Wetenschap
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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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Long Distance Triathlete With Iliac Endofibrosis
A 48 year old long distance triathlete complained of exercise induced thigh pain on the left side for several years. Physical examination in the presence of strongly palpable foot pulses was uneventful at rest, but there was a drop in ankle brachial...
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Management of Endurance Athletes with Flow Limitation in the Iliac Arteries: A Case Series
Introduction: Vascular surgeons increasingly encounter flow limitation of iliac arteries (FLIA) in endurance athletes. An experience of managing this condition is reported. Report: This is a retrospective cohort analysis of prospectively collected data...
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The Investigation and Management of Iliac Artery Endofibrosis: Lessons Learned from a Case Series
Objective/background: The objective was to summarise the lessons learned, and evolution in local practice over the last 7 years, in the investigation and surgical management of iliac artery endofibrosis. Methods: This was a retrospective case series. A...
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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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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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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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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...
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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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Non-traumatic lower limb vascular complications in endurance athletes. Review of literature
Objectives: To review the importance, clinical features, investigations, management and prognosis of non-traumatic vascular injuries, affecting the lower limbs of endurance athletes. Design: Review of literature. Materials and methods: A literature...
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Background: There is increasing recognition that high-performance athletes can develop symptomatic arterial flow restriction in one or both (15%) legs due to kinking and/or endofibrosis of their iliac arteries. Methods: Case report and review based on...
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External iliac artery endofibrosis: a new possible predisposing factor
External iliac artery endofibrosis (EIAE) is an uncommon disease that affects a large number of athletes. The pathogenesis of EIAE is unclear. We offer an additional possible cause, with a direct relationship between EIAE and psoas muscle hypertrophy....
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Objective: Avid competition bicycling may be associated with the development of external iliac artery stenosis. European studies have documented endofibrosis that primarily has affected young men. Our objective was to review the histopathologic...
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Vascular complications in high-performance athletes
Purpose: The purpose of this study was to evaluate our experience with the diagnosis and management of vascular injuries in a group of high-performance athletes. Methods: Between June 1994 and June 2000, we treated 26 patients who sustained vascular...
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Purpose: This study defined how ankle arterial blood pressure measurements should be analyzed for the detection of moderate arterial disease (asymptomatic while walking). We used external iliac artery endofibrosis as a unique model of an isolated...
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External iliac artery stenosis in a young body builder
With increased interest in vigorous sports for competition or leisure, the number of related injuries has increased. Arterial complications are rare, but have been described in competition cyclists' and longdistance runners. We describe a case of...