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Iliakale Endofibrose

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Klinische Angiologie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die iliakale Endofibrose ist eine Sonderform der peripheren arteriellen Verschlusskrankheit, die zum ersten Mal im Jahre 1985 bei Radrennfahrern entdeckt und näher beschrieben wurde. Es handelt sich hierbei um eine am ehesten durch die repetitive mechanische Belastung verursachte Intimafibrose der A. iliaca in unmittelbarer Nähe zur Iliakalgabel mit resultierender Lumeneinengung. Die Symptome sind meist belastungsabhängige Oberschenkelschmerzen, die die Karriere der oft ambitionierten Athleten gefährden. Ein unauffälliger Untersuchungsbefund mit tastbaren Fußpulsen unter Ruhebedingungen erklärt die oft jahrelange verzögerte Diagnosestellung und eine mutmaßlich sehr hohe Dunkelziffer. Verdächtig ist ein Abfall des Knöchel-Arm-Dopplerindex nach Belastung auf < 0,66 (Normalwert > 0,9), woraufhin eine weiterführende Diagnostik (oft MR-Angiographie) veranlaaat werden sollte.

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Authors and Affiliations

  1. Klinik für Gefäßchirurgie, vaskuläre und endovaskuläre Chirurgie, Klinikum am Steinenberg, Reutlingen, Deutschland, Steinenbergstrasse 31, 72764

    PD Dr. med. Susanne Regus

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  1. PD Dr. med. Susanne Regus
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Correspondence to Susanne Regus .

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Editors and Affiliations

  1. Gefäßzentrum-Angiologie, Klinikum Innenstadt der LMU, München, Bayern, Deutschland

    Ulrich Hoffmann

  2. Medizinische Klinik und Poliklink III, Universitätsklinikum, TU Dresden, Dresden, Sachsen, Deutschland

    Norbert Weiss

  3. Med Poliklinik, Abteilung Angiologie, Klinikum der LMU, Campus Innenstadt, München, Bayern, Deutschland

    Michael Czihal

  4. Angiologie, Gefäßzentrum Ostbayern, Universitätsklinikum Regensburg, Regensburg, Bayern, Deutschland

    Birgit Linnemann

  5. Klinik für Kardiologie I, Uniklinikum Münster, Münster, Nordrhein-Westfalen, Deutschland

    Eva Freisinger

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© 2022 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Regus, S. (2022). Iliakale Endofibrose. In: Hoffmann, U., Weiss, N., Czihal, M., Linnemann, B., Freisinger, E. (eds) Klinische Angiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61379-5_92-1

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  • DOI: https://doi.org/10.1007/978-3-662-61379-5_92-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61379-5

  • Online ISBN: 978-3-662-61379-5

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