Alongside best medical therapy, percutaneous transluminal angioplasty (PTA) plus supervised treadmill exercise therapy (SET) could be the most beneficial first-line treatment option for intermittent claudication, according to a systematic review and network meta-analysis of 37 randomized clinical trials.
The meta-analysis “has shown that in addition to best medical therapy, angioplasty combined with supervised exercise appears to be the optimal initial treatment strategy for patients presenting with claudication,” wrote, of Guy’s and St Thomas’ Hospital in London, and colleagues.
SOURCE: Saratzis A et al. JACC Cardiovasc Interv. 2019 May 29. doi: 10.1016/j.jcin.2019.02.018.