Wetenschap
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Images in vascular medicine. External iliac artery endofibrosis in an amateur runner
A 43-year-old female amateur marathon runner presented with a 3-year history of debilitating left calf pain and paraesthesia, which had gradually progressed to affect the anterior thigh and lumbar region. This was particularly apparent on running and...
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Angiographic evaluation of high performance athletes with endofibrosis
Background Arterial endofibrosis is a non-atherosclerotic lesion affecting the external iliac, as well as the common iliac and common femoral arteries. This lesion is most often seen in competitive cyclists and is thought to arise from repetitive...
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Thrombosis of external iliac artery due to endoļ¬brosis
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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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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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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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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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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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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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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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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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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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...