Endofibrosis of the External Iliac Artery

01 May 2009 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...

Histopathological comparison between endofibrosis of the high-performance cyclist and atherosclerosis in the external iliac artery

01 December 2008 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...

SIR 2008 Annual Meeting Film Panel Case: Arterial Endofibrosis

01 September 2008 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...

External iliac artery endofibrosis in an amateur runner: hemodynamic, angiographic, histopathological evaluation and percutaneous revascularization

01 August 2007 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...

Arteriopathy in the high-performance athlete

01 December 2006 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...

Simultaneous arterial pressure recordings improve the detection of endofibrosis

01 November 2006 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...

Pedal Force Measurement for Diagnosing Iliac Artery Diseases in Endurance Athletes

31 October 2006 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...

Iliac Artery Syndrome: Successful Outcome After Endarterectomy and Vein Patch Angioplasty

01 June 2006 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...

Comparison Between Duplex Scanning and Angiographic Findings in the Evaluation of Functional Iliac Obstruction in Top Endurance Athletes

01 November 2004 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...

Non-traumatic lower limb vascular complications in endurance athletes. Review of literature

01 July 2004 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...

External Iliac Endofibrosis in Endurance Athletes: A Novel Case in an Endurance Runner and a Review of the Literature

01 December 2003 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...

External iliac artery endofibrosis: a new possible predisposing factor

01 July 2003 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....

Obstructive external iliac arteriopathy in avid bicyclists: New and variable histopathologic features in four women

01 September 2002 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...

Diagnosing external iliac endofibrosis by postexercise ankle to arm index in cyclists

01 February 2002 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)...

Ankle to brachial pressure index in normal subjects and trained cyclists with exercise-induced leg pain

01 November 2001 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...

Vascular complications in high-performance athletes

01 May 2001 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...

Pressure measurements at rest and after heavy exercise to detect moderate arterial lesions in athletes

01 April 2001 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...

Functional vascular problems in the iliac arteries in endurance athletes. A new concept to explain flow limitations: diagnosis and treatment

13 February 2001 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...

Cyclist's iliac syndrome: temporary relief by balloon angioplasty

01 February 2001 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...

Exercise-induced External Iliac Artery Intimal Fibrosis: Confirmation with Intravascular Ultrasound

01 January 2000 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...