Wetenschap
Dankzij wetenschappelijk onderzoek kunnen we blijven streven naar betere inzichten en zorg voor sporters wereldwijd.
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Endofibrosis of the External Iliac Artery
A 25-year-old male professional cyclist presented with claudication at his left leg. He consulted his sports physician two months ago with lumbalgia and ischiatiform pain at his left leg. MRI of the lumbar spine was performed and did not reveal any...
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In the general population, vascular causes of exercise-induced limb discomfort are most often the result of peripheral artery disease (PAD) due to atherosclerosis. However, several other clinical entities can often mimic the symptoms of atherosclerotic...
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Introduction: High performance athletes, predominantly professional cyclists, can develop symptomatic arterial flow restriction in one or both legs during exercise. The ischemic symptoms are caused by endofibrosis and/or kinking of the external iliac...
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SIR 2008 Annual Meeting Film Panel Case: Arterial Endofibrosis
The patient was a 31-year-old Armenian-American woman, single and nulliparous. She was an avid amateur athlete, formerly successful in competitive long-distance running and road bicycling. She had a 2-year history of bilateral thigh claudication during...
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Iliac Artery Endofibrosis in Athletes: A Case Series
Introduction Endofibrosis of the external iliac arteries (IE) occurs in some high-performance athletes, particularly female cyclists, and causes leg pain on extreme exertion. Establishing the diagnosis in these cases is challenging, because a vascular...
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Isquemia crónica dos membros inferiores, de etiologia não aterosclerótica, em desportistas jovens
Although rare, the iliac endofibrosis and the popliteal artery entrapment syndrome are undoubtfully recognized as causes of intermittent claudication in young patients, particularly in athletes. The authors report the clinical case of a young female...
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Exertional Leg Pain: Teasing Out Arterial Entrapments
Vascular causes of exertional lower extremity pain are relatively rare, but may be the answer in athletes refractory to treatment for the more common overuse syndromes of the lower extremities. It is important to differentiate these vascular causes...
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We describe a case of external iliac artery endofibrosis in an amateur competitive runner. The diagnosis was made by a combination of hemodynamic, angiographic and histopathological assessment and percutaneous revascularization was performed using a...
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Bilateral dissection of external iliac artery
External iliac artery (EIA) dissection and especially bilateral involvement is very rare. We report the case of a 49-year-old male intense bicyclist who had presented a dissection of the left EIA responsible for claudication. He underwent an...
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External iliac artery occlusion in a young female cyclist
After 8 years of high performance training in mountain biking, a top female athlete, aged 23, first complained of diffuse, exercise-induced pain in both thighs. Over a period of the next 4 years, a slight but continuous reduction in her performance was...
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The development of sports activities in the over forties has increased the number of middle-aged patients performing heavy-load exercise. The normal response of ankle systolic blood pressure (ASBP) and ankle to brachial index (ABI) to intense exercise...
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Arteriopathy in the high-performance athlete
Pain occurs frequently in high-performance athletes and is most often due to musculoskeletal injury or strain. However, athletes who participate in sports that require highly frequent, repetitive limb motion can also experience pain from an underlying...
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Simultaneous arterial pressure recordings improve the detection of endofibrosis
Purpose: Exercise improves the diagnostic performance of ankle-to-brachial index (ABI) in the detection of exercise-induced arterial endofibrosis (EIAE). Pressure values for all four limbs are required to calculate ABI, but rapid systemic pressure...
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Pedal Force Measurement for Diagnosing Iliac Artery Diseases in Endurance Athletes
Introduction: Endurance athletes, especially speed skaters and cyclists, may suffer from pain, early fatigue and a powerless feeling in the legs when cycling above specific exercise intensities. These complaints are associated with a disturbed balance...
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The aim of this article is to report our experience in the diagnosis of two cases of iliac artery endofibrosis or arteriopathy, a rare entity occurring in high-performance athletes, presenting with intermittent claudication (right-sided in both) after...
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Claudicatio intermittens bij een 26-jarige wielrenner
Een 26-jarige man, een amateurwielrenner, zonder risicofactoren voor vaatlijden of een voorafgaand trauma presenteerde zich met claudicatieklachten van de linker kuit. Bij aanvullend onderzoek werd een occlusie van de A. iliaca externa opgespoord....
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Iliac Artery Syndrome: Successful Outcome After Endarterectomy and Vein Patch Angioplasty
Iliac artery syndrome has been described in competition cyclists or other endurance athletes who present with claudication during intense activity. It may be difficult to diagnose, as the patient's pulses and ankle brachial pressure index (ABPI) are...
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RADSPORT: Funktionelle Gefäßobstruktionen bei Hochleistungsradsportlern
Zusammenfassung Schmerzen in den Beinen sind bei Athleten häufige Beschwerden. Bei Hochleistungssportlern, die sportbedingt eine Fehlhaltung mit vermehrter Hüftbeugung einnehmen müssen (Radsportler, Eisschnellläufer) sind in ca. 20% der Fälle...
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Objective: Review of a 10 year-experience, to evaluate the efficacy of pre-operative investigations in the detection of external iliac artery (EIA) endofibrosis in top endurance athletes. Design: Retrospective study. Materials: From September 1995 to...
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Endofibrosis of the iliac arteries: an underestimated problem
Arterial endofibrosis is a recently discovered artery disease that is specific to endurance athletes. Cycling is the sport that has shown the greatest number of cases. The endofibrosis is located most frequently in the external iliac artery, but other...