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The 35th Annual Vascular Scientific Sessions by the Society for Vascular Medicine (SVM) in 2024 was a successful event held in Houston, featuring high-quality science, diverse attendees from 10 countries, and engaging sessions. The conference included various lectures, workshops, and networking opportunities, with a focus on advancing vascular medicine and improving patient care. The event showcased cutting-edge research, recognized outstanding contributors in the field, and provided a platform for professionals to collaborate and stay updated on the latest developments in vascular medicine. [Extracted from the article]

The document acknowledges and thanks the Guest Editors and Peer Reviewers who contributed to Vascular Medicine from September 1, 2023, to August 31, 2024. It highlights the importance of the multi-disciplinary pool of expert Peer Reviewers, with 269 individuals completing 631 reviews. The document also recognizes the "Blue Ribbon Peer Reviewers" who made outstanding contributions, as well as Dr. Bruce Gray, who received the Peer Reviewer of the Year award for his exceptional work during the period. [Extracted from the article]

Background: Supervised exercise therapy (SET) is the cornerstone of medical therapy for symptomatic peripheral artery disease (PAD). Despite the efficacy of SET, initial reports following the 2017 Centers for Medicare and Medicaid Services (CMS) reimbursement decision indicate low SET uptake, referral, and completion. Vascular medicine specialists are key to the success of such programs. We examined rates of SET referral, completion, and outcomes in a health system with a robust SET program during the first 5 years of CMS reimbursement. Methods: A retrospective chart review of patients with PAD referred to SET between October 1, 2017 and December 31, 2022 was conducted. Patient demographic and medical characteristics, SET indication, referring provider specialty, SET participation (e.g., exercise modality, number of sessions, treadmill prescription), and outcomes were abstracted. Descriptive statistics, t -tests, and multiple linear regression were used to examine the sample, evaluate outcomes, and explore outcomes by relevant covariates (i.e., age, sex, referring provider specialty). Results: Of 5320 patients with PAD, N = 773 were referred to SET; N = 415 enrolled and were included in the present study. Vascular medicine and vascular surgery specialists were the two primary sources of referrals (30.6% and 51.6%, respectively). A total of 207 patients (49.9%) completed SET. Statistically significant and clinically meaningful improvements were observed in all outcomes. Conclusion: SET referral and completion rates are low in the 5 years following CMS reimbursement, despite the advocacy of vascular medicine specialists. SET is effective in improving patient functional capacity and quality of life. Additional efforts are needed to increase both SET availability and referrals as part of comprehensive treatment of PAD. [ABSTRACT FROM AUTHOR]

This article discusses a rare case of a hepatic artery aneurysm in a 25-year-old woman with polyarteritis nodosa. The woman initially sought consultation for recurrent abdominal pain, discomfort, nausea, and vomiting, which were initially managed as acid reflux disease. However, further workup revealed a dilated common hepatic artery with an aneurysm. The patient underwent open surgical resection of the aneurysm and received high-dose intravenous steroid therapy postoperatively. The article emphasizes the importance of maintaining a high index of suspicion for vasculitis, especially among young women, to avoid missing this diagnosis. [Extracted from the article]

This article discusses a case of Klippel-Trenaunay syndrome (KTS) in a 55-year-old man. KTS is a congenital anomaly characterized by cutaneous port-wine capillary malformations, hemihypertrophy of bone and soft tissues, and venous malformations. The patient had a history of vascular malformations, recurrent bleeding, and pulmonary embolism. The diagnosis was established based on the clinical presentation. Treatment for KTS involves a multidisciplinary approach, with symptomatic care being the mainstay and the potential use of low-dose sirolimus or targeted therapies. [Extracted from the article]

This article discusses the use of high-resolution CT imaging to detect and monitor arterial calcification in patients with CD73 deficiency, a rare autosomal recessive disease. The study focuses on two patients and shows the progression of the disease over a 2-year and 3-year time period. The images obtained through the CT scan provide detailed information about the location and extent of calcification in the lower extremities and hands. The findings of this study are supported by previous reports, and the authors suggest that CT imaging can be a valuable tool for monitoring and treating patients with CD73 deficiency. [Extracted from the article]

