Supervised exercise vs primary stenting for claudication

Supervised exercise vs primary stenting for claudication

Supervised exercise vs primary stenting for claudication: The CLEVER Study by Timothy P Murphy, Donald E Cutlip, Judith G Regensteiner, Emile R Mohler, David J Cohen, Matthew R Reynolds, Joseph M Massaro, Beth A Lewis, Joselyn Cerezo, Niki C Oldenburg, Claudia C Thum, Suzanne Goldberg, Michael R Jaff, Michael W Steffes, Anthony J Comerota, Jonathan Ehrman, Diane Treat-Jacobson, M Eileen Walsh, Tracie Collins, Dalynn T Badenhop, Ulf Bronas and Alan T Hirsch, CLEVER Study Investigators [1] assessed the efficacy of supervised exercise program in improving claudication in persons with aortoiliac peripheral artery disease. It was rather surprising to find that treadmill walking performance was better with supervised exercise program than with primary stenting for claudication in those with aortoiliac peripheral artery disease. But patient reported quality of life was better in the stenting group. This study involved one hundred and eleven patient with aortoiliac peripheral artery disease and were assigned to either optimal medical care, optimal medical care with supervised exercise or optimal medical care plus revascularization (primary stenting for claudication). Walking Impairment Questionnaire and Peripheral Artery Questionnaire was used to assess disease specific quality of life.

Reference

1. Timothy P Murphy, Donald E Cutlip, Judith G Regensteiner, Emile R Mohler, David J Cohen, Matthew R Reynolds, Joseph M Massaro, Beth A Lewis, Joselyn Cerezo, Niki C Oldenburg, Claudia C Thum, Suzanne Goldberg, Michael R Jaff, Michael W Steffes, Anthony J Comerota, Jonathan Ehrman, Diane Treat-Jacobson, M Eileen Walsh, Tracie Collins, Dalynn T Badenhop, Ulf Bronas, Alan T Hirsch, CLEVER Study Investigators. Supervised Exercise Versus Primary Stenting for Claudication Resulting From Aortoiliac Peripheral Artery Disease. Six-Month Outcomes From the Claudication: Exercise Versus Endoluminal Revascularization (CLEVER) Study. Circulation. 2012 Jan 3;125(1):130-9.