Wetenschap
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Gefäßerkrankungen bei Triathlete
Die überwiegende Mehrzahl der Triathleten weist keinerlei kardiovaskuläre Risikofaktoren auf. Dennoch gibt es bei diesem für uns Gefäßchirurgen untypischen Patientenklientel zunehmend Berichte über arterielle Komplikationen. In der Literatur werden 3...
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Pedal power measurement as a diagnostic tool for functional vascular problems
Background: Cyclists with flow limitations in the iliac arteries complain of pain and loss of power. To investigate whether pedal power measurement has added value in diagnosing the underlying cause of flow limitations in the iliac arteries, we...
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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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Bilateral external iliac artery thrombosis due to endofibrosis in a 33-year-old female triathlete
External iliac artery endofibrosis is a rare disease predominantly affecting young, male elite performance athletes. The disease is characterized by fibrosis and hypertrophy of the intimal layer of the arterial wall and is likely due to multiple...
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Don’t Just Blame it on the Veins: An Update on Vascular Exertional Limb Pain
Exertional limb pain is a common problem encountered in recreational and competitive athletes. Affecting both the upper and lower extremities, this broad entity can be musculoskeletal, vascular, neurologic, oncologic, or infectious in origin. This...
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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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MRI to investigate iliac artery wall thickness in triathletes
Objectives: Endofibrosis was first described in endurance athletes. This rare disease is characterized by intimal hyperplasia of iliac arteries. Due to non-specific symptoms diagnosing could be very challenging and delayed. This represents a serious...
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Management of Endurance Athletes with Flow Limitation in the Iliac Arteries: A Case Series
Introduction: Vascular surgeons increasingly encounter flow limitation of iliac arteries (FLIA) in endurance athletes. An experience of managing this condition is reported. Report: This is a retrospective cohort analysis of prospectively collected data...
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Management of a complicated triathlete’s bilateral iliac artery endofibrosis
Introduction: Iliac artery endofibrosis (IAE) is an uncommon disease, poorly studied pathology with devastating effects and different therapeutic approaches affecting young people who practise intensive sports, especially cyclists. The evolution of the...
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The Investigation and Management of Iliac Artery Endofibrosis: Lessons Learned from a Case Series
Objective/background: The objective was to summarise the lessons learned, and evolution in local practice over the last 7 years, in the investigation and surgical management of iliac artery endofibrosis. Methods: This was a retrospective case series. A...
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A Rare Case of Intermittent Claudication Associated with Impaired Arterial Vasodilation
Exercise-related intermittent claudication is marked by reduced blood flow to extremities caused by either stenosis or impaired vascular function. Although intermittent claudication is common in the elderly, it rarely occurs in the young and...
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Long-term results of the surgical treatment of external iliac endofibrosis
The surgery of external iliac endofibrosis (EIE) is considered only in top sportspeople, who are always very demanding. For this reason it remains debated. The aim of our study was to evaluate the long-term results, seldom reported, of this surgery.
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The investigation and management of peripheral arterial diseases in elderly patients, frequently with multiple co-morbidities, are familiar to all vascular surgeons. These patients are at high risk of limb loss and premature death and intervention is...
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Arterial pathologies in athletes
Identification and treatment of arterial pathologies in athletes can present a significant challenge because symptoms may be nonspecific and standard examination is often unremarkable. Sportspeople frequently experience long delays to diagnosis, during...
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Peripheral Non-atherosclerotic Arterial Disorders: What Radiologists Need to Know
Peripheral non-atherosclerotic arterial disorders (NAADs) are a heterogeneous group of rather uncommon conditions that tend to manifest in subjects without atherosclerosis. Each of these conditions has distinctive pathophysiology; however, there are...
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While it is crucial to recognize that atherosclerosis is the most common etiology for lower extremity ischemia, it is important to know the non-atherosclerotic causes of limb ischemia. Since these pathologies are not as prevalent as atherosclerosis,...
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External Iliac Artery Vasospasm in an Elite Female Runner
A 33-year-old elite female runner presented to a tertiary care sports medicine clinic with a 2-year history of progressive anterior thigh and circumferential leg pain with associated foot paresthesias brought on by high-intensity running. She had both...
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A Case of Endofibrosis Presenting with Embolic Symptoms in a 43-Year-Old Cyclist
Background: Endofibrosis is a rare clinical entity that usually manifests as claudication in cyclists and other endurance athletes. We report a case of a 43-year-old cyclist presenting with pain and cyanosis of his toes due to an embolism to his left...
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External iliac artery endofibrosis is a rare medical condition typically encountered in young endurance athletes, mainly cyclists. Iliac endofibrosis usually develops in the external iliac artery and is rarely seen in the common iliac or in common...