CardioVascular and Interventional Radiology

, Volume 29, Issue 5, pp 866–869 | Cite as

Endofibrosis of Iliac Arteries in High-Performance Athletes: Diagnostic Approach and Minimally Invasive Endovascular Treatment

  • Athanasios D. GiannoukasEmail author
  • Viktor Berczi
  • Unnikrishnan Anoop
  • Trevor J. Cleveland
  • Jonathan D. Beard
  • Peter A. Gaines


The aim of this article is to report our experience in the diagnosis of two cases of iliac artery endofibrosis or arteriopathy, a rare entity occurring in high-performance athletes, presenting with intermittent claudication (right-sided in both) after maximal exercise. External iliac artery endofibrosis or arteriopathy is a likely diagnosis in competitive athletes free of cardiovascular risk factors who present with leg claudication. Arteriography and a papaverine-assisted mean pressure gradient across the iliac arteries of more than 10 mmHg is a useful diagnostic approach. Moreover, balloon angioplasty of the iliac artery in that patient, in whom a pressure gradient was detected, resulted in symptomatic relief for 2 months followed by mild symptom recurrence. Thus, although balloon angioplasty is feasible and safe, it might not be adequate to treat this entity and, thus, its value remains undefined.


Endurance athletes External iliac artery Endofibrosis Rotational angiography Pressure measurements Angioplasty 



A 2-year endovascular fellowship of V. Berczi was made possible by Cordis, Johnson and Johnson, UK.


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Athanasios D. Giannoukas
    • 1
    Email author
  • Viktor Berczi
    • 1
  • Unnikrishnan Anoop
    • 1
  • Trevor J. Cleveland
    • 1
  • Jonathan D. Beard
    • 1
  • Peter A. Gaines
    • 1
  1. 1.Sheffield Vascular InstituteNorthern General HospitalSheffieldUK

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