Health Composite Scores from the 12-item Short-Form Health Survey. Those randomized to the intervention group increased their 6-minute walk distance in meters significantly (357.4 to 399.8 vs 353.3 to 342.2 for those in the control group; mean difference, 53.5; P < .001). There were also increases in maximum treadmill walking time (intervention, 7.91 to 9.44 minutes vs control, 7.56 to 8.09 minutes; mean difference, 1.01 minutes; P ¼ .04). Accelerometer-measured physical activity over 7 days also increased in the intervention group vs the control group (P ¼ .03). There were also significant improvements in the Walking Impairment Questionnaire distance score (P ¼ .003) and Walking Impairment Questionnaire speed score (P ¼ .004).Comment: The study indicates that home-based exercise can be effective in patients with PAD. It does not indicate that home-based exercise has equal effectiveness to supervised exercise programs, because the two were not directly compared. Nevertheless, until supervised exercise becomes a benefit of insurance coverage, the data should encourage physicians to recommend home-based exercise therapy in their patients with PAD.

This trial did not show a significant difference in combined death and severe complications between EVAR and OR. Mortality for OR both in randomized patients and in cohort patients was lower than anticipated, which may be explained by optimization of logistics, preoperative CT imaging, and centralization of care in centers of expertise.

This study shows that the results of immediate endovascular repair of a traumatic aortic rupture are at least equal to those of conventional open surgical repair. Especially in these multitrauma patients with traumatic ruptures of the thoracic aorta, endovascular therapy seems to be preferable to conventional open surgical repair.

This meta-analysis suggests that mortality of patients with RAAA treated by open surgery has not changed over the past 15 years. This could be explained by increased age of patients undergoing RAAA repair.

In this prospective cohort of all patients with a RAAA in the Amsterdam Acute Aneurysm Trial region, the suitability for endovascular repair in patients with a RAAA confirmed on CTA is 45.8%, but the application rate was lower.