Wetenschap
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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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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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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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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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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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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...
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Past, present and future of arterial endofibrosis in athletes: a point of view
Exercise-induced arterial endofibrosis (EIAE) is now a 20-year-old concept. Initially observed in highly trained cyclists, it has been found in many other male and female endurance athletes. Most stenoses are located on the first centimetres of the...
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Approximately one in five top-level cyclists will develop sports-related flow limitations in the iliac arteries. These flow limitations may be caused by a vascular lumen narrowing due to endofibrotic thickening of the intima and/or by kinking of the...
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Background Athletes may present with arterial problems that are unusual in the typical patient with peripheral vascular disease. They are often handicapped only at the extremes of physical exertion and may have normal arterial pulses beyond any...
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Flow limitations in the iliac arteries of endurance athletes during exercise were previously ascribed solely to intravascular lesions. We postulate that functional kinking of the arteries can also result in flow limitations. However, the diagnostic...
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Leg complaints at maximal exercise in endurance athletes may have many causes, including arterial flow limitations in the iliac arteries. Such flow limitations can evolve into serious health problems due to increasing intravascular obstruction or even...
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Purpose: Kinking of the iliac arteries can cause flow limitations in endurance athletes. Such kinking may be treated by surgical release of the iliac arteries. However, when the length of the iliac artery is excessive, this may not be effective....
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Background: Endurance athletes often have restrictions in flow in their iliac arteries during exercise. Such restrictions have previously been ascribed solely to intravascular lesions. We postulate that flow could also be restricted by functional...
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Claudicación intermitente en el adulto joven: arteriopatía no arteriosclerótica
Aim Intermittent claudication in young adults (ICYA) of a non-arteriosclerotic etiology is an infrequent disorder and this means that on many occasions diagnosis is delayed in generally active patients, leading to incapacity and loss of productivity....