Endofibrosis of the iliac arteries: an underestimated problem

Acta Chir Belg. Nov-Dec 2004;104(6):635-40. doi: 10.1080/00015458.2004.11679635.


Arterial endofibrosis is a recently discovered artery disease that is specific to endurance athletes. Cycling is the sport that has shown the greatest number of cases. The endofibrosis is located most frequently in the external iliac artery, but other locations must also be sought. Thigh pain during supramaximal exercise and patient questioning provide strong indications. The diagnosis is confirmed when there is concordance of exercise-induced symptoms, a positive exercise test result and discrete arteriographic characteristics. Treatment is based on folate supplements and standardised surgery carried out by an experienced surgical team.

Publication types

  • Review

MeSH terms

  • Angiography
  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / etiology*
  • Arterial Occlusive Diseases / surgery
  • Athletic Injuries / complications
  • Athletic Injuries / diagnosis
  • Athletic Injuries / surgery
  • Dietary Supplements
  • Female
  • Fibrosis
  • Folic Acid / therapeutic use
  • Hematinics / therapeutic use
  • Humans
  • Iliac Artery / pathology*
  • Male
  • Vascular Surgical Procedures / methods


  • Hematinics
  • Folic Acid