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.

Reparación de aneurisma complejo de arteria renal izquierda: nefrectomía laparoscópica, reconstