Vascular Medicine

  • Awareness can prompt the search for clinical zebras
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 133-134; DOI: https://doi.org/10.3949/ccjm.88b.03021

    When do we look hard for uncommon causes of common symptoms?

  • Median arcuate ligament syndrome: Incidental finding or real problem?
    Bayarmaa Mandzhieva, MD, Hammad Zafar, MD, Akriti Jain, MD and Manoucher Manoucheri, MD, FACP
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 140-142; DOI: https://doi.org/10.3949/ccjm.88a.20052

    A woman was admitted with pain in the epigastrium and right upper quadrant that radiated to the back, as well as nausea and dry heaves.

  • Median arcuate ligament syndrome: A clinical dilemma
    John H. Rodriguez, MD, FACS
    Cleveland Clinic Journal of Medicine March 2021, 88 (3) 143-144; DOI: https://doi.org/10.3949/ccjm.88a.21001

    Patients with chronic abdominal pain can benefit from a multidisciplinary evaluation.

  • Pacemaker lead-induced venous thoracic outlet syndrome
    Abhinav Sood, MBBS, MD, Daniel Benhuri, MD, Ujjwal Rastogi, MD and Ramesh M. Gowda, MD
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 75-76; DOI: https://doi.org/10.3949/ccjm.88a.20023

    Acute arm swelling and pain after an airline flight and a missed anticoagulant dose.

  • Reversal of direct oral anticoagulants: Highlights from the Anticoagulation Forum guideline
    Haeshik S. Gorr, MD, Lucy Yun Lu, PharmD, MS and Eric Hung, PharmD, CACP, AE-C
    Cleveland Clinic Journal of Medicine February 2021, 88 (2) 98-103; DOI: https://doi.org/10.3949/ccjm.88a.19133

    Clear instructions on how to manage DOAC-associated bleeding.

  • The role of SGLT-2 inhibitors in managing type 2 diabetes
    Yumiko Tsushima, MD, M. Cecilia Lansang, MD, MPH and Vinni Makin, MBBS, MD, FACE
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 47-58; DOI: https://doi.org/10.3949/ccjm.88a.20088

    These drugs improve glycemic control and offer cardiovascular and metabolic benefits.

  • COVID-19 coagulopathy
    Anup Katyal, MD
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 712; DOI: https://doi.org/10.3949/ccjm.87c.12001

    Skepticism of high-intensity prophylaxis for patients with D-dimer ≥ 3.0 µg/mL.

  • In Reply: COVID-19 coagulopathy
    Simon R. Mucha, MD, Siddharth Dugar, MD, Keith McCrae, MD, Douglas Joseph, DO, John Bartholomew, MD, Gretchen L. Sacha, PharmD, RPh, BCCCP and Michael Militello, PharmD, RPh, BCPS
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 712; DOI: https://doi.org/10.3949/cjm.87c.12002

    An attempt to balance the potential risks and benefits of intensified prophylaxis.

  • Air embolism after peripheral IV contrast injection
    Justin Goodwin, MS and Karthik Gnanapandithan, MD, MS, FHM
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 718-720; DOI: https://doi.org/10.3949/ccjm.87a.20001

    As little as 2 to 3 mL of air in the cerebral circulation can be fatal.

  • Optimal surveillance and treatment of renal and splenic artery aneurysms
    Optimal surveillance and treatment of renal and splenic artery aneurysms
    CME article
    Tom Kai Ming Wang, MBCHB, MD(res), FRACP and Milind Y. Desai, MD
    Cleveland Clinic Journal of Medicine December 2020, 87 (12) 755-758; DOI: https://doi.org/10.3949/ccjm.87a.19140-2

    Indications for repair are based on aneurysm location and risk factors for rupture.

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