Vascular disease is a significant cause of illness and death in the United States, but the field of vascular medicine lacks recognition as a certified specialty. Despite efforts to establish vascular medicine as a distinct field, it has not yet been recognized by the American Board of Medical Specialties or accredited by the American College of Graduate Medical Education. However, the Society for Vascular Medicine has made progress in standardizing knowledge and certification in the field. Several studies published in Vascular Medicine demonstrate the value of vascular medicine specialists in providing guideline-recommended therapies, improving patient outcomes, and collaborating with other specialists. The journal is now calling for more papers to further demonstrate the value of vascular medicine in practice. The SVM Vascular Medicine Subspecialty Recognition Taskforce continues to work towards achieving recognition for vascular medicine as a subspecialty. [Extracted from the article]

This article discusses the management of advanced Raynaud's disease, a condition characterized by episodic digital vasospasms primarily triggered by cold exposure. The study analyzed data from hospitalized patients with Raynaud's phenomenon (RP) and found that the majority had an underlying connective tissue disease and a high prevalence of cardiovascular risk factors. The study also revealed that amputation rates were relatively high, while angiograms and sympathectomy procedures were performed infrequently. The authors suggest that a multidisciplinary team approach, involving vascular medicine specialists, may be beneficial in managing severe RP cases and improving outcomes. However, further research is needed to determine the optimal care for advanced RP. [Extracted from the article]

The article summarizes the highlights of the 2023 SVM Vascular Scientific Sessions, a conference organized by the Society for Vascular Medicine. The conference aimed to create a great experience for attendees and featured various sessions, including speed mentoring, networking, ping-pong tournaments, and presentations of scientific research. The conference also included keynote speakers, a "shark tank"-like session, point-of-care ultrasound training, and a risk-factor management session. The article expresses gratitude to the organizers, award recipients, and partners who made the conference possible. [Extracted from the article]

Poster No. 66 Abstract ID No. 1499427 The tale of an aortic thrombus I Nichole E. Brunton, DO, Ana Casanegra, MD i I Mayo Clinic i I Background: i Aortic thrombus is rare in patients without aneurysm or atherosclerosis, usually occurring in young patients with prothrombotic disorders. Poster No. 105 Abstract ID No. 1496248 Two strokes of luck: a case of descending thoracic aneurysm in an elderly patient with multip... I Julianne Marie E. Yamamoto, Flordeliz F. Lontok, Ronald S. Reodica, Fabio Enrique B. Posas, Marvin Martinez, Precious Samonte, Arvinjay Bautista i I St. Luke's Medical Center - Bonfacio Global City i I Background: i Treating a patient with aneurysms in multiple segments of the aorta and its branches is a challenge, especially in the elderly with a history of open surgical repair of abdominal aorta aneurysm. I Conclusions: i The variability of CHD and aneurysm presentations in patients with NOTCH-related disease indicate that these genes should be included in any aortopathy or arterial disease gene testing strategy. In patients with underlying connective tissue disease, such as Loeys-Dietz syndrome, vascular Ehlers-Danlos syndrome, and Marfan syndrome, dissecting pseudoaneurysm should be considered in the differential diagnosis. Abstract ID No. 1494785 Venous inflammation might be one of the features of VEXAS syndrome and associated thrombosis I Hazan Karadeniz SP 1 sp , Mahinur Cerit SP 1 sp , Seyma Yildiz SP 1 sp , Abdurrahman Tufan SP 2 sp , Yogen Kanthi, MD SP 3 sp SP 1 sp Gazi University Faculty of Medicine, SP 2 sp National Human Genome Research Institute/NIH, SP 3 sp National Institutes of Health i I Background i : VEXAS syndrome is an often fatal, X-linked disease characterized by hematological dysplasia overlapping with severe autoinflammatory manifestations. [Extracted from the article]

Hereditary hemorrhagic telangiectasia (HHT), also known as Osler–Weber–Rendu disease, is a rare disorder with a case prevalence as high as one in 5000, causing arteriovenous malformations in multiple organ systems. HHT is familial with autosomal dominant inheritance, with genetic testing allowing confirmation of the diagnosis in asymptomatic kindreds. Common clinical manifestations are epistaxis and intestinal lesions causing anemia and requiring transfusions. Pulmonary vascular malformations predispose to ischemic stroke and brain abscess and may cause dyspnea and cardiac failure. Brain vascular malformations can cause hemorrhagic stroke and seizures. Rarely, liver arteriovenous malformations can cause hepatic failure. A form of HHT can cause juvenile polyposis syndrome and colon cancer. Specialists in multiple fields may be called to care for one or more aspects of HHT, but few are familiar with evidence-based guidelines for HHT management or see a sufficient number of patients to gain experience with the unique characteristics of the disease. Primary care physicians and specialists are often unaware of the important manifestations of HHT in multiple systems and the thresholds for their screening and appropriate management. To improve familiarity, experience, and coordinated multisystem care for patients with HHT, the Cure HHT Foundation, which advocates for patients and families with this disease, has accredited 29 centers in North America with designated specialists for the evaluation and care of patients with HHT. Team assembly and current screening and management protocols are described as a model for evidence-based, multidisciplinary care in this disease. [ABSTRACT FROM AUTHOR]

