“…First, symptoms appear at submaximal effort 15 , then at moderate effort and medium distance, and may later be reported to be felt during walks 13,48,54,59. Among cyclists diagnosed with endofibrosis or thrombosis of the external iliac artery, annual training ranges from 5,000 km to 33,000 km 3,5,8,9,15,17,19,24,44, and symptoms, according to case reports, may appear after distances reach 50,000 km to 380,000 km 9,17,32,44,48. External iliac artery dysfunction in cyclists is not often associated with PAOD characteristics, such as history of thromboembolic disease, abnormal cholesterol levels 30,45 and diabetes…”