Scientific Research
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External iliac artery endofibrosis is a recognized cause of exertional leg claudication in young, high-endurance athletes. However, significant diagnostic delays often occur owing to the inability of standard testing to replicate exercise-induced...
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Diagnostic Approach and Management of Iliac Artery Endofibrosis in Athletes: A Scoping Review
Iliac artery endofibrosis (IAE) is a rare vascular condition with an estimated global prevalence of 0.01%. It primarily affects endurance athletes, especially cyclists, and often presents with exercise-induced leg discomfort or reduced performance....
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L’endofibrose artérielle (EA) iliaque externe est une maladie vasculaire non-athéromateuse spécifique du sportif. 90% des patients sont des cyclistes jeunes sans facteur de risque de maladie cardiovasculaire traditionnelle. L’EA est une lésion...
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Background: Flow limitations in the iliac arteries (FLIA) is a sport-related vascular condition increasingly recognised as an occupational risk for professional cyclists and other endurance athletes. Surgical reconstruction is the definitive treatment...
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External Iliac Artery Endofibrosis: A Systematic Literature Review and a Report of Two Cases
Background: External iliac artery endofibrosis is a non-atherosclerotic disease. It affects young individuals, particularly cyclists. Materials and Methods: A systematic literature review was conducted to highlight the intriguing aspects of this...
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Pedaling Through Pain: A Case Report of Iliac Artery Endofibrosis in a Competitive Cyclist
Iliac artery endofibrosis (IAE) is a rare cause of leg pain in young, healthy endurance athletes, particularly in male competitive cyclists. The prevailing hypothesis suggests that it is due to mechanical trauma of the iliac artery from long-standing...
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External iliac artery endofibrosis in females: Case reports and review of the literature
In the past four decades, reports of an unusual vascular disease affecting young and otherwise healthy endurance athletes have begun to emerge. This rare entity has been coined as external iliac artery endofibrosis (EIAE). It has been primarily...
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Long-term outcome of percutaneous endovascular stenting in external iliac artery endofibrosis
Background: External iliac artery endofibrosis (EIAE) is a rare vascular disease which has been traditionally seen in avid cyclists. The conventional approach has been surgery, although no high-quality evidence suggests superiority of surgery over...
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Iliac artery endofibrosis: diagnostic dilemna and treatment options
Background: External iliac artery endofibrosis (EIAE) is an uncommon pathology, predominantly occurring in cyclists, caused by thickening of the external iliac artery intima. Symptoms are exercise-dependent and typically consist of pain, muscle cramps...
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External Iliac Artery Endofibrosis: A Discussion on Two Unique Cases
Iliac artery endofibrosis (IAE), as the name suggests, involves subintimal fibrosis of the iliac artery. IAE is most commonly associated with competitive athletics, particularly cycling, and remains a rather underappreciated diagnosis in the clinical...
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Endofibrosis is a rare condition affecting blood vessels, occurring mainly among young healthy athletes. This condition arises as progressive stenosis of the iliac arteries, which attenuates the blood circulation of the limb, thus leading to pain...
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In high level endurance competition, 10-20% of the athletes suffer from claudication symptoms. The underlying causes can be intravascular lesion such as endofibrosis, or functional lesions such as kinking and/or excessive length of vessel. We discuss a...
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Intravascular Ultrasound as a Valuable Tool in Iliac Endofibrosis Diagnostics
Iliac endofibrosis (IE) may cause lower limb ischaemia in younger endurance athletes (cyclists, triathletes, and long distance runners) as a result of subintimal fibrosis of predominantly the external iliac artery. Typical symptoms are reversible...
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Vascular Disease Patient Information Page: External iliac artery endofibrosis
External iliac artery endofibrosis (EIAE), also known as ‘cyclist’s iliac syndrome’, is an uncommon condition typically affecting young high-endurance athletes. Though EIAE was first described in the 1980s as a cause of lower leg pain in professional...
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Endofibrosis de Arteria Ilíaca Inducida por Ejercicio
La endofibrosis ilíaca inducida por el ejercicio (EI) (descripta inicialmente como endofibrosis del ciclista), es una enfermedad de baja prevalencia, con síntomas característicos de isquemia en pacientes sin factores de riesgos clásicos para la misma....
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External iliac artery endofibrosis in an elite female endurance cyclist
External iliac artery endofibrosis is a rare pathology that affects high-level endurance athletes, especially cyclists. Classical symptoms include pain, loss of power, and/or cramp in the affected limb while training at maximal effort. The patient's...
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Debilitating Claudication in an Ultramarathon Runner: A Case of Iliac Artery Endofibrosis
External iliac artery endofibrosis is characterized by intimal fibrosis and often presents as a gradual decrease of exercise capacity due to exertional claudication-like symptoms, traditionally of the lower extremities.1 The data on the prevalence of...
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Purpose: To prospectively compare the diagnostic capabilities of computed tomography angiography (CTA) to those of digital subtraction angiography (DSA) in endurance athletes with suspicion of arterial endofibrosis. Materials and methods: Forty-five...
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Long Distance Triathlete With Iliac Endofibrosis
A 48 year old long distance triathlete complained of exercise induced thigh pain on the left side for several years. Physical examination in the presence of strongly palpable foot pulses was uneventful at rest, but there was a drop in ankle brachial...
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A 45-year-old woman was presented with a 2-year history of left lower limb claudication symptoms occurring only during long-distance running. Multimodal imaging with exercise duplex ultrasonography and magnetic resonance angiogram confirmed the...