Vascular Medicine

Managing right ventricular failure in the setting of pulmonary embolism
Anup Katyal, MD and Ashwani Joshi, MD
- Cleveland Clinic Journal of Medicine July 2025, 92 (7) 396;
- DOI: https://doi.org/10.3949/ccjm.92c.07003
In Reply: Managing right ventricular failure in the setting of pulmonary embolism
Sharmeen Sorathia, MD, Anibelky Almanzar, MD, Abhishek Bhandiwad, MD and Phoo Pwint Nandar, MD
- Cleveland Clinic Journal of Medicine July 2025, 92 (7) 396-397;
- DOI: https://doi.org/10.3949/ccjm.92c.07004
Direct oral anticoagulants: Challenging prescribing scenarios in everyday practice
Syed Bukhari, MD, MHA, Mohamed Ghoweba, MD, Syed Zamrak Khan, MD, Ammar Saati, MD and Marcelo Gomes, MD
- Cleveland Clinic Journal of Medicine June 2025, 92 (6) 353-361;
- DOI: https://doi.org/10.3949/ccjm.92a.24061
- Preapproval trials of direct oral anticoagulants excluded patients with extreme body weight and advanced kidney and liver disease and those who had undergone bariatric surgery. Cautious decision-making in these patients is warranted.
Should I start anticoagulation in my patient newly diagnosed with pulmonary hypertension?
Tark Abou-Elmagd, MD, MSc, MBBCh and Shraddha Narechania, MD
- Cleveland Clinic Journal of Medicine June 2025, 92 (6) 339-343;
- DOI: https://doi.org/10.3949/ccjm.92a.24083
- The decision hinges on the subtype of pulmonary hypertension the patient has.
Nitrogen: The unsung hero of vascular physiology
Adam J. Brown, MD
- Cleveland Clinic Journal of Medicine June 2025, 92 (6) 344-346;
- DOI: https://doi.org/10.3949/ccjm.92a.24120
- The seventh element on the periodic table—nitrogen—may not come to mind often in day-to-day medical practice, but it is more exciting than you might think.
Managing right ventricular failure in the setting of pulmonary embolism
Sharmeen Sorathia, MD, Anibelky Almanzar, MD, Abhishek Bhandiwad, MD and Phoo Pwint Nandar, MD
- Cleveland Clinic Journal of Medicine May 2025, 92 (5) 301-309;
- DOI: https://doi.org/10.3949/ccjm.92a.24069
- The authors review current management strategies, including medical, percutaneous interventional, and surgical options, and discuss recent advances in the field.
Prolonged venous filling time and dependent rubor in a patient with peripheral artery disease
Scott L. Hagan, MD and Jeffrey W. Redinger, MD
- Cleveland Clinic Journal of Medicine April 2025, 92 (4) 205-206;
- DOI: https://doi.org/10.3949/ccjm.92a.24056
- Physical examination in a man who presented with foot pain revealed absent bilateral posterior tibial and dorsalis pedis pulses and dusky erythema of both feet.
A man with chronic limb-threatening ischemia and no revascularization options: Can we save his foot?
Fachreza Aryo Damara, MD, Khaled I. Alnahhal, MD, Hassan Dehaini, MD, Georgeanne Botek, DPM, Ammar A. Saati, MD, Pulkit Chaudhury, MD and Lee Kirksey, MD, MBA
- Cleveland Clinic Journal of Medicine November 2024, 91 (11) 683-692;
- DOI: https://doi.org/10.3949/ccjm.91a.23077
- The patient’s right foot was edematous with extensive, dry-appearing gangrene of the big toe, and no pedal pulses were felt.
Abdominal pain in a patient with epistaxis, telangiectasias, and arteriovenous malformations
Gregory W. Rutecki, MD, Akash Mathavan, MD, Akshay Mathavan, MD, Andreas Giovanni Zori, MD, Marc Stuart Zumberg, MD, Jeb M. Justice, MD and Ali Ataya, MD
- Cleveland Clinic Journal of Medicine October 2024, 91 (10) 601-608;
- DOI: https://doi.org/10.3949/ccjm.91a.24042
- The pain was radiating to the back, exacerbated by eating, and accompanied by intermittent nausea and fatigue.
Should every patient with an unprovoked venous thromboembolism have a hypercoagulable workup?
Jaime Tan, MD, Neeladri Misra, MD and Sivakumar Reddy, MD
- Cleveland Clinic Journal of Medicine September 2024, 91 (9) 531-533;
- DOI: https://doi.org/10.3949/ccjm.91a.24016
- In the absence of consensus guidelines addressing this question, an individualized approach that considers personal and family history is needed.