Vascular Medicine

  • Managing right ventricular failure in the setting of pulmonary embolism
    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?
    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
    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.

  • Stop the clot: When is laboratory evaluation for thrombophilia warranted?
    Jaideep Singh Bhalla, MD, G. Jay Bishop, MD and Scott J. Cameron, MD, PhD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 535-536; DOI: https://doi.org/10.3949/ccjm.91a.24058

    Evidence does not support routine testing for an underlying hereditary thrombophilia after an arterial or venous thrombosis. Instead, the benefits of testing must be discussed with each patient.

  • Mesenteric ischemia: Recognizing an uncommon disorder and distinguishing among its causes
    Teresa Wu, MD and Aravinda Nanjundappa, MBBS, MD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 545-550; DOI: https://doi.org/10.3949/ccjm.91a.23094

    Mesenteric ischemia is associated with high mortality and often poses a diagnostic challenge. Early recognition and diagnosis are imperative to improve outcomes.

  • Abdominal pain without physical findings is not always without physical cause
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine September 2024, 91 (9) 527-528; DOI: https://doi.org/10.3949/ccjm.91b.09024

    Mesenteric ischemia is a serious clinical entity characterized by a disconnect between the patient’s symptoms and the physical examination.

  • Varicose veins
    Noelle Boctor, MD and Paul Aronowitz, MD
    Cleveland Clinic Journal of Medicine July 2024, 91 (7) 401-403; DOI: https://doi.org/10.3949/ccjm.91a.23083

    A 60-year-old man presented with a 20-year history of slowly worsening prominent veins in both lower limbs.

  • Lymphedema vs lipedema: Similar but different
    Laura Daniela Lomeli, BA, Vinni Makin, MD, John R. Bartholomew, MD and Bartolome Burguera, MD, PhD
    Cleveland Clinic Journal of Medicine July 2024, 91 (7) 425-436; DOI: https://doi.org/10.3949/ccjm.91a.23084

    Lymphedema, lipedema, and even simple obesity in the extremities can resemble each other superficially and are often confused for one another, but they differ in important ways.

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