A popliteal vein aneurysm is a "true" aneurysm involving all three layers of the blood vessel wall, which are called the intima, media, and adventitia.[1] The exact size to define a popliteal vein aneurysm remains controversial,[2] but generally is around 1.5 cm or larger. The most important complication of an untreated popliteal vein aneurysm is a blood clot, which may be a deep vein thrombosis (DVT) and/or a pulmonary embolism (PE). Keywords: deep vein thrombosis (DVT); popliteal vein aneurysm; pulmonary embolism (PE); venous thromboembolism (VTE) EN deep vein thrombosis (DVT) popliteal vein aneurysm pulmonary embolism (PE) venous thromboembolism (VTE) 168 171 4 04/12/23 20230401 NES 230401 What is a popliteal vein aneurysm?. [Extracted from the article]

The text is a presidential address given by Herbert D. Aronow at the 34th Annual Vascular Scientific Sessions. Aronow expresses gratitude to various individuals and committees who have contributed to the growth and success of the Society for Vascular Medicine (SVM). He highlights the increase in SVM membership and financial stability. Aronow also discusses the importance of addressing public trust in vascular healthcare providers and the need for self-policing within the vascular community to ensure quality care. He emphasizes the significance of universal participation in quality improvement efforts and the potential benefits of random case reviews. Aronow concludes by expressing his honor and privilege in serving as President of SVM. [Extracted from the article]

This document, titled "Cause of death in patients with acute pulmonary embolism," discusses the causes of death among patients diagnosed with acute pulmonary embolism (PE). The study aimed to determine whether deaths in the context of acute PE are primarily driven by PE directly or underlying illness. The researchers conducted a retrospective chart review of patients admitted to their institution with a diagnosis of acute PE between August 2012 and July 2018. They found that PE-related death was the primary cause of death in high-risk PE patients but was rare in intermediate- and low-risk PE. The study highlights the importance of risk stratification in determining appropriate therapy for acute PE. However, the study has limitations, including its single-center nature and retrospective design. Further investigation is needed to optimize selection for advanced therapies, particularly in patients with intermediate-risk PE. [Extracted from the article]

The patient also underwent a total body CT scan, which revealed no other aneurysms as well as stability of left carotid aneurysms. Computed tomography angiography (CTA) showed a 13 × 14 mm diameter saccular aneurysm in the right extracranial internal carotid artery (ICA) with concomitant carotid kinking and two other small aneurysms (2 mm in diameter) in the left ICA (Panels A1 and A2, arrows). An angiography confirmed the presence of carotid aneurysms (Panels B1 and B2, arrows) and the absence of arteriovenous malformations or cerebral vasospasm. [Extracted from the article]

The article in Vascular Medicine discusses the inaccuracies in death certificate documentation for patients with acute pulmonary embolism (PE). The study found that there was significant disagreement between the cause of death listed on death certificates and the cause determined by medical chart adjudication for patients with acute PE. The study highlights the importance of accurate death certificate documentation to ensure the reliability of epidemiological studies and emphasizes the need for clear criteria for PE-related deaths. The findings suggest that pulmonary causes and myocardial infarction were over-reported on death certificates, while stroke, infection, and cancer were under-reported. [Extracted from the article]

In people without lower extremity peripheral artery disease (PAD), mitochondrial DNA copy number declines with aging, and this decline is associated with declines in mitochondrial activity and functional performance. However, whether lower extremity ischemia is associated with lower mitochondrial DNA copy number and whether mitochondrial DNA copy number is associated with the degree of functional impairment in people with PAD is unknown. In people with and without PAD, age 65 years and older, we studied associations of the ankle-brachial index (ABI) with mitochondrial DNA copy number and associations of mitochondrial DNA copy number with functional impairment. Calf muscle biopsies were obtained from 34 participants with PAD (mean age: 73.5 years (SD 6.4), mean ABI: 0.67 (SD 0.15), mean 6-minute walk distance: 1191 feet (SD 223)) and 10 controls without PAD (mean age: 73.1 years (SD 4.7), mean ABI: 1.14 (SD 0.07), mean 6-minute walk distance: 1387 feet (SD 488)). Adjusting for age and sex, lower ABI values were associated with higher mitochondrial DNA copy number, measured in relative copy number (ABI

