Matches in SemOpenAlex for { <https://semopenalex.org/work/W2790588263> ?p ?o ?g. }
Showing items 1 to 51 of
51
with 100 items per page.
- W2790588263 abstract "Introduction Endofibrosis of the external iliac arteries (IE) occurs in some high-performance athletes, particularly female cyclists, and causes leg pain on extreme exertion. Establishing the diagnosis in these cases is challenging, because a vascular cause is often not suspected initially. The anatomic lesion of IE is difficult to detect with B-mode ultrasound because of the characteristic smooth and diffuse thickening of the arterial wall. Standard treadmill testing can be equivocal in these athletes, but more intense or “extended” treadmill exercise can demonstrate the physiological abnormalities. Case Report This report describes our experience with 6 limbs of 4 patients found to have IE and who also underwent surgical intervention to relieve symptoms. All patients had normal resting ankle/brachial indices, except one, who also had iliac artery thrombosis. Duplex scanning showed diffusely increased velocities throughout external iliac segments. The treadmill exam was modified, with speeds ranging from 2.5 to 5.8 mph and exercise times up to 15 minutes required to provoke a significant decrease in ankle pressure. Monophasic, high-velocity postexercise Doppler flow waveforms helped to localize the site of the responsible lesions. Results All 6 limbs were treated by enlarging the affected external iliac artery with a vein patch angioplasty (thrombectomy was also performed in one patient). Inspection of the arterial lumen at surgery revealed a smooth, fibrous-appearing lesion with diffuse wall thickening. The 5 limbs, which had postoperative treadmill tests, all had normal results and these patients resumed athletic training. Among 5 limbs with postoperative duplex scans, 2 showed normal vessel diameter, and 3 had a dilated lumen. Conclusion Although the mechanism of IE is not known, the typical history and location of the lesions suggests that repetitive stress or bending of the vessels and high flow during extreme exercise leads to thickening of the arterial wall. Awareness of this entity and a modified vascular testing protocol are essential to establishing the diagnosis." @default.
- W2790588263 created "2018-03-29" @default.
- W2790588263 creator A5034950347 @default.
- W2790588263 creator A5087816511 @default.
- W2790588263 creator A5088970690 @default.
- W2790588263 date "2008-12-01" @default.
- W2790588263 modified "2023-09-24" @default.
- W2790588263 title "Iliac Artery Endofibrosis in Athletes: A Case Series" @default.
- W2790588263 cites W1989494396 @default.
- W2790588263 cites W2029522069 @default.
- W2790588263 cites W2049051313 @default.
- W2790588263 cites W2057089591 @default.
- W2790588263 cites W2073417235 @default.
- W2790588263 cites W2100358240 @default.
- W2790588263 cites W2140265222 @default.
- W2790588263 doi "https://doi.org/10.1177/154431670803200402" @default.
- W2790588263 hasPublicationYear "2008" @default.
- W2790588263 type Work @default.
- W2790588263 sameAs 2790588263 @default.
- W2790588263 citedByCount "1" @default.
- W2790588263 countsByYear W27905882632019 @default.
- W2790588263 crossrefType "journal-article" @default.
- W2790588263 hasAuthorship W2790588263A5034950347 @default.
- W2790588263 hasAuthorship W2790588263A5087816511 @default.
- W2790588263 hasAuthorship W2790588263A5088970690 @default.
- W2790588263 hasConcept C127313418 @default.
- W2790588263 hasConcept C143724316 @default.
- W2790588263 hasConcept C151730666 @default.
- W2790588263 hasConcept C1862650 @default.
- W2790588263 hasConcept C2781054738 @default.
- W2790588263 hasConcept C71924100 @default.
- W2790588263 hasConceptScore W2790588263C127313418 @default.
- W2790588263 hasConceptScore W2790588263C143724316 @default.
- W2790588263 hasConceptScore W2790588263C151730666 @default.
- W2790588263 hasConceptScore W2790588263C1862650 @default.
- W2790588263 hasConceptScore W2790588263C2781054738 @default.
- W2790588263 hasConceptScore W2790588263C71924100 @default.
- W2790588263 hasLocation W27905882631 @default.
- W2790588263 hasOpenAccess W2790588263 @default.
- W2790588263 hasPrimaryLocation W27905882631 @default.
- W2790588263 hasRelatedWork W2024107051 @default.
- W2790588263 hasRelatedWork W2164090173 @default.
- W2790588263 hasRelatedWork W2498347148 @default.
- W2790588263 hasRelatedWork W2527153653 @default.
- W2790588263 hasRelatedWork W2913131381 @default.
- W2790588263 hasRelatedWork W2980755725 @default.
- W2790588263 hasRelatedWork W3037372911 @default.
- W2790588263 isParatext "false" @default.
- W2790588263 isRetracted "false" @default.
- W2790588263 magId "2790588263" @default.
- W2790588263 workType "article" @default.