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Vascular complications in high-performance athletes.

F R Arko1, E J Harris, C K Zarins

  • 1Division of Vascular Surgery, Stanford University School of Medicine, CA, USA.

Journal of Vascular Surgery
|May 2, 2001
PubMed
Summary

High-performance athletes can experience diverse vascular injuries. Prompt diagnosis and treatment are crucial for successful rehabilitation and return to competition.

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Area of Science:

  • Sports Medicine
  • Vascular Surgery
  • Athletic Performance

Background:

  • Vascular injuries in athletes are often overlooked.
  • High-performance athletes are susceptible to unique vascular complications due to intense physical demands.

Purpose of the Study:

  • To review the diagnosis and management of vascular injuries in elite athletes.
  • To analyze treatment outcomes and rehabilitation success in this population.

Main Methods:

  • Retrospective analysis of 26 high-performance athletes treated for vascular complications between 1994 and 2000.
  • Evaluation of clinical presentation, injury type, treatment strategies, and rehabilitation progress.

Main Results:

  • Common injuries included arterial aneurysms/embolization (axillary/subclavian), popliteal artery injuries, and subclavian vein thrombosis (SVT).

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  • Treatments involved lytic therapy, anticoagulation, surgical repair (bypass grafts, angioplasty), and thoracic outlet decompression.
  • Most arterial reconstructions remained patent, and many athletes returned to their previous competition level.

    • Conclusions:

    • Athletes face varied vascular injuries requiring a high index of suspicion for diagnosis.
    • Comprehensive workup with noninvasive studies and imaging, followed by prompt intervention, is key for favorable outcomes.