A 23-year-old man was referred to the vascular medicine clinic after experiencing a spontaneous splenic artery aneurysm rupture, requiring coiling, a few months previously. Owing to the patient's remarkable CTA findings in the setting of his young age and lack of significant prior medical history other than spontaneous arterial rupture, the patient was referred for genetic testing to evaluate for connective tissue disorder. The mild arterial wall irregularities seen on carotid ultrasound and the faint beading of the distal left ICA seen on CTA, along with the presence of aneurysms and dissections, meant fibromuscular dysplasia (FMD) was considered; however, connective tissue disease was thought to be much more likely. [Extracted from the article]

We describe a novel case of rivaroxaban treatment failure in a patient with COVID-19 infection who previously demonstrated efficacious treatment of prior pulmonary embolism (PE) with rivaroxaban I Case presentation i : A 75-year-old male patient originally presented for syncope and was found to have acute submissive PE on Computed tomography angiogram of his (CTA) chest. Here, we present a unique case of a missed ruptured AAA (rAAA) in a paraplegic patient atypical of the classical at-risk patients, where complications led to limb ischemia and resulting cryoamputation. There has been growing success with stent-supported recanalization and this case illustrates how it can be a durable alternative to surgery in elderly patients or in patients with severe comorbidities. Graph: Poster 67 Panels A-G Poster Number: 68 Abstract Number: 1272222 The approach to a patient with superficial femoral artery aneurysm with concomitant mycosis d... I B Emilita S. Lapuz, MD, FPCP b , Reynald Evan Tugade, Jenny L. Beltran i I St. Luke's Medical Center Quezon City i I Background i : Superficial femoral artery aneurysm is a rare disease usually discovered in elderly male patients. Poster Number: 75 Abstract Number: 1278722 Porto-mesenteric venous thrombosis in patients with complicated intra-abdominal infections: a... I B Nyssa Elline M. Palileo, MD, FPCP, DPCC b , Johanna Lynne M. La Rosa, MD, Myra Canlas, MD, FPCP, FPCC, FPSVM i I St. Luke's Medical Center Quezon City i I Background i : Portomesenteric venous thrombosis is a rare disease, difficult to diagnose and can lead to mortality. [Extracted from the article]

This article discusses a case of fibromuscular dysplasia (FMD) with an abdominal aortic aneurysm (AAA) in a 68-year-old woman. The patient presented with chest pain and a history of smoking, hypertension, and other medical conditions. The CT scan revealed a 5.5-cm AAA and severe tortuosity of the left external iliac artery. The angiogram showed a "string of pearls" sign, indicative of FMD. FMD is a rare arterial disease that primarily affects medium-sized arteries, more commonly in women and smokers. The case highlights the importance of considering FMD in patients with AAA and tortuous iliac arteries, as it can cause operative difficulties. [Extracted from the article]

This article, published in Vascular Medicine, discusses the case of a patient with two idiopathic internal mammary artery (IMA) aneurysms. IMA aneurysms are rare and often caused by medical procedures or underlying conditions. However, this patient had no history of trauma or vascular pathology. The aneurysms were successfully treated using an endovascular approach with coils. This case highlights the importance of considering IMA aneurysms in patients without clear etiology and suggests that endovascular treatment is a low-risk option. [Extracted from the article]

This article discusses a case of Madelung disease, a rare fat deposition disorder, in a 59-year-old man with a history of excessive alcohol consumption. The patient presented with swelling in his upper arms and torso, along with other symptoms such as gynecomastia and fat deposition throughout his body. Madelung disease is closely linked to chronic alcoholism and primarily affects males. The diagnosis can be made through a history and physical examination, and imaging techniques may be used to confirm the diagnosis and assess for complications. The only effective treatments for Madelung disease are extensive lipectomy and/or liposuction. Alcohol abstinence may help reduce the rate of recurrence. [Extracted from the article]

This article discusses the impact of vascular medicine specialists on the utilization and management of inferior vena cava (IVC) filters in hospitalized patients. The study found that vascular medicine specialists recommended IVC filter placement in approximately one-third of consults, but also identified alternative strategies to filter placement in the majority of cases. Vascular medicine consultation contributed to lower IVC filter use at the institution, resulting in estimated cost savings. The study also highlighted the importance of vascular medicine follow-up in improving retrieval rates and individualizing patient evaluation. The authors suggest that future initiatives led by vascular medicine could further improve evaluation, tracking, and follow-up of IVC filters. [Extracted from the article]

