Endofîbrosis of the Iliac Arteries: an Underestimated Problem

Abstract

Arterial endofibrosis is a recently discovered artery disease that is specific to endurance athletes. Cycling is the sport that has shown the greatest number of cases. The endofibrosis is located most frequently in the external iliac artery, but other locations must also be sought. Thigh pain during supramaximal exercise and patient questioning provide strong indications. The diagnosis is confirmed when there is concordance of exercise-induced symptoms, a positive exercise test result and discrete arteriographic characteristics. Treatment is based on folate supplements and standardised surgery carried out by an experienced surgical team.

Key Words:

• Endofibrosis
• external iliac artery
• vascular disease
• athlete

Additional information

Notes on contributors

P. Feugier

Dr. P. Feugier Service de Chirurgie Vasculaire, Hôpital E Herriot Place d’Arsonval-69 437 Lyon Cedex 03 Tel.: [phone] Fax: [phone] E-mail: [email protected]