EJVES Extra
Volume 19, Issue 3 , Pages e28-e30, March 2010

Occlusion of the Profunda Femoris Artery in Competitive Cyclists

  • A. Mathew

      Affiliations

    • Sheffield Vascular Institute, Northern General Hospital, Sheffield S5 7AU, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 7817 129111; fax: +44 1142 2714747.
  • ,
  • T. Fysh

      Affiliations

    • Exeter Vascular Service, Royal Devon & Exeter NHS Foundation Trust, Barrack Road, Exeter EX2 5DW, UK
  • ,
  • J.R. Bottomley

      Affiliations

    • Sheffield Vascular Institute, Northern General Hospital, Sheffield S5 7AU, UK
  • ,
  • J.F. Thompson

      Affiliations

    • Exeter Vascular Service, Royal Devon & Exeter NHS Foundation Trust, Barrack Road, Exeter EX2 5DW, UK
  • ,
  • J.D. Beard

      Affiliations

    • Sheffield Vascular Institute, Northern General Hospital, Sheffield S5 7AU, UK

Received 30 September 2009; accepted 22 December 2009. published online 08 February 2010.

Abstract 

Symptomatic lower limb ischaemia in endurance athletes and competitive cyclists is usually due to iliac artery compression syndrome. We report the cases of two competitive cyclists who presented with thigh claudication, with no previous cardiovascular or thrombo-embolic risk factors. They both had normal conventional and sports exercise tests. Further investigations revealed flush occlusion of the profunda femoris artery, believed to be due to dissection. Both patients improved with graduated exercise. We recommend contrast-enhanced MRA as the investigation of choice for this previously unreported condition.

Keywords: Peripheral arterial disease, Claudication, Cycling, Endofibrosis, Arterial dissection

 

PII: S1533-3167(10)00003-8

doi:10.1016/j.ejvsextra.2009.12.002

Refers to article:

  • Occlusion of the Profunda Femoris Artery in Competitive Cyclists , 26 February 2010

    A. Mathew, T. Fysh, J.R. Bottomley, J.F. Thompson, J.D. Beard
    European Journal of Vascular & Endovascular Surgery April 2010 (Vol. 39, Issue 4, Page 521)

EJVES Extra
Volume 19, Issue 3 , Pages e28-e30, March 2010