Wetenschap
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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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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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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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Diagnosing external iliac endofibrosis by postexercise ankle to arm index in cyclists
Purpose: The aim of this study was to determine a noninvasive method of evaluating external iliac endofibrosis in cyclists. Methods: Eighteen highly trained male cyclists were divided into two groups: a pathology group (PG; 3 professional and 4 elite)...
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Purpose: This study compared ankle to brachial pressure indices (ABPI) before and after maximal exercise in three groups in order to investigate maximal exercise testing and ABPI as a useful procedure for the differential diagnosis of exercise-induced...
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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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In current medical practice new disease entities are encountered scarcely. However, sometimes due to progress in knowledge and especially due to application of new diagnostic techniques, unknown diseases may still be found and unravelled. The current...
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Cyclist's iliac syndrome: temporary relief by balloon angioplasty
External iliac stenosis due to endofibrosis is a rare condition that predominantly affects top level cyclists. Short term symptomatic relief is reported in an Olympian after percutaneous transluminal angioplasty, which was performed to allow the...
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Exercise-induced External Iliac Artery Intimal Fibrosis: Confirmation with Intravascular Ultrasound
EXTERNAL iliac artery intimal fibrosis is an uncommon entity that causes transient lower extremity ischemic symptoms in well-trained athletes, particularly cyclists. Diagnosis requires a high index of suspicion and is supported by noninvasive vascular...
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External Iliac Artery Endofibrosis in a Young Cyclist
An 18-year-old cyclist was referred to the laboratory for unexplained pain in his left lower limb during exercise. He had started competition at 14 years of age and had cycled ≈10 000 km/y in the preceding 5 years. He had complained for 18 months of a...
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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...
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Dissection of the external iliac artery in highly trained athletes
We report a series of four acute external iliac artery dissections occurring in three patients within days of completion of ultraendurance athletic events. Acute dissection of the external iliac artery in highly trained athletes after competition has...
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Intermittent claudication in a professional rugby player
Intermittent claudication in a professional rugby player is described. The typical features of a delayed and difficult diagnosis of an external iliac artery stenosis were found. The noninvasive diagnostic protocol used to investigate this young patient...
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External iliac artery thrombosis
On attendance at the neurovascular clinic at the Manchester Royal Infirmary, patients with the symptoms of intermittent claudication undergo a routine clinical examination which enables the underlying vascular disease to be assessed (Boyd et al.,...