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Diagnosis and management of external iliac endofibrosis: A case report
- Source :
- Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing. 37(2)
- Publication Year :
- 2018
-
Abstract
- External iliac artery endofibrosis is an uncommon, nonatherosclerotic disease seen in endurance cyclists. It is poorly identified by providers. These otherwise healthy patients usually present with symptoms of arterial insufficiency, such as thigh or buttock pain, loss of power, or weakness occurring during strenuous exercises. These symptoms subside rapidly with rest. As these patients lack traditional risk factors of peripheral artery disease, their symptoms are often overlooked or are attributed to other etiologies, resulting in mismanagement and delayed treatment. In this case study, we report our experience with the successful management of a 48-year-old male who is a longstanding, avid cyclist. He self-referred to our institution after extensive research of providers familiar with his problem and at the recommendation of other cyclists with similar experiences. The patient underwent a successful left external iliac to common femoral artery endarterectomy and patch angioplasty. Three months after operation, he returned to cycling and, for the most part, has remained without symptoms.
- Subjects :
- Male
Weakness
medicine.medical_specialty
medicine.medical_treatment
Pain
Disease
Femoral artery
Endarterectomy
030204 cardiovascular system & hematology
Thigh
Iliac Artery
03 medical and health sciences
0302 clinical medicine
Angioplasty
medicine.artery
medicine
Humans
030504 nursing
business.industry
Buttock Pain
Middle Aged
Surgery
Bicycling
Femoral Artery
Medical–Surgical Nursing
Endurance Training
medicine.anatomical_structure
Etiology
medicine.symptom
0305 other medical science
business
human activities
Subjects
Details
- ISSN :
- 15326578
- Volume :
- 37
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing
- Accession number :
- edsair.doi.dedup.....eef06099d4ed3cca22264c949bc36f65