Letter by Frans and Koelemay Regarding Article, “Supervised Exercise Versus Primary Stenting for Claudication Resulting From Aortoiliac Peripheral Artery Disease: Six-Month Outcomes From the Claudication: Exercise Versus Endoluminal Revascularization (CLEVER) Study”

Abstract

To the Editor: With great interest we read the long-awaited report of the Claudication: Exercise Versus Endoluminal Revascularization (CLEVER) study, a very relevant study for clinical practice. We compliment Murphy and colleagues for their well-written article and their effort in investigating the relative effectiveness of optimal medical care, supervised exercise, and stenting to relieve intermittent claudication resulting from an iliac artery obstruction.1 The bottom line of CLEVER is that at the 6-month follow-up, supervised exercise improves walking distance on a treadmill better, and that functional status and most domains of disease-specific quality of life improve more after …