Abdominal Aortic Aneurysm Clinical Trial
Official title:
A Randomised Controlled Trial to Assess the Effect of a Pre-operative Supervised Exercise Programme on Outcome Following Intervention for Abdominal Aortic Aneurysms.
An aneurysm is a permanent and localized dilatation of an artery usually more than 50% of its
normal diameter. Abdominal Aortic Aneurysms (AAA) is an aneurysm of the main artery of
abdomen and affects 5% of men aged 65-74 years. Rupture of an aneurysm is the 10th leading
cause of death in white men over 65 years of age in industrial countries. Treatment of
asymptomatic AAA is considered when the diameter of an AAA reaches 5.5 cm. There are two
treatment options available: conventional open surgical repair or endovascular repair, which
is a less invasive mode of treatment. After the operation heart and lung complications are
significant in patients undergoing major abdominal surgery. The commonest causes of death are
due to heart problems. There are various studies which have shown benefits of pre operative
exercise training in patients undergoing orthopaedic, lung and heart bypass surgery.
Currently, there is no data available with regards to the effect of pre-operative (before
operation) supervised exercise in patients undergoing surgery for an AAA.
The main aim of this study will be to determine whether a pre-operative supervised exercise
programme improves post-operative (after operation) outcome, compared to standard treatment.
Patients will be entered in the study once a decision to repair their AAA has been made by
the consultant. They will undergo pre-operative assessment and will be divided randomly into
two groups. One group will have exercise training for 4-6 weeks before surgery and the other
will not. After the operation they will be followed during the post-operative period to
determine the presence or absence of complications. It is anticipated that complications will
be less in the group which has undertaken exercise training before operation.
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