 |
| Research article summary (published 30 Oct 1986): |
Endofibrosis of the external iliac artery in bicycle racers: an unrecognized pathological state.
Full Abstract
Since December 1985, we have operated upon seven bicycle racers for endofibrosis of the external iliac artery. In all instances, the athletes had started cycling early in life and were engaged in top level competition by the age of 17. The principal complaint was intermittent claudication of one lower limb at "near-maximal" exercise. Pain could be reproduced by exertional tests on an ergometric bicycle, and in all cases except one, measurement of ankle systolic pressure of that limb compared with the opposite side and brachial pressures showed a marked decrease on the involved side. Arteriography, performed with multiple views and positions, documented a 5 to 6 cm moderately stenotic (less than 40% diameter) segment, associated with arterial lengthening. Surgical treatment consisted of endarterectomy and shortening of the artery. Four patients were able to return to competition. The origin of this pathology is discussed, based on gross and histologic findings. Under certain predisposing anatomic conditions, abnormal hemodynamics, probably due to a high flow arterial state and an aerodynamic position on the bicycle, provoke repeated trauma which eventually produces the lesion. Practically unrecognized until now with only two previous publications on the subject in the literature, this entity is probably not uncommon.
Author information
Author/s: Chevalier, J M (JM); Enon, B (B); Walder, J (J); Barral, X (X); Pillet, J (J); Megret, A (A); Lhoste, P (P); Saint-André, J P (JP); Davinroy, M (M);
Affiliation: Service de Chirurgie Vasculaire et Thoracique, CHU d'Angers, France.
Journal and publication information
Publication Type: Journal Article
Journal: Annals of vascular surgery (Ann Vasc Surg), published in UNITED STATES. (Language: eng)
Reference: 1986-Nov; vol 1 (issue 3) : pp 297-303
Dates: Created 1989/01/18; Completed 1989/01/18; Revised 2004/11/17;
PMID: 3504340, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: 18 Feb 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
External Links for this article
(including full text providers, if available):
Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.
This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.
MeSH headings (categories)
This article was linked to the MESH Headings shown below.
Related articles
These are the highest related articles currently in the database:
- Physiological assessment of Saudi athletes.
30 May 1992 - Stenotic intimal thickening of the external iliac artery in competition cyclists. 29 Apr 1990
- [Iliac endofibrosis in 2 cycling racers]
30 Dec 1984 - Antecedents of multidimensional competitive state anxiety and self-confidence in duathletes. 30 May 1995
- Dissection of the external iliac artery in highly trained athletes. 30 Jul 1995
- [Plication of the common femoral artery, a differential diagnosis with endofibrosis of the external iliac artery in racing cyclists] 30 Oct 1992
- External iliac artery occlusion by bicycle handle injury. 30 Oct 1986
- [Peripheral arterial insufficiency in athletes] 29 Apr 1985
- [Diagnosis of peripheral arterial insufficiency in the amateur athlete with claudication and the detection of "the isolated iliac artery stenosis syndrome in young bicyclists with no risk factors" with the Doppler and rolling carpet tests] 29 Sep 1984
Related Article Map
9/29/1984
7/30/1995
Higher Relevance Score (7)
Lower Relevance Score (6)
Legend: 
- FREE Full text Article. - Abstract only. - Title only. More help.
See a large map of 100+ related articles.