Vascular Medicine
- Hidden lesion easily missed on chest radiography
Chest radiography showed an opacity behind the heart, and CT angiography revealed it to be an aortic aneurysm.
- Primary livedo reticularis of the abdomen
Livedo reticularis can be the manifestation of a wide range of conditions—or not.
- PCI for stable angina: A missed opportunity for shared decision-making
Patients mistakenly believe that PCI saves lives. They need clear information to give informed consent.
- Having the COURAGE to include PCI in shared decision-making for stable angina
In a select group, a PCI-first strategy does not reduce the risk of death, but it does relieve angina sooner.
- A 75-year-old with abdominal pain, hypoxia, and weak pulses in the left leg
Workup revealed the patient had both arterial and venous thrombosis. What was the cause?
- When cold-induced vasospasm is the tip of the iceberg
For a minority of patients, Raynaud phenomenon may be the presenting sign of a systemic disorder.
- Acute monocular vision loss: Don’t lose sight of the differential
An 83-year-old man woke up one morning unable to see out of his left eye; 6 hours earlier it had been normal.
- Treating Raynaud phenomenon: Beyond staying warm
Avoidance of cold and stress are fi rst-line measures, but if these fail, vasodilator agents are used.