Scientific Research
Thanks to scientific research, we can continue to strive for better insights and improved care for athletes worldwide
Scientific research
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Bilateral dissection of external iliac artery
External iliac artery (EIA) dissection and especially bilateral involvement is very rare. We report the case of a 49-year-old male intense bicyclist who had presented a dissection of the left EIA responsible for claudication. He underwent an...
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External iliac artery occlusion in a young female cyclist
After 8 years of high performance training in mountain biking, a top female athlete, aged 23, first complained of diffuse, exercise-induced pain in both thighs. Over a period of the next 4 years, a slight but continuous reduction in her performance was...
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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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The aim of this article is to report our experience in the diagnosis of two cases of iliac artery endofibrosis or arteriopathy, a rare entity occurring in high-performance athletes, presenting with intermittent claudication (right-sided in both) after...
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Endofibrosis of the iliac arteries: an underestimated problem
Arterial endofibrosis is a recently discovered artery disease that is specific to endurance athletes. Cycling is the sport that has shown the greatest number of cases. The endofibrosis is located most frequently in the external iliac artery, but other...
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Past, present and future of arterial endofibrosis in athletes: a point of view
Exercise-induced arterial endofibrosis (EIAE) is now a 20-year-old concept. Initially observed in highly trained cyclists, it has been found in many other male and female endurance athletes. Most stenoses are located on the first centimetres of the...
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Approximately one in five top-level cyclists will develop sports-related flow limitations in the iliac arteries. These flow limitations may be caused by a vascular lumen narrowing due to endofibrotic thickening of the intima and/or by kinking of the...
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Background Athletes may present with arterial problems that are unusual in the typical patient with peripheral vascular disease. They are often handicapped only at the extremes of physical exertion and may have normal arterial pulses beyond any...
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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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Exercise induced leg pain in young athletes misdiagnosed as pain of musculo-skeletal origin
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Pain and powerless feeling in the leg during cycling may indicate a serious problem that limits the performance in cyclists. Apart from the well-known muscular and neurological origin, such complaints can also be attributed to flow limitations in the...
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External iliac artery endofibrosis: a 40-year course
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...
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External Iliac Artery Endofibrosis in Athletes
Atherosclerosis and inflammatory arterial diseases are rare in young people. Since the early 1980s, an increasing incidence of iliac arterial stenosis in competition cyclists has been reported. Histological findings in these individuals are specific,...
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Lower Extremity Arterial Disease in Sports
The recent description of exercise-induced intimal fibrosis affecting mainly the iliac artery (and therefore usually described as external iliac artery endofibrosis) has dramatically changed the diagnostic approach of unexplained recurrent lower limb...