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Randomised clinical trial of supervised exercise therapy vs. endovascular revascularisation for intermittent claudication caused by iliac artery obstruction: The SUPER study.

Koelemay M, van Reijen NS, van Dieren S, Frans FA, Vermeulen EJG, Buscher HCJL, et al for the SUPER Study Collaborators.

Eur J Vasc Endovasc Surg 2022; 63: 421-429.

The trial was terminated after 240 patients were included and analysed. Compliance with supervised exercise was 50 per cent at six months. After one year, mean maximum walking distance improved similarly in both groups (P=0.69).

Comment: The authors conclude that supervised exercise should be the initial treatment, followed by revascularisation if that is not successful.

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