Utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runner
External iliac artery endofibrosis is a recognized cause of exertional leg claudication in young, high-endurance athletes. However, significant diagnostic delays often occur owing to the inability of standard testing to replicate exercise-induced symptoms. We present a case of bilateral external ili...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-10-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725002059 |
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| author | Noor Fatima, MBBS Hamza Hanif, MD Tram Le, MD Rachel C. Danczyk, MD |
| author_facet | Noor Fatima, MBBS Hamza Hanif, MD Tram Le, MD Rachel C. Danczyk, MD |
| author_sort | Noor Fatima, MBBS |
| collection | DOAJ |
| description | External iliac artery endofibrosis is a recognized cause of exertional leg claudication in young, high-endurance athletes. However, significant diagnostic delays often occur owing to the inability of standard testing to replicate exercise-induced symptoms. We present a case of bilateral external iliac artery endofibrosis in an ultramarathon runner who was successfully treated with bilateral external iliac artery patch angioplasty using the great saphenous veins. This case highlights the diagnostic difficulties involved and emphasizes the importance of maintaining a high level of clinical suspicion for iliac artery endofibrosis in athletes who experience exertional lower extremity symptoms. |
| format | Article |
| id | doaj-art-8e46ed89f8cd4a98a24f2c50bd7f358a |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-8e46ed89f8cd4a98a24f2c50bd7f358a2025-08-20T04:02:23ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-10-0111510192310.1016/j.jvscit.2025.101923Utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runnerNoor Fatima, MBBS0Hamza Hanif, MD1Tram Le, MD2Rachel C. Danczyk, MD3Shifa College of Medicine, Islamabad, PakistanDepartment of Surgery, University of New Mexico School of Medicine, Albuquerque, NMDepartment of Surgery, University of New Mexico School of Medicine, Albuquerque, NMDivision of Vascular Surgery, Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM; Correspondence: Rachel C. Danczyk, MD, University of New Mexico School of Medicine, 1 University of New Mexico, MSC 10 5610, Albuquerque, NM 87106External iliac artery endofibrosis is a recognized cause of exertional leg claudication in young, high-endurance athletes. However, significant diagnostic delays often occur owing to the inability of standard testing to replicate exercise-induced symptoms. We present a case of bilateral external iliac artery endofibrosis in an ultramarathon runner who was successfully treated with bilateral external iliac artery patch angioplasty using the great saphenous veins. This case highlights the diagnostic difficulties involved and emphasizes the importance of maintaining a high level of clinical suspicion for iliac artery endofibrosis in athletes who experience exertional lower extremity symptoms.http://www.sciencedirect.com/science/article/pii/S2468428725002059External iliac artery endofibrosisLeg claudicationHigh-endurance athletesExternal iliac artery angioplasty |
| spellingShingle | Noor Fatima, MBBS Hamza Hanif, MD Tram Le, MD Rachel C. Danczyk, MD Utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runner Journal of Vascular Surgery Cases and Innovative Techniques External iliac artery endofibrosis Leg claudication High-endurance athletes External iliac artery angioplasty |
| title | Utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runner |
| title_full | Utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runner |
| title_fullStr | Utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runner |
| title_full_unstemmed | Utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runner |
| title_short | Utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runner |
| title_sort | utility of exercise duplex imaging in a rare case of bilateral iliac artery endofibrosis in an ultramarathon runner |
| topic | External iliac artery endofibrosis Leg claudication High-endurance athletes External iliac artery angioplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725002059 |
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