This article discusses a case of a 27-year-old man with cystic fibrosis who presented with pain and numbness in his fourth and fifth fingers. The patient was diagnosed with a saccular aneurysm in the ulnar artery with mural thrombus and microembolization. The cause of the aneurysm was believed to be remote trauma to the hand. Ulnar artery aneurysms are rare and can cause symptoms such as numbness, tingling, and distal embolization. Surgical repair is recommended for symptomatic patients. [Extracted from the article]

This article discusses a rare and often misdiagnosed condition called uterine intravenous leiomyomatosis (IVL), which involves the growth of benign smooth muscle cells from the uterus into the blood vessels. The condition can become life-threatening if it spreads to the inferior vena cava (IVC) or right heart chambers. The article presents a case study of a 48-year-old woman with asymptomatic Stage IV IVL, highlighting the potential for delayed diagnosis in this group. The patient underwent treatment for a thrombus in her IVC, and surgical intervention was eventually performed to remove the tumor and prevent recurrence. The article emphasizes the difficulty of diagnosing IVL due to its rarity and varied clinical presentations. [Extracted from the article]

This article discusses a case of nonuremic calciphylaxis, a rare condition characterized by nonhealing skin ulcers caused by arterial calcification and thrombosis. The patient, a 66-year-old woman with a history of coronary artery disease, presented with a necrotic ulcer on her left calf and unintentional weight loss. Initial laboratory assessments were unremarkable, but a biopsy of the ulcer revealed calciphylaxis. Further investigation found a renal mass, confirming renal cell carcinoma. The patient was started on sodium thiosulphate treatment but unfortunately died shortly after a nephrectomy. Nonuremic calciphylaxis is associated with various factors, including vitamin D toxicity, primary hyperparathyroidism, malignancy, and anticoagulation. Sodium thiosulphate is considered the main treatment for this condition. [Extracted from the article]

This statement was endorsed by the American College of Radiology (ACR), American Podiatric Medical Association (APMA), Society of Interventional Radiology (SIR), Society for Vascular Medicine (SVM), Society for Vascular Surgery (SVS), Society for Clinical Vascular Surgery (SCVS), and Vascular & Endovascular Surgery Society (VESS) in September 2021. [ABSTRACT FROM AUTHOR]

Keywords: diversity; health disparities; Society for Vascular Medicine EN diversity health disparities Society for Vascular Medicine 185 187 3 06/13/23 20230601 NES 230601 Hate crimes can be based on ethnicity, race, sexual orientation, or religion, with a few recent examples including the murder of Ahmaud Arbery, a Black man jogging in a public road in Georgia, the burning of a Presbyterian Church in a Black community in Springfield Massachusetts, and the attack of the Poway synagogue in California, and the list keeps going.[1] In medicine, overt examples from the past include the forced sterilization of non-White individuals and the Tuskegee experiment, where Black men unknowingly participated in a study on the natural history of syphilis without informed consent and were denied treatment when it became available.[2] In present times, subtle and sometimes unconscious behavior can carry the same devastating consequences for patients and healthcare providers. Most biases are implicit and can also be from within the same sex or racial/ethnic group.[12] Health disparities are known to begin as early as the prenatal period, resulting in poorer maternal-fetal health and newborn outcomes in URMs. In 2020, the Society for Vascular Medicine (SVM) established the first Diversity, Equity, and Inclusion (DEI) Task Force to minimize and work to eliminate these disparities to align with its mission. 10 Braveman P. What are health disparities and health equity?. [Extracted from the article]

At the IAC Meeting on January 26-27, 2023 in Fort Lauderdale, Florida, the IAC Vascular Testing Board President Dr Tatjana Rundek congratulated outgoing SVM Representative Dr Timothy Crimmons on his years of service to the Board (Figure 1). Dr Raghu Kolluri was elected to the IAC Vascular Testing Board to replace Dr Crimmons and will serve alongside Dr Esther Kim as the second SVM representative to the Vascular Testing Board. IAC Vascular Testing Board President Dr Tatjana Rundek congratulates outgoing SVM Representative Dr Timothy Crimmons on his years of service to the Board. [Extracted from the article]

