Spontaneous Common Iliac Artery Dissection after Exercise

Abstract

Spontaneous dissection of the iliac artery is a rare but important condition to suspect in high performance athletes complaining of leg pain following exercise.

Non-Traumatic Lower Limb Vascular Complications in Endurance Athletes. Review of Literature

“…12 It has also been reported to occur spontaneously after strenuous exercise, in a histologically normal vessel wall. 11,59 Popliteal artery dissection or aneurysm occurs because of trauma to the arterial wall, leading to premature localised atherosclerosis. Thrombosis within the aneurysm can cause an acute occlusion of the artery.…”

Bilateral External Iliac Artery Dissection in a Middle-Aged Male Athlete

“…Endovascular treatment has an advantage over open surgery in terms of minimal invasiveness, potentially making it preferable to athletes. As shown in Table 1 , four patients were treated using endovascular treatment, three using bare metal stents (BMS), 1 , 2 , 8 ) and one using an expanded polytetrafluoroethylene (ePTFE)-covered stent. 9 ) Considering the aforementioned anatomical features of EIA, 1 – 5 , 8 ) the long-term patency and risk of stent kinking or fracture should be considered.…”

Acute onset of lower limb claudication as a manifestation of a spontaneous common iliac artery dissection

“…Most of the authors recommend out-patient administration of the anti-platelet or anti-thrombotic drugs in the treatment of short dissections [11][12][13] in asymptomatic cases.…”