Wetenschap
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Iliac blood-flow restrictions causing painful and "powerless" legs are often attributed to overtraining and may develop for some time before being correctly diagnosed. In the current study, differences between actual performance parameters 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 endofibrosis
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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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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Endofibrose de l’artère iliaque externe diagnostiquée par écho-doppler post-effort
Résumé L’endofibrose artérielle est une pathologie de découverte récente qui touche le sportif de haut niveau, avec une prédominance chez les cyclistes. La localisation préférentielle est l’artère iliaque externe. La symptomatologie est hétérogène...
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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 in athletes: is a simple bedside exercise helpful or sufficient for the diagnosis?
Objective: Ankle-to-brachial index (ABI) can be easily performed by all physicians. The Ruffier-Dickson (RD) test is an easy procedure to attain moderate exercise at the bedside for physicians who do not have an ergometer. Design: Retrospective...
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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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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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Isquemia crónica dos membros inferiores, de etiologia não aterosclerótica, em desportistas jovens
Although rare, the iliac endofibrosis and the popliteal artery entrapment syndrome are undoubtfully recognized as causes of intermittent claudication in young patients, particularly in athletes. The authors report the clinical case of a young female...
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The development of sports activities in the over forties has increased the number of middle-aged patients performing heavy-load exercise. The normal response of ankle systolic blood pressure (ASBP) and ankle to brachial index (ABI) to intense exercise...
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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...
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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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Flow limitations in the iliac arteries of endurance athletes during exercise were previously ascribed solely to intravascular lesions. We postulate that functional kinking of the arteries can also result in flow limitations. However, the diagnostic...
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Leg complaints at maximal exercise in endurance athletes may have many causes, including arterial flow limitations in the iliac arteries. Such flow limitations can evolve into serious health problems due to increasing intravascular obstruction or even...
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Purpose: Kinking of the iliac arteries can cause flow limitations in endurance athletes. Such kinking may be treated by surgical release of the iliac arteries. However, when the length of the iliac artery is excessive, this may not be effective....
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Background: Endurance athletes often have restrictions in flow in their iliac arteries during exercise. Such restrictions have previously been ascribed solely to intravascular lesions. We postulate that flow could also be restricted by functional...
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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)...