Translation and adaptation to Spanish of Aberdeen varicose veins questionnaire.

OBJECTIVE: The purpose of the study is to translate the Aberdeen Varicose Vein Questionnaire (AVVQ) into Spanish and evaluate the feasibility and reliability of the Spanish-translated AVVQ in patients with chronic venous disease. METHODS: Reliability was assessed by test and retest of the Spanish translated AVVQ in a sample of 77 patients. The questionnaires were answered within a 2-week interval. RESULTS: There was a 100% test and retest response. The AVVQ showed 6.5% of missing responses. Cronbach's alpha was 0.71 indicating an adequate level of internal consistency. Spearman's rho showed a significant strong association between test and retest scores (rho = 0.84, p < 0.0001). CONCLUSIONS: The Spanish-translated AVVQ is a reliable tool in our daily clinical practice in order to measure the impact of venous disease in the quality of life.

Treatment of Thoracic Outlet Syndrome Complications Assisted with a Cerebral Embolism Protection Device.

We report a case of a stroke and upper limb ischemia in a 27-year-old female secondary to a right cervical rib and retrograde thromboembolization. Follow-up showed complete patency of the vessels after thrombectomy and internal carotid artery stenting followed by transbrachial embolectomy performed with a cerebral protection device. The cervical rib was surgically removed to prevent additional events.

Complicaciones trombóticas arteriales en pacientes COVID-19 / Arterial thrombotic complications in COVID-19 patients

Objetivos: presentar nuestra experiencia en relación a la incidencia, pronóstico y tratamiento de pacientes COVID-19 hospitalizados con trombosis arterial periférica en un hospital terciario de Madrid. Material y métodos: se diseñó un estudio observacional de cohorte de pacientes COVID-19 confirmados (PCR-positiva) en el Hospital Universitario 12 de Octubre. Analizamos todas las trombosis arteriales periféricas sintomáticas diagnosticadas y tratadas durante los meses de marzo y abril de 2020, correspondientes a la primera ola de la pandemia. Debido a la ausencia de camas en la unidad de cuidados intensivos (UCI) y reanimación posoperatoria, toda la cirugía electiva programada fue cancelada durante este periodo y solo se realizaron cirugías urgentes. Resultados: desde el 1 de marzo al 30 de abril ingresaron en nuestro hospital 2943 pacientes con COVID-19 y de estos 261 en la UCI. Durante este periodo se realizaron 154 operaciones urgentes a pacientes COVID-19 en nuestro hospital. Catorce pacientes COVID-19 fueron diagnosticados con trombosis arterial periférica sintomática. La edad promedio fue de 74 años (rango, 50-92) y estos eventos fueron más comunes en hombres que en mujeres (12:2). De estos 14 pacientes, solo siete fueron sometidos a cirugía vascular por isquemia aguda en las extremidades. Esto representó el 4,5 % de todas las operaciones urgentes realizadas en nuestro hospital. La mortalidad posoperatoria fue 4 de 7 pacientes por retrombosis a pesar de la anticoagulación. Entre los pacientes no operados, 2 presentaban trombo aórtico flotante y evolucionaron satisfactoriamente con anticoagulación, mientras que los otros 5 pacientes debido a las malas condiciones clínicas fueron manejados con medidas paliativas hasta su fallecimiento. Ningún parámetro analítico fue predictivo de trombosis arterial. No se registraron hemorragias en esta serie...(AU)

Objectives: to describe our experience of incidence, prognosis and management of hospitalized COVID-19 patients with peripheral arterial thrombosis in a major teaching hospital in Madrid (Spain). Material and methods: we designed an observational cohort study of confirmed (PCR-test) COVID-19 patients at the Hospital Universitario 12 de Octubre. We analyzed all symptomatic peripheral arterial thrombosis diagnosed and treated during March and April 2020, which corresponds to the first wave of the pandemic. All elective scheduled surgery was canceled during this period due to absence of postoperative intensive care unit (ICU) or resuscitation beds and only urgent surgeries were performed. Results: from March 1 to April 30, 2,943 COVID-19 patients were admitted in our hospital and 261 patients in the intensive care unit (ICU). During this period, 154 urgent operations were performed on COVID-19 patients in our hospital. Fourteen COVID-19 patients were diagnosed with symptomatic peripheral arterial thrombosis. The average age was 74 (range, 50-92) and these events were more common in men than in women (12:2). Out of these 14 patients, only 7 underwent vascular surgery by acute limb ischemia. This represented 4.5 % of all urgent operations performed in our hospital. Postoperative mortality was 4 of 7 patients due to re-thrombosis despite anticoagulation. Among the non-operated patients, 2 had floating aortic thrombus and evolved satisfactorily with anticoagulation, while the other 5 patients were managed by palliatives measures due to the poor clinical conditions until they died. No analytical parameter was predictive of arterial thrombosis. No bleedings were recorded in this series...(AU)

Síndrome de congestión pélvica: revisión actualizada de la literatura / Pelvic congestion syndrome: updated literature review

El síndrome de congestión pélvica (SCP) es una causa frecuente, aunque poco conocida, de dolor pélvico crónico en mujeres premenopáusicas. Aunque su etiología no está del todo clara, en general se acepta la incompetencia valvular como causa del SCP primario, mientras los síndromes compresivos llevan al SCP secundario. El diagnóstico de este síndrome se realiza después de excluir otras causas de dolor pélvico crónico y se basa en una combinación de síntomas clínicos característicos (dolor crónico, continuo o sordo, dispareunia, dismenorrea...) y en la documentación de dilatación o incompetencia de las venas pélvicas mediante pruebas de imagen. La terapia endovascular (escleroterapia, embolización o stent) de las venas incompetentes con reflujo o venas estenóticas constituye el estándar de tratamiento. El objetivo del presente trabajo es realizar una revisión actualizada de la literatura con el propósito de ayudar a mejorar el conocimiento de esta patología

Pelvic congestion syndrome (PCS) is a common, but little-known, cause of chronic pelvic pain in premenopausal women. Although its etiology is not entirely clear, valvular incompetence is generally accepted as the cause of primary PCS, while compressive syndromes lead to secondary PCS. The diagnosis of this syndrome is made after excluding other causes of chronic pelvic pain, and is based on a combination of characteristic clinical symptoms (chronic pain, continuous or dull, dyspareunia, and dysmenorrhea) and documentation of dilation or incompetence of pelvic veins by imaging tests. Endovascular therapy (sclerotherapy, embolization or stenting) of incompetent and reflux veins or stenotic veins, is today the standard of treatment. The objective of this work is to carry out an updated revision of the literature with the purpose of helping to improve the knowledge of this pathology

COVID-19-Related Aortic Thrombosis: A Report of Four Cases.

COVID-19 may predispose patients to an increased risk of thrombotic complications through various pathophysiological mechanisms. Most of the reports on a high incidence of thrombotic complications are in relation to deep vein thrombosis and pulmonary embolism, while the evidence about arterial thrombosis in patients with COVID-19 is limited. We describe 4 cases of aortic thrombosis and associated ischemic complications in patients with severe SARS-CoV-2 infection.