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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Diagnosing Sport-Related Flow Limitations in the Iliac Arteries Using Near-Infrared Spectroscopy
Background: A flow limitation in the iliac arteries (FLIA) in endurance athletes is notoriously difficult to diagnose with the currently available diagnostic tools. At present, a commonly used diagnostic measure is a decrease in ankle brachial index...
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Objective: Endurance athletes are prone to develop flow limitations in iliac arteries (FLIA). Especially in cyclists and ice speed skaters, excessive hemodynamic loading coupled with hip hyperflexion may cause kinking in lengthened iliac arteries...
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Endofibrosis is a rare disease that predominantly affects athletes and is caused by a gradual occlusion of the (usually iliac) artery due to a thickening of the intima. From our experience, we report in this article two cases with the entity of...
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We determined the diagnostic, surgical, and long-term quality of life outcomes for patients with iliac artery endofibrosis, an underrecognized disease that affects the performance and well-being of elite endurance athletes. {dearflip id=79}
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A Tale of 2 Wheels: When Too Much "Spinning" Can Get You in Trouble
Cycling is a worldwide sport passionately practiced and followed by millions of people across the globe. While many of us see it as an enjoyable leisure activity or a healthy way to commute to and from work, for some recreational cyclists it can become...
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External iliac artery Endofibrosis in a professional cyclist
We present a case of a 30-year-old female professional cyclist who presented with right thigh claudication while performing high-intensity efforts. Based on the typical clinical history and the presence of a smooth long segment diffuse narrowing in the...
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Iliofemoral Artery Endofibrosis Associated with Microembolization
Endoluminal fibrosis is a rarely described cause of exertional claudication in athletes. It typically is located to the external iliac artery,but has been described in the femoral segment as well. Rare reports have described arterial changes as a nidus...
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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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Infection of prosthetic vascular grafts can manifest as pain, pseudoaneurysms, or arterial insufficiency in the leg. We present the case of a female patient with a medical history of a right external iliac artery endofibrosis, with a persistently...
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Short- and long-term results of operative iliac artery release in endurance athletes
Objective: Endurance athletes can develop intermittent claudication due to sports-related flow limitations of the iliac artery (FLIA) caused by arterial kinking. In the present study, we investigated the short- and long-term efficacy of an operative...
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The ankle-brachial index is an accurate tool for detecting claudication in atherosclerotic patients. However, this technique fails to identify subtle flow limitations of the iliac arteries (FLIA) in endurance athletes. Near-infrared spectroscopy (NIRS)...