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.
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A 2-year endovascular fellowship of V. Berczi was made possible by Cordis, Johnson and Johnson, UK.
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Giannoukas, A.D., Berczi, V., Anoop, U. et al. Endofibrosis of Iliac Arteries in High-Performance Athletes: Diagnostic Approach and Minimally Invasive Endovascular Treatment. Cardiovasc Intervent Radiol 29, 866–869 (2006). https://doi.org/10.1007/s00270-004-0202-6
- Endurance athletes
- External iliac artery
- Rotational angiography
- Pressure measurements