Wetenschap
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We determined the diagnostic, surgical, and long-term quality of life outcomes for patients with iliac artery endofibrosis, an underrecognized disease that affects the performance and well-being of elite endurance athletes. {dearflip id=79}
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A Tale of 2 Wheels: When Too Much "Spinning" Can Get You in Trouble
Cycling is a worldwide sport passionately practiced and followed by millions of people across the globe. While many of us see it as an enjoyable leisure activity or a healthy way to commute to and from work, for some recreational cyclists it can become...
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External iliac artery Endofibrosis in a professional cyclist
We present a case of a 30-year-old female professional cyclist who presented with right thigh claudication while performing high-intensity efforts. Based on the typical clinical history and the presence of a smooth long segment diffuse narrowing in the...
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Iliofemoral Artery Endofibrosis Associated with Microembolization
Endoluminal fibrosis is a rarely described cause of exertional claudication in athletes. It typically is located to the external iliac artery,but has been described in the femoral segment as well. Rare reports have described arterial changes as a nidus...
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In high level endurance competition, 10-20% of the athletes suffer from claudication symptoms. The underlying causes can be intravascular lesion such as endofibrosis, or functional lesions such as kinking and/or excessive length of vessel. We discuss a...
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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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Vascular Disease Patient Information Page: External iliac artery endofibrosis
External iliac artery endofibrosis (EIAE), also known as ‘cyclist’s iliac syndrome’, is an uncommon condition typically affecting young high-endurance athletes. Though EIAE was first described in the 1980s as a cause of lower leg pain in professional...
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Infection of prosthetic vascular grafts can manifest as pain, pseudoaneurysms, or arterial insufficiency in the leg. We present the case of a female patient with a medical history of a right external iliac artery endofibrosis, with a persistently...
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Short- and long-term results of operative iliac artery release in endurance athletes
Objective: Endurance athletes can develop intermittent claudication due to sports-related flow limitations of the iliac artery (FLIA) caused by arterial kinking. In the present study, we investigated the short- and long-term efficacy of an operative...
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The ankle-brachial index is an accurate tool for detecting claudication in atherosclerotic patients. However, this technique fails to identify subtle flow limitations of the iliac arteries (FLIA) in endurance athletes. Near-infrared spectroscopy (NIRS)...
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Subtle radiographic findings can increase the challenge of diagnosing external iliac artery endofibrosis. We evaluated a new metric, the bicycle exercise ankle brachial index recovery time (BART), in a cohort of cyclists with symptomatic external iliac...
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External iliac artery endofibrosis in an elite female endurance cyclist
External iliac artery endofibrosis is a rare pathology that affects high-level endurance athletes, especially cyclists. Classical symptoms include pain, loss of power, and/or cramp in the affected limb while training at maximal effort. The patient's...
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A phenomenological and multiscale modeling of arterial growth and remodeling under endofibrosis
High level endurance sports, like biking, may lead to a vascular pathology called endofibrosis. Its symptoms are an arterial wall thickening and a reduction of the artery lumen calibre. Cyclists are impacted in the iliac arteries due to a pinching and...
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Debilitating Claudication in an Ultramarathon Runner: A Case of Iliac Artery Endofibrosis
External iliac artery endofibrosis is characterized by intimal fibrosis and often presents as a gradual decrease of exercise capacity due to exertional claudication-like symptoms, traditionally of the lower extremities.1 The data on the prevalence of...
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Objectives: Approximately one in five professional cycling athletes will eventually develop a sport-related vascular problem. However, detecting such flow limitation is a diagnostic challenge as the sensitivity of the currently available standard...
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Purpose: To prospectively compare the diagnostic capabilities of computed tomography angiography (CTA) to those of digital subtraction angiography (DSA) in endurance athletes with suspicion of arterial endofibrosis. Materials and methods: Forty-five...
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Exercise-induced arterial endofibrosis is an uncommon entity that is most frequently identified in high-performance athletes, especially cyclists. We present this disease in a male professional cyclist of 22 years of age. The course of his condition,...
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Ankle and arm pressure recordings for the diagnosis of exercise-induced arterial endofibrosis
BACKGROUND: Measurement of ankle and brachial blood pressure after maximal exercise is largely used to diagnose exercise‑induced arterial endofibrosis (EIAE). AIMS AND OBJECTIVES: We aimed to compare the different available methods and combination of...
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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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A 45-year-old woman was presented with a 2-year history of left lower limb claudication symptoms occurring only during long-distance running. Multimodal imaging with exercise duplex ultrasonography and magnetic resonance angiogram confirmed the...