Scientific Research
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Arterial endofibrosis is a vascular disease that typically affects the external iliac artery in young patients who undergo extreme exercise, mainly bicyclists.1 The diagnosis is indirectly suspected when these extreme athletes undergo ankle-brachial...
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Endurance cyclists have a substantial risk to develop flow limitations in the iliac arteries during their career. These flow limitations are due to extreme hemodynamic stress which may result in functional arterial kinking and/or intravascular lesions....
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BACKGROUND: This study is to assess the applicability and performance of the near-infrared spectroscopy (NIRS) in the diagnosis of exercise-induced arterial endofibrosis (EIAE). METHODS: NIRS was measured on each thigh, in 12 highly trained...
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The main goal of the present document is to provide a set of practical recommendations for ultrasound imagers who are interested in artery diseases or for physicians who intend to undertake vascular procedures. This is the first part of the work. It is...
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Operative Results of Iliac Artery Endofibrosis in High-Performance Athletes
Objective Prior reports have documented excellent early results after surgery for external iliac endofibrosis in cyclists. We sought to evaluate our long-term functional outcomes in this select cohort of patients. Methods Patients undergoing...
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Diagnosis and Management of Iliac Artery Endofibrosis: Results of a Delphi Consensus Study
Objective: Iliac endofibrosis is a rare condition that may result in a reduction of blood flow to the lower extremity in young, otherwise healthy individuals. The data to inform everyday clinical management are weak and therefore a Delphi consensus...
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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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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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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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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)...
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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...
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Vascular complications in high-performance athletes
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...
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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...