Kung Claire, Puttam Harivarsha, Khan Maham, Rangan Pallavi, Bethina Sai Varun, Deshmukh Sameer, Mehta Priyal, Padte Smitesh, Arshad Zara, Nawaz Faisal, Kashyap Rahul
Union College, Schenectady, NY, USA.
Global Remote Research Scholars Program, Princeton Junction, NJ, USA.
Vasc Specialist Int. 2025 Sep 9;41:24. doi: 10.5758/vsi.250029.
Iliac artery endofibrosis (IAE) is a rare vascular condition with an estimated global prevalence of 0.01%. It primarily affects endurance athletes, especially cyclists, and often presents with exercise-induced leg discomfort or reduced performance. This scoping review provides a comprehensive overview of IAE in athletes, with a focus on the current understanding of IAE, diagnostic approaches, and treatment strategies. A total of 43 studies published between 1997 and 2023 were analyzed, including 443 athletes diagnosed with IAE. Most participants were male endurance cyclists, with a predominance of left-sided lesions. The diagnostic tools primarily included ankle-brachial index measurement (used in approximately 84% of studies), Doppler ultrasonography, and angiography. Balloon angioplasty and stenting were associated with a higher likelihood of symptom relapse and often required secondary interventions. In contrast, endarterectomy with patch angioplasty remains the preferred treatment for athletes who continue to participate in competitive sports because of its high success rate, long-term durability, and sustained symptom relief.
髂动脉内膜纤维化（IAE）是一种罕见的血管疾病，全球患病率估计为0.01%。它主要影响耐力运动员，尤其是自行车运动员，常表现为运动引起的腿部不适或运动能力下降。本综述全面概述了运动员中的IAE，重点关注对IAE的当前认识、诊断方法和治疗策略。分析了1997年至2023年发表的43项研究，其中包括443名被诊断为IAE的运动员。大多数参与者是男性耐力自行车运动员，病变主要位于左侧。诊断工具主要包括踝臂指数测量（约84%的研究中使用）、多普勒超声检查和血管造影。球囊血管成形术和支架置入术与症状复发的可能性较高相关，且常常需要二次干预。相比之下，动脉内膜切除术加补片血管成形术仍然是因继续参加竞技运动的运动员的首选治疗方法，因为其成功率高、长期耐用性好且能持续缓解症状。
