Short- and long-term outcomes after endarterectomy with autologous patching in endurance athletes with iliac artery endofibrosis

Hooff, Martijn van; Colenbrander, Febe F C; Bender, Mart; Loos, Maarten M.J.A.; Brini, Alberto; Savelberg, Hans; Scheltinga, Marc R.; Schep, Goof

doi:10.1016/j.jvs.2023.03.501

Cited by 5 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, stenting of the iliac artery may be of limited benefit, particularly in patients who desire continued endurance training, as stents may increase the risk for friction of the arterial wall, though more research is required to understand the benefits and drawbacks of such interventions in the management of IAE. More recently, analysis of interventions involving the use of endarterectomy seems to provide a high level of patient satisfaction and symptomatic reduction with a rather low risk of complications [ 13 ]. Iliofemoral bypass may be reserved for patients presenting with more severe or refractory symptoms.…”

Section: Discussionmentioning

confidence: 99%

External Iliac Artery Endofibrosis: A Discussion on Two Unique Cases

Carfagno,

Rouintan,

Rucker

et al. 2023

Cureus

View full text Add to dashboard Cite

Iliac artery endofibrosis (IAE), as the name suggests, involves subintimal fibrosis of the iliac artery. IAE is most commonly associated with competitive athletics, particularly cycling, and remains a rather underappreciated diagnosis in the clinical setting. We present two unique and distinct presentations of IAE in competitive athletes. The first case involves a 38-year-old male cyclist who initially presented with complaints of a bulge at the right groin and acute onset monoplegia and paresthesia associated with exertion of the right lower extremity. This patient was referred to vascular surgery and underwent right common iliac artery and proximal common femoral artery endarterectomy with patch angioplasty and Fogarty embolectomy. Case 2 involves a 50-year-old female triathlete who presented with left lower extremity claudication of a more chronic course, with symptoms beginning approximately four years prior. The pain radiated to her upper thigh and was associated with exertion, restricting her exercise tolerance and return to training. After a diagnosis of IAE was made, she was referred to vascular surgery for a left iliofemoral bypass.

show abstract

Section: Discussionmentioning

confidence: 99%