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Bicycle exercise ankle brachial index recovery time as a novel metric for evaluating the hemodynamic significance of external iliac endofibrosis in competitive cyclists.

作者信息

Tran Kenneth, Dossabhoy Shernaz S, Sorondo Sabina, Lee Jason T

机构信息

Division of Vascular Surgery, Stanford University School of Medicine, Stanford, Calif.

Cardiovascular Institute, Stanford University School of Medicine, Stanford, Calif.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Sep 29;7(4):681-685. doi: 10.1016/j.jvscit.2021.08.013. eCollection 2021 Dec.

DOI:10.1016/j.jvscit.2021.08.013
PMID:34746530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8556481/
Abstract

Subtle radiographic findings can increase the challenge of diagnosing external iliac artery endofibrosis. We evaluated a new metric, the bicycle exercise ankle brachial index recovery time (BART), in a cohort of cyclists with symptomatic external iliac artery endofibrosis. BART was defined as the time required in minutes for the ankle brachial index to return to 0.9 after a period of exercise. Surgical correction resulted in an improvement in BART postoperatively (4.5 ± 4.1 vs 9.1 ± 4.3 minutes;  < .001), with improved values correlating with better patient satisfaction. Documentation of the BARTs before and after surgical treatment provides an additional measure of postoperative hemodynamic improvement.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d0b/8556481/5aae788ecd24/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d0b/8556481/b144c983131e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d0b/8556481/f1a895e862e4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d0b/8556481/5aae788ecd24/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d0b/8556481/b144c983131e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d0b/8556481/f1a895e862e4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d0b/8556481/5aae788ecd24/gr3.jpg

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引用本文的文献

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本文引用的文献

1
Diagnosis and Management of Iliac Artery Endofibrosis: Results of a Delphi Consensus Study.髂动脉内膜纤维化的诊断与管理:德尔菲共识研究结果
Eur J Vasc Endovasc Surg. 2016 Jul;52(1):90-8. doi: 10.1016/j.ejvs.2016.04.004. Epub 2016 May 17.
2
Vasospasm as a cause for claudication in athletes with external iliac artery endofibrosis.血管痉挛是髂外动脉内膜纤维化为运动员引起跛行的原因。
J Vasc Surg. 2013 Jul;58(1):105-11. doi: 10.1016/j.jvs.2012.12.060. Epub 2013 Mar 29.
3
Endurance athletes with intermittent claudication caused by iliac artery stenosis treated by endarterectomy with vein patch--short- and mid-term results.
髂动脉狭窄导致间歇性跛行的耐力运动员采用静脉补片内膜切除术治疗——短期和中期结果。
Eur J Vasc Endovasc Surg. 2012 Apr;43(4):472-7. doi: 10.1016/j.ejvs.2012.01.004. Epub 2012 Jan 20.
4
Endofibrosis and kinking of the iliac arteries in athletes: a systematic review.运动员髂动脉纤维化和扭曲:系统评价。
Eur J Vasc Endovasc Surg. 2012 Feb;43(2):208-17. doi: 10.1016/j.ejvs.2011.11.019. Epub 2011 Dec 19.
5
Recognising vascular causes of leg complaints in endurance athletes. Part 1: validation of a decision algorithm.识别耐力运动员腿部不适的血管原因。第1部分:决策算法的验证。
Int J Sports Med. 2002 Jul;23(5):313-21. doi: 10.1055/s-2002-33141.
6
Pressure measurements at rest and after heavy exercise to detect moderate arterial lesions in athletes.静息及剧烈运动后进行压力测量以检测运动员的中度动脉病变。
J Vasc Surg. 2001 Apr;33(4):721-7. doi: 10.1067/mva.2001.112802.