Past, Present and Future of Arterial Endofibrosis in Athletes

  title={Past, Present and Future of Arterial Endofibrosis in Athletes},
  author={Pierre Abraham and Philippe Bouy{\'e} and Isabelle Qu{\'e}r{\'e} and Jean Michel Chevalier and Jean Louis Saumet},
  journal={Sports Medicine},
Exercise-induced arterial endofibrosis (EIAE) is now a 20-year-old concept. Initially observed in highly trained cyclists, it has been found in many other male and female endurance athletes. Most stenoses are located on the first centimetres of the external iliac artery but other localisation may be found. The disease is defined by specific histological findings showing fibrosis of the intimal and medial wall of the artery. Ankle pressure measurement plays a key role in the diagnosis of EIAE… 
Arterial endofibrosis in endurance athletes: angiographic features and classification.
Arterial endofibrosis mainly affects the central part of the iliac artery and the lateral circumflex femoral artery, and the CIA, EIA, and femoral lesion classification may help to distinguish patterns of associated lesions.
Middle-Aged Female Long-Distance Runner
This clinically complicated case describes an older female long-distance runner in whom an incorrect diagnosis of fibromuscular dysplasia was originally made when she presented with claudication and thrombosis of the right external iliac artery.
Endofibrosis of the external iliac artery.
History reveals worsening stress induced claudication during his sports activities since several years, which leads to acute clinical presentation of lumbalgia and ischiatiform pain at his left leg.
Simultaneous arterial pressure recordings improve the detection of endofibrosis.
Delta ASBP and/or Delta ABI calculated from simultaneous pressure measurements should be recommended when searching for unilateral EIAE.
Iliac artery compression in cyclists: mechanisms, diagnosis and treatment.
  • C. Lim, M. Gohel, A. Shepherd, A. Davies
  • Medicine
    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
  • 2009
Imaging evaluation of flow limitations in the iliac arteries in endurance athletes: diagnosis and treatment follow-up.
The role of imaging plays an important role in the assessment of the underlying lesion and its location as well as in posttreatment follow-up of patients with sport-related flow limitations in the iliac arteries.
Exertional Leg Pain.


Lower Extremity Arterial Disease in Sports
Invasive investigations (arteriography or an gioscopy) will confirm the diagnosis before surgery is discussed, and long-term results in endofibrosis are unknown, most of the surgically treated patients return to competition.
Endofibrosis of the external iliac artery in bicycle racers: an unrecognized pathological state.
External iliac artery endofibrosis: a 40-year course.
The results of this isolated original report suggest, as it intuitively presumed, that the lesions may stabilise when intensive training is stopped, and when no symptoms are noted on usual daily activity or submaximal exercise, surgery should not be performed.
[Dissecting aneurysm of the external iliac artery. An unusual course of endofibrosis in an athlete].
A 42-year-old man was consulted because of a pain in his left leg and the echo-Doppler and arteriography evidenced a stenosis, probably due to endofibrosis of the external iliac artery, and normal aspect of the other arteries.
Diagnosing external iliac endofibrosis by postexercise ankle to arm index in cyclists.
AAI and leg pressures response to maximal exercise is a valid and noninvasive method for the evaluation of external iliac endofibrosis in cyclists.
Dissection of the external iliac artery in highly trained athletes.
External iliac artery endofibrosis in a triathlete.
A 36-year-old elite male triathlete presented with a 7-year history of exertional left leg pain, which precluded competitive racing in short distance triathlons because he could not run faster than a 34-minute 10-km pace without the onset of symptoms.