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Related Concept Videos

Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

593
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

545
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

649
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
649

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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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Arterial endofibrosis in professional cyclists.

G F Veraldi, M Macrì, P Criscenti

    Il Giornale Di Chirurgia
    |February 19, 2016
    PubMed
    Summary

    External Iliac Artery Endofibrosis (EIAE) is a rare condition in young athletes. Surgical revascularization effectively resolves exercise-induced leg pain and limitations caused by EIAE.

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    Area of Science:

    • Vascular Surgery
    • Sports Medicine
    • Cardiology

    Background:

    • External Iliac Artery Endofibrosis (EIAE) is an uncommon vascular condition affecting young endurance athletes, particularly cyclists.
    • The exact cause and long-term progression of EIAE remain unclear.
    • Diagnosis can be delayed due to symptoms appearing only during extreme exertion and normal resting examinations.

    Observation:

    • Two professional cyclists presented with exercise-induced leg pain, limiting their athletic performance.
    • Initial treatment with balloon angioplasty provided only temporary symptom relief.
    • Open surgery involving endofibrosectomy and saphenous vein patch grafting successfully resolved all physical limitations.

    Findings:

    • EIAE can lead to arterial stenosis, thrombosis, dissection, and secondary atheroma.
    • The after-exercise ankle-brachial index is a valuable diagnostic tool.
    • Angio-CT scans can aid in diagnosis, with specific features strengthening suspicion.

    Implications:

    • Improved understanding of EIAE facilitates better pre-operative assessment.
    • Early and effective treatment is crucial for athletes experiencing EIAE symptoms.
    • Surgical revascularization is considered the gold standard treatment for significant EIAE.