This meeting began a long and wonderful friendship, as well as a close professional relationship, based on our mutual interest in the role of exercise in treating peripheral artery disease (PAD). What does the future hold for structured exercise training for people with PAD? Exercise therapy, peripheral artery disease (PAD) Keywords: exercise therapy; peripheral artery disease (PAD) EN exercise therapy peripheral artery disease (PAD) 116 119 4 04/12/22 20220401 NES 220401 In 1997, we were introduced at the annual meeting of the Society for Vascular Medicine (and Biology). [Extracted from the article]

This article discusses a case of multiple venous stents migrating into the heart. A 44-year-old man had undergone stenting of his bilateral common and external iliac veins three years prior, which resulted in complete healing of leg wounds and resolution of edema. However, during a recent imaging scan, it was discovered that all four stents had migrated, with two in the right atrium and two in the suprarenal inferior vena cava. The optimal management of migrated stents is uncertain, but endovascular treatment has been successful in most cases. In this particular case, conservative management with anticoagulation was chosen due to concerns about tissue injury during retrieval. [Extracted from the article]

The article discusses the author's career in vascular medicine and offers advice to those starting their careers in the field. The author reflects on memorable patient experiences and emphasizes the importance of centering patient care in the practice of vascular medicine. The author also shares personal anecdotes about taking risks, seizing opportunities, and raising one's hand for new challenges. The article concludes with the reminder that patient care should always be the primary focus for physicians in the field. [Extracted from the article]

The Society for Vascular Medicine (SVM) has undergone some changes in its Executive Committee and Board of Trustees, with new members joining and others transitioning to different roles. The Society also has a new Executive Director. The SVM's mission is to promote and advance vascular medicine and patient care, and they are focused on ensuring solid foundations through professional accreditation, member recruitment and retention, and financial stability. The Society is proud of its committees and the dedicated volunteers who contribute to its work. They encourage members to stay updated through social media channels and to reach out with any important information. The SVM is also working on accreditation efforts and exploring board certification options for its members. The Society's finances are stable and they have embarked on major endeavors for future growth. They have surpassed 700 members for the first time and are focused on expanding their global reach. They offer various membership benefits, including a mentorship program. The President-Elect is planning the next Vascular Scientific Sessions (VSS) in Houston, Texas, which will feature keynote speakers, a year in review session, abstract submissions, educational opportunities, and networking events. [Extracted from the article]

This article discusses a case of Mondor's disease in a 55-year-old man with a history of renal transplantation and a stenosed upper-extremity arteriovenous fistula (AVF). The patient presented with chest pain, redness, and a palpable mass on the right chest wall. A venous Doppler ultrasound revealed acute superficial thrombophlebitis in the basilic vein and a superficial vein of the right chest. The diagnosis of Mondor's disease was made based on the history, clinical examination, and venous duplex. The patient was treated with anticoagulation and his symptoms resolved. Mondor's disease is a rare condition characterized by sclerosing superficial thrombophlebitis and can affect various veinous drainage systems. It is typically self-limiting and resolves within 6-8 weeks. [Extracted from the article]

This article discusses a case of a 55-year-old woman who presented with painful lower-extremity lymphedema, skin thickening, and clubbing. The woman had a history of lichen planus and tobacco use. The physical examination revealed tender bilateral lower-extremity lymphedema with thickened skin, lobular toe swelling with clubbing, and bilateral fingernail clubbing. Extensive testing was done, and a biopsy confirmed the diagnosis of hypertrophic osteoarthropathy (HOA) due to adenocarcinoma of the lung. The article explains that HOA is often associated with malignancy, particularly nonsmall cell lung cancer, and the most effective treatment involves addressing the underlying cause. [Extracted from the article]

Physical examination revealed edema and swelling of the left leg, and color Doppler ultrasonography (US) documented a floating oval lesion in the left common femoral vein (online supplementary video). A 73-year-old woman with a history of recurrent deep vein thrombosis of the left lower extremity, which occurred approximately 7 and 5 years previously, was admitted for placement of a caval filter prior to surgery to repair a left femur fracture. 3 Lowry D, Kay MD, Tiwari A. Common femoral vein canal lipoma causing chronic unilateral lower limb swelling. [Extracted from the article]

Those who fail physical therapy or have vascular compression can be successfully treated with relatively risk-free nerve blocks or PM tenotomies, thereby avoiding more invasive thoracic outlet operations and their potential complications.[1][2]-[3] Over 90% of patients with isolated PMS have resolution of symptoms with tenotomy, whereas about 35% of patients with PMS and TOS require both tenotomy and thoracic outlet surgery.[2] Patients A and B underwent PM tenotomy with symptom improvement. The forgotten pectoralis minor syndrome: 100 operations for pectoralis minor syndrome alone or accompanied by neurogenic thoracic outlet syndrome. About 82% of PMS cases are secondary to trauma and 70% of patients evaluated for neurogenic thoracic outlet syndrome (TOS) also have PMS.[1],[2] PMS is often thought to be a subset of TOS, but they must be distinguished as treatment for TOS does not relieve symptoms due to compression of the axillary neurovascular bundle. [Extracted from the article]

