Journal of vascular surgery
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Randomized Controlled Trial Comparative Study Clinical Trial
Exercise training improves functional status in patients with peripheral arterial disease.
In patients with intermittent claudication (IC) a structured walking exercise program improves exercise performance. However, few studies have evaluated the effects of exercise training on functional status during daily activities. We hypothesized that a supervised exercise training program would improve functional status in patients with IC, with 24 weeks of training more beneficial than 12 weeks. A secondary aim was to evaluate the effects of strength training and combinations of strength and treadmill training on functional status. ⋯ A supervised treadmill training program improved functional status during daily activities, with 24 weeks more effective than 12. In addition, treadmill training alone was more effective in improving functional status in patients with IC than strength training or combinations of the training modalities.
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Review Case Reports
Intravascular stenting of traumatic abdominal aortic dissection.
We describe the case of a 34-year-old man with blunt abdominal trauma. Initial abdominal computed tomography scan showed retroperitoneal hematoma, pancreatic contusion, multiple fractures of the transverse process in the thoraco-lumbar spine, and infrarenal aortic dissection. ⋯ Intravascular stenting allowed treatment of the dissection without open surgical procedures requiring laparotomy and aortic operation.