the lower limb and adversely...
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External iliac artery endofibrosis describes an intimal subendothelial fibrosis leading to wall thickening and stenosis that has been described in high-performance athletes. There are anatomical, mechanical, and probably metabolic factors that may...
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Objective: The purpose of this article is to review the role of imaging in the diagnosis, treatment, and follow-up of patients with sport-related flow limitations in the iliac arteries. Conclusion: Endurance athletes can develop flow restriction during...
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Cycling related common femoral artery disease: an unusual case in an otherwise healthy male
A cyclist reported gradual onset, bilateral leg claudication without any atherosclerotic risk factors and with a normal vascular examination. Duplex ultrasound and magnetic resonance angiography revealed bilateral focal stenoses due to coralline...
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Acute thrombosis of external iliac artery secondary to endofibrosis
Iliac endofibrosis is a rare condition caused by chronic wall stress and a subsequent progressive fibrosis that usually affects the external iliac artery. It can present with intermittent claudication and is most commonly found in young athletes...
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Vascular disorders in athletes
Athletes rarely present with symptoms or clinical findings suggestive of vascular disease. However, vascular etiologies should be considered when an athlete complains of persistent symptoms which are refractory to conservative therapies commonly used...
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External iliac artery dissection secondary to endofibrosis in a cyclist
Endofibrosis of the external iliac artery is an uncommon disease affecting primarily young, otherwise healthy, endurance athletes. Thigh pain during maximal exercise with quick resolution postexercise is characteristic of the so-called cyclist's iliac...
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External iliac vein stenosis owing to prolonged cycling
Prolonged cycling has previously been associated with external iliac artery stenosis, termed "cyclists' iliac syndrome." However, no association between external iliac vein stenoses and cycling has been previously described. We describe a unique case...
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Endofibrosis in athletes: is a simple bedside exercise helpful or sufficient for the diagnosis?
Objective: Ankle-to-brachial index (ABI) can be easily performed by all physicians. The Ruffier-Dickson (RD) test is an easy procedure to attain moderate exercise at the bedside for physicians who do not have an ergometer. Design: Retrospective...
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Iliac artery compression in cyclists: mechanisms, diagnosis and treatment
Objectives: To review the mechanisms, diagnosis and treatment options for symptomatic iliac artery compression in cyclists. Methods: Pubmed, Medline, Embase and Google were searched using combinations of the terms 'iliac artery disease', 'iliac artery...