Imaging examinations are necessary to determine the location of Maffucci lesions.[2] There remains a lack of targeted therapies or consensus for the management of Maffucci syndrome, thus treatment decisions are dictated by the patient's complaints, as well as quality of life. Natural history of Ollier disease and Maffucci syndrome: Patient survey and review of clinical literature. Maffucci syndrome is a very rare congenital disease caused by somatic mutations in isocitrate dehydrogenase 1 (IDH1) or IDH2. [Extracted from the article]

Most of the respondents (90.3%) were able to handle more than five patients with COVID-19 and 82 (78.8%) of them were able to handle patients with moderate to severe COVID-19 patients. 1430 Clinical profile of patients with peripheral artery disease treated with high-pressure interm... I B Katherine Rose Acosta b , Trifon Antonio Caballero, Jenny Beltran i I St. Luke's Medical Center - Quezon City, Quezon City, Philippines i I Background: i High-pressure intermittent pneumatic compression (HPIPC) has been proposed as an alternative intervention to supervised exercise to improve intermittent claudication in patients with peripheral artery disease (PAD). 1272 Do statins impact long-term mortality peripheral artery disease patients who have end stage r... I B Sagar Ranka b , Wan-Chi Chan, Peter Tadros, Mark Wiley, Eric Hockstad, Kamal Gupta i I University of Kansas Medical Center, Kansas City, KS i I Background: i Statins have shown mortality benefit in peripheral artery disease (PAD), their impact in end stage renal disease (ESRD) patients with PAD is not well studied. 1408 Effectiveness and safety of combined direct oral anticoagulant and antiplatelet therapy among... I B Maria Shinilli Jean Solano b , Marjorie Obrado-Nabablit, Marjan Heidari, Katrina Balcos, Michelle Gotohio i I Manila Doctors Hospital, Metro Manila, Philippines i I Background i : Peripheral artery disease (PAD) is a common manifestation of systemic atherosclerosis which strongly correlates to cardiovascular morbidity and mortality and increased risk of limb loss, and despite the wide use of guideline-based antiplatelet therapy, patients remain at high risk for cardiovascular and limb events. Multidisciplinary approach to such patients, taking into account risks and benefits of each treatment approach, and patient preferences, is of paramount importance to achieve optimal patient outcome. [Extracted from the article]

The aim of this study was to investigate the effects of lower extremity intermittent negative pressure (INP) treatment for 1 hour twice daily for 12 weeks, on circulating vascular biomarkers in patients with intermittent claudication. Patients were randomized to treatment with –40 mmHg INP (treatment group), or –10 mmHg INP (sham control group). Venous blood samples were collected at baseline and after 12 weeks, and concentrations of vascular adhesion molecule-1 (VCAM-1), intracellular adhesion molecule-1 (ICAM-1), E-selectin, P-selectin, von Willebrand factor (vWF), l -arginine, asymmetric dimethylarginine (ADMA), and symmetric dimethylarginine (SDMA) were analyzed. A larger proportion of the patients in the treatment group (25/31) had a reduction in vWF levels after 12 weeks, compared to the sham control group (17/30) (p = 0.043). Within the treatment group there was a significant mean (SEM) reduction in the concentration of vWF of –11% (4) (p = 0.019), whereas there was no significant change in the levels of vWF in the sham control group (1% (6); p = 0.85). There were no significant differences in the change of any of the biomarker levels between the groups after 12 weeks of treatment. In conclusion, there were no differences in the change of the circulating levels of the measured biomarkers between the treatment group and the sham control group after 12 weeks of INP treatment. However, the observed changes in vWF might indicate a beneficial effect of INP treatment on endothelial activation and endothelial injury. Clinicaltrials.gov Identifier: NCT03640676 [ABSTRACT FROM AUTHOR]

