Campbell Danielle, Andraska Elizabeth, Rectenwald John, Gallagher Katherine
Section of Vascular Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich.
Section of Vascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Tex.
J Vasc Surg Cases Innov Tech. 2016 May 28;2(2):59-61. doi: 10.1016/j.jvsc.2016.03.007. eCollection 2016 Jun.
Given the rise of high-intensity sport athletes and the paucity of literature on endofibrosis, we describe a novel adjunctive imaging technique to aid in diagnosis. A 41-year-old female triathlete presented with exercise-limiting claudication. Results of lower extremity magnetic resonance angiography, provocative Doppler, angiogram, and digital subtraction angiography with papaverine were nondiagnostic. Intravascular ultrasound imaging was able to delineate an abnormal segment of the proximal external iliac artery with intimal hypertrophy. We report intravascular ultrasound imaging as a superior imaging modality to definitively diagnose endofibrosis and assist proper planning and operative treatment of patients with endofibrosis.
鉴于高强度运动运动员数量的增加以及关于内膜纤维化的文献匮乏，我们描述了一种有助于诊断的新型辅助成像技术。一名41岁的女性三项全能运动员出现了运动受限性跛行。下肢磁共振血管造影、激发式多普勒检查、血管造影以及罂粟碱数字减影血管造影的结果均无法确诊。血管内超声成像能够勾勒出髂外动脉近端一段存在内膜增厚的异常节段。我们报告血管内超声成像作为一种更优的成像方式，可明确诊断内膜纤维化，并协助对内膜纤维化患者进行恰当的治疗规划和手术治疗。
