- Title: External Iliac Artery Endofibrosis in a Young Cyclist
- Open Access: Ja
- Language: English
- Year: 1999
- DOI/URL: https://doi.org/10.1161/01.cir.100.5.e38
- Publication Date: 1999-08-03
- Journal: AHA/ASA - Circulation
- Pubmed ID: 10430824
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 subjective sensation of a painful and swollen left thigh at maximal exercise. Different physiotherapies and treatments proved unsuccessful. Clinical investigation and ankle-to-brachial indices at rest were normal (1.10 on the left side and 1.15 on the right side). An incremental (50 W/3 min) bicycle exercise test was stopped at 330 W because of pain. Ankle-to-brachial pressure measurements showed a fall of left-side values <0.5. Ultrasound imaging showed typical lesions of endofibrosis, consisting of a mildly echoic thickening of the left myointimal border (normally ≈0.3 mm) in an axial view of the iliac arteries (Figure 1). On arteriography (Figure 2), the stenosis was evident only when the arterial diameter of the proximal left iliac artery was compared with the contralateral iliac artery or the femoral segment. Surgery consisted of shortening the artery, resection of the fibrotic lesions, and enlargement of the artery with a saphenous vein patch. Figure 3 shows the histological findings of severe stenosis (≈75% of the vessel lumen) on cross section of the artery. Three years after surgery, the patient is asymptomatic during exercise.
- Title: External iliac artery endofibrosis: a 40-year course
- Open Access: Nee
- Language: English
- Year: 1997
- DOI/URL: https://www.minervamedica.it/en/journals/sports-med-physical-fitness/article.php?cod=R40Y1997N04A0297
- Publication Date: 1997-12-01
- Journal: Minerva Medica - The Journal of Sports Medicine and Physical Fitness
- Pubmed ID: 9509830
External iliac artery endofibrosis is a rare disease affecting mainly highly trained cyclists. As the disease has only recently been described, the long term spontaneous evolution of external iliac artery endofibrosis is not known. We report a suspected case of forty-year spontaneous evolution of endofibrosis in a former competition cyclist. The results of this isolated original report suggest, as we intuitively presumed, that the lesions may stabilise when intensive training is stopped. Therefore, when no symptoms are noted on usual daily activity or submaximal exercise, surgery should not be performed. Surgery should only be considered, at the request of the subjects to allow them to continue competing.
- Title: Traumatic occlusion of the external iliac artery in a racing cyclist: a cause of ill defined leg pain
- Open Access: Nee
- Language: English
- Year: 1997
- DOI/URL: https://doi.org/10.1136/bjsm.31.2.155
- Publication Date: 1997-06-01
- Journal: BMJ - British Journal of Sports Medicine
- Pubmed ID: 9192134
Stenosis of the external iliac artery in healthy athletes, although uncommon, has been reported in competition cyclists. A case of a racing cyclist whose chronic vague leg symptoms were incorrectly attributed to L4/5 nerve root irritation is reported. This highlights the importance of clinical vascular testing when assessing ill defined leg pain. The role of trauma as a causative factor in this condition has not been previously documented.
- Title: Endofibrosis de la arteria ilíaca externa.
- Open Access: Nee
- Language: Spanish
- Year: 1997
- DOI/URL: https://www.apunts.org/en-endofibrosis-arteria-iliaca-externa--articulo-X0213371797056075
- Publication Date: 1997-09-01
- Journal: Apunts - Sports Medicine
Un ciclista de 23 años de edad y de categoria "élite" y que compite en carretera, nos consulta por un dolor a nivel del músculo vasto externo del cuadríceps de la pierna derecha. Este dolor es de aparición aguda, claudicante, relacionado con la intensidad de la solicitación física, se mantiene constante hasta que
no disminuye la intensidad de la pedalada y por este motivo le impide afrontar los momentos más intensos de la competición. El cuadro se presenta por primera vez hace un año, en el transcurso de una carrera "contra-reloj".
Actualmente en cada carrera presenta una crisis de dolor, idéntica de características, compatible con isquemia a nivel local y que le obliga a aflojar la intensidad de la pedalada. Ahora hace un mes y medio que evita altas intensidades de trabajo al ir en bicicleta y no tiene crisis de dolor, pero cuando pedalea afuerte intensidad le vuelve a pasar.
- Title: Dynamic obstruction of the external iliac artery in endurance athletes and its relationship to endothelial function: the case of a long distance runner
- Open Access: Nee
- Language: English
- Year: 1997
- DOI/URL: https://doi.org/10.1136/bjsm.31.2.156
- Publication Date: 1997-06-01
- Journal: BMJ - British Journal of Sports Medicine
- Pubmed ID: 9192135
There have been recent reports of exercise induced claudication in endurance trained athletes attributed to narrowing of the external iliac artery. Most patients have been competitive cyclists, and intimal hyperplasia has been cited as the cause. The case is reported here of a long distance runner who presented with similar symptoms.