It is also important to remember that a loud murmur of aortic stenosis may mask a softer bruit of carotid artery disease.[6] To determine if a bruit over the carotid artery is from subclavian artery stenosis, compress the subclavian artery while listening over the carotid artery. O'Brien et al. also felt that finding the warm knee sign on a symptomatic patient with PAD was a valuable indicator of peripheral arterial occlusion or stenosis ending at the level of the adductor hiatus.[22] There are several exercises used to assess for severe limb ischemia in the patient with presumed severe PAD. Keywords: physical examination; vascular disease history; vascular medicine EN physical examination vascular disease history vascular medicine 361 366 6 08/13/21 20210801 NES 210801 In 1988, I joined the vascular medicine department at Cleveland Clinic 2 years after working in private practice as a hematologist and internist at a large community hospital in Michigan. I have not routinely listened for a bruit over the eyeball, but, if heard, it may indicate internal carotid artery stenosis, a carotid-cavernous fistula, or arteriovenous malformation.[2] Auscultation is best performed by placing the bell of the stethoscope over the closed eye while asking the patient to stare at a fixed point with the opposite eye. [Extracted from the article]

The document titled "2022-23 Reviewer and Guest Editor Acknowledgements" expresses gratitude to the individuals who have served as Guest Editors and Peer Reviewers for Vascular Medicine in the past year. The journal relies on its multi-disciplinary pool of expert Peer Reviewers to evaluate papers and provide detailed comments. The document lists the names of the Peer Reviewers and acknowledges the "Blue Ribbon Peer Reviewers" who completed the most reviews and the "Peer Reviewer of the Year," Dr. Yulanka Castro-Dominguez. The document also mentions the Guest Editors who assist in overseeing the peer review process. [Extracted from the article]

This article discusses a case of recurrent hemorrhagic bullae in an 83-year-old man who had a history of various medical conditions. The patient had previously experienced lesions after receiving enoxaparin, a type of heparin, and later developed similar lesions after taking fondaparinux sodium. The article highlights that bullous hemorrhagic dermatosis, characterized by hemorrhagic blisters, can occur as a reaction to anticoagulants, including heparins and fondaparinux. The condition is generally benign and does not affect coagulation tests or platelet counts. Treatment involves monitoring and supportive care until the lesions resolve. [Extracted from the article]

This article discusses a case of a 71-year-old woman who was initially diagnosed with lipodermatosclerosis, a vascular condition, but was later found to have subcutaneous panniculitis-like T-cell lymphoma (SPTCL), a form of cutaneous lymphoma. The patient had undergone unnecessary venous interventions before the correct diagnosis was made. The article emphasizes the importance of considering nonvascular causes for atypical clinical findings and the need for collaboration between specialists. SPTCL has a good prognosis, with a 5-year overall survival rate of over 80%. [Extracted from the article]

A 41-year-old woman presented for bridging venoplasty of recurrent superior vena cava (SVC) syndrome as a result of mechanical obstruction from four pacemaker leads (biatrial and biventricular) and an implanted infusion port. Intravenous heparin was administered for activated clotting time > 200 seconds Serial venography was performed via left cephalic access, which showed focal narrowing at the SVC-RA (right atrial) junction, as illustrated by the red arrow (Panel A). [Extracted from the article]

Clinical Experience Level III training in vascular medicine should provide the knowledge and skills to function as a vascular specialist, including the ability to interpret patients' clinical presentation, plan diagnostic testing, apply clinical and laboratory information, and develop appropriate management plans for patients across the entire range of vascular diseases. For patients with atherosclerotic cerebrovascular disease, trainees should define and apply appropriate risk stratification and medical therapies to reduce risk of stroke, including managing the most common risk factors for development and progression of cerebrovascular disease (e.g., smoking, diabetes, hypertension, hypercholesterolemia). They should know the diagnostic and management strategies relevant to specific patient populations, such as pregnant women, patients with cancer, patients with severe obesity, and patients with chronic kidney disease. They should be able to initiate compression therapy, refer to a physical therapist specialized in manual lymphatic therapy and multimodal lymphedema therapy, and determine if a patient would benefit from advanced therapies such as compression pumps or referral for surgery. [Extracted from the article]

Contrast-enhanced computed-tomography revealed a large ruptured abdominal aortic aneurysm and hematoma (Panels A1, A2). Images in Vascular Medicine: Pulmonary embolism and acute aortic syndromes - Double trouble when vascular medicine emergencies meet Acute aortic syndromes and pulmonary embolism (PE) are in the cardiovascular differential diagnosis of acute chest discomfort.[1],[2] We present two challenging cases: a case of hemodynamically unstable PE in the course of recuperation following aortic rupture repair, and another case with acute aortic dissection while being treated with anticoagulation for prior hemodynamically unstable PE. [Extracted from the article]