Endofibrosis and Kinking of the Iliac Arteries in Athletes: A Systematic Review

Peach, G.; Schep, Goof; Palfreeman, Roger; Beard, Jonathan; Thompson, M. M.; Hinchliffe, Robert J.

doi:10.1016/j.ejvs.2011.11.019

Cited by 94 publications

(117 citation statements)

References 51 publications

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“…First of all, the position: in order to obtain the maximal aerodynamic benefit, they force an hyperflexion of the hip joint that may alter the iliac artery anatomy inducing a chronic friction and stimulating the endofibrosis (9). A significant hypertrophy of the psoas muscle may worsen the mechanical stress: the muscle pinches the artery, which is often fixated to it by the fascia and its collateral branches, provoking a continuous arterial traction and a subsequent endofibrosis (9,10). This mechanism was particularly evident in our second case, where a thigh adhesion between artery and muscle was found.…”

Section: Discussionmentioning

confidence: 99%

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Arterial endofibrosis in professional cyclists

Veraldi¹,

Macri²,

Criscenti³

et al. 2015

Gchir

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Section: Discussionmentioning

confidence: 99%

“…Potential fracture, plicature or migration of the stent were all concerns. Long-term outcome of stent angioplasty in such condition remains debatable (9).…”

Section: Discussionmentioning

confidence: 99%

Arterial endofibrosis in professional cyclists

Veraldi¹,

Macri²,

Criscenti³

et al. 2015

Gchir

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“…For example, iliac artery stenosis in cyclists has been well researched and involves endofibrosis, a pathological process characterised by thickening of the vessel intima, causing progressive stenosis of the lumen and impaired blood flow. [3] Fibromuscular dysplasia is a further disorder that has been described but predominantly affects the medial or adventitial layers of the arterial wall and typically involves the renal or extracranial cerebrovascular arteries.…”

Section: Discussionmentioning

confidence: 99%

Incidental intima-media wall changes in the lower-limb arteries: a case series in habitual distance runners

Roos¹,

Derman

2016

S. Afr. j. sports med

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“…In order to be able to qualitatively and quantitatively evaluate the morphology and dynamics of flows in the main arteries of the lower limbs and any changes that may arise, there are complementary diagnostic tests, such as arterial and venous peripheral vascular doppler ultrasound. The latter is a noninvasive, painless examination that does not imply the use of radiation and which has high applicability and reproducibility [19].…”

Section: Introductionmentioning

confidence: 99%

Variability of Lower Limb Artery Systolic–Diastolic Velocities in Futsal Athletes and Non-Athletes: Evaluation by Arterial Doppler Ultrasound

Duarte-Mendes

Paulo

Coelho

et al. 2020

IJERPH

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Background: Sports athletes, namely high-intensity practitioners, suffer from vascular remodeling overtime. The purpose of this study was to analyze the systolic and diastolic velocities’ variation between non-athletes and futsal athletes by means of arterial lower limb doppler ultrasound. Additionally, we intended to verify if the velocity variations occur primarily at the systolic or the diastolic level and in which arteries. Methods: Seventy-six young males (mean ± SD: 24.9 ± 2.8 years old) volunteered to participate in this cross-sectional study and were divided into two groups: a futsal athletes group (n = 38; 24 ± 2.78 years) in the central region of Portugal playing on the 2nd national league with the same level of practice (16 ± 2.4 years of practice) and a non-athletes group (n = 38: 26 ± 1.8 years) who did not practice sports regularly and were not federated in any sport. All the subjects agreed to participate in the study with the aim of assessing the arterial lower limb through doppler ultrasound (Philips HD7 echograph with linear transducer 7–12 MHz). Results: Differences between groups (p ≤ 0.05) in the systolic velocity of the left deep femoral artery (p = 0.022; d = 0.546, small) and in the right superficial femoral artery (p = 0.028; d = −0.515, small) were found. We also found differences in the diastolic velocity: in the left common femoral artery (p = 0.002; d = −0.748, moderate), in the right deep femoral artery (p = 0.028; d = −0.521, small), in the right superficial femoral artery (p = 0.026; d = −0.522, small), in the right popliteal artery (p = 0.002; d = −0.763, moderate), and in the left popliteal artery (p = 0.007; d = −0.655, moderate). Moreover, the athletes’ group presented the highest mean values, with the exception of the systolic velocity of the left deep femoral artery. In intragroup analysis of variance referring to systolic and diastolic velocities in arterial levels in the right and left arteries, differences were found in all analyses (p ≤ 0.05). Conclusions: We conclude that futsal athletes of our sample go through a process of changes such as increased blood flow velocity in systolic and diastolic cardiac phase in all studied lower limb arteries, showing that the remodeling occurs regardless of vessel radius. Our results reinforce the existence of vascular remodeling that may vary with the sport and its intensity.

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Endofibrosis and Kinking of the Iliac Arteries in Athletes: A Systematic Review

Abstract: We present a systematic review of the literature together with a proposed algorithm for diagnosis and management of these iliac flow limitations in endurance athletes.

Cited by 94 publications

References 51 publications

Arterial endofibrosis in professional cyclists

Arterial endofibrosis in professional cyclists

Incidental intima-media wall changes in the lower-limb arteries: a case series in habitual distance runners

Variability of Lower Limb Artery Systolic–Diastolic Velocities in Futsal Athletes and Non-Athletes: Evaluation by Arterial Doppler Ultrasound

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