Document Detail


Endofibrosis of iliac arteries in high-performance athletes: diagnostic approach and minimally invasive endovascular treatment.
MedLine Citation:
PMID:  16565800     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this article is to report our experience in the diagnosis of two cases of iliac artery endofibrosis or arteriopathy, a rare entity occurring in high-performance athletes, presenting with intermittent claudication (right-sided in both) after maximal exercise. External iliac artery endofibrosis or arteriopathy is a likely diagnosis in competitive athletes free of cardiovascular risk factors who present with leg claudication. Arteriography and a papaverine-assisted mean pressure gradient across the iliac arteries of more than 10 mmHg is a useful diagnostic approach. Moreover, balloon angioplasty of the iliac artery in that patient, in whom a pressure gradient was detected, resulted in symptomatic relief for 2 months followed by mild symptom recurrence. Thus, although balloon angioplasty is feasible and safe, it might not be adequate to treat this entity and, thus, its value remains undefined.
Authors:
Athanasios D Giannoukas; Viktor Berczi; Unnikrishnan Anoop; Trevor J Cleveland; Jonathan D Beard; Peter A Gaines
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  29     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-07-26     Completed Date:  2006-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  866-9     Citation Subset:  IM    
Affiliation:
Sheffield Vascular Institute, Northern General Hospital, Sheffield, S5 7AU, UK. agiannoukas@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography, Digital Subtraction
Angioplasty, Balloon*
Arterial Occlusive Diseases / etiology,  radiography*,  therapy
Bicycling / injuries*
Cumulative Trauma Disorders / radiography*,  therapy
Female
Fibrosis
Humans
Iliac Artery* / radiography
Imaging, Three-Dimensional
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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