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Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis
- Source :
- Journal of Vascular Surgery Cases and Innovative Techniques, Vol 9, Iss 2, Pp 101179- (2023)
- Publication Year :
- 2023
- Publisher :
- Elsevier, 2023.
-
Abstract
- We report the case of a 71-year-old woman diagnosed with giant cell arteritis with bilateral subclavian and axillary obstruction and severe arm claudication that occurred 3 months earlier and was non-regressed after corticosteroids. Before possible revascularization, the patient was initiated to a personalized home-based graded exercise program including walking, hand-bike pedaling, and muscle strength training. During the 9 months of treatment, the patient progressively improved radial pressure values (10 to 85 mmHg), hand temperature values by infrared-thermography (+2.1 °C), arm endurance, and forearm muscle oxygenation by near-infrared spectroscopy. Home-based graded exercise proved to be a noninvasive option for upper limb claudication.
Details
- Language :
- English
- ISSN :
- 24684287
- Volume :
- 9
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Vascular Surgery Cases and Innovative Techniques
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.6ed47ebd84804e61b034a714501c1df8
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.jvscit.2023.101179