ArticleJournal of vascular surgery cases and innovative techniques2026
Iliac artery endofibrosis treated by endarterectomy with patch angioplasty via a retroperitoneal approach in an amateur triathlete.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Iliac artery endofibrosis is a nonatheromatous vascular disease observed in endurance athletes. A 46-year-old female amateur triathlete presented with exercise-induced claudication of the left leg. The resting ankle-brachial index was normal, but the postexercise ankle-brachial index decreased on the left side. Computed tomography angiography showed stenosis of the left common iliac and external iliac arteries, and magnetic resonance angiography after exercise demonstrated worsening of the stenosis, which was consistent with iliac artery endofibrosis. The patient underwent endarterectomy with patch angioplasty via a retroperitoneal approach. Postoperative computed tomography angiography confirmed resolution of the stenosis. The patient subsequently returned to triathlon racing without recurrence of symptoms.
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