Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis

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 p...

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Detalles Bibliográficos
Autores principales: Manfredini, Fabio, Zenunaj, Gladiol, Traina, Luca, Gasbarro, Vincenzo, Lamberti, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10323406/
https://www.ncbi.nlm.nih.gov/pubmed/37427039
http://dx.doi.org/10.1016/j.jvscit.2023.101179
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author Manfredini, Fabio
Zenunaj, Gladiol
Traina, Luca
Gasbarro, Vincenzo
Lamberti, Nicola
author_facet Manfredini, Fabio
Zenunaj, Gladiol
Traina, Luca
Gasbarro, Vincenzo
Lamberti, Nicola
author_sort Manfredini, Fabio
collection PubMed
description 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.
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spelling pubmed-103234062023-07-07 Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis Manfredini, Fabio Zenunaj, Gladiol Traina, Luca Gasbarro, Vincenzo Lamberti, Nicola J Vasc Surg Cases Innov Tech Case Report 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. Elsevier 2023-04-07 /pmc/articles/PMC10323406/ /pubmed/37427039 http://dx.doi.org/10.1016/j.jvscit.2023.101179 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Manfredini, Fabio
Zenunaj, Gladiol
Traina, Luca
Gasbarro, Vincenzo
Lamberti, Nicola
Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis
title Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis
title_full Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis
title_fullStr Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis
title_full_unstemmed Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis
title_short Exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis
title_sort exercise-based functional recovery from severe upper extremity arterial disease due to bilateral subclavian artery obstruction in a person with giant cell arteritis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10323406/
https://www.ncbi.nlm.nih.gov/pubmed/37427039
http://dx.doi.org/10.1016/j.jvscit.2023.101179
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