External Iliac Artery Endofibrosis in a Female Cyclist: A Case Report.

Details

Serval ID
serval:BIB_3DBB140F0FC7
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
External Iliac Artery Endofibrosis in a Female Cyclist: A Case Report.
Journal
Annals of vascular surgery
Author(s)
Wuarin L., Verdon G., Pollorsi G., Huber C., Murith N., Mugnai D.
ISSN
1615-5947 (Electronic)
ISSN-L
0890-5096
Publication state
Published
Issued date
02/2019
Peer-reviewed
Oui
Volume
55
Pages
310.e1-310.e4
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
External iliac artery endofibrosis is a rare disease described mainly in male endurance athletes. It presents as claudication of the lower limb during near-maximum effort. The patients lack the usual risk factors for atherosclerosis, which makes diagnosis challenging. We present a case of external iliac artery endofibrosis in a female competitive cyclist. The initial surgical management was complicated by early recurrence due to intimal hyperplasia. After secondary drug-eluting balloon angioplasty, the patient was able to resume competition. As such, it is important to maintain a high index of suspicion when evaluating a patient presenting with claudication symptoms in this setting. Primary treatment is surgical, and in cases of early recurrence angioplasty may be indicated. Most patients can return to full activity after healing is complete.
Keywords
Adult, Angioplasty, Balloon/instrumentation, Athletes, Bicycling, Drug-Eluting Stents, Female, Fibrosis, Humans, Iliac Artery/diagnostic imaging, Iliac Artery/pathology, Iliac Artery/surgery, Intermittent Claudication/diagnostic imaging, Intermittent Claudication/etiology, Intermittent Claudication/pathology, Intermittent Claudication/surgery, Magnetic Resonance Angiography, Peripheral Arterial Disease/diagnostic imaging, Peripheral Arterial Disease/etiology, Peripheral Arterial Disease/pathology, Peripheral Arterial Disease/surgery, Recurrence, Retreatment, Treatment Outcome
Pubmed
Web of science
Create date
29/10/2018 18:08
Last modification date
20/08/2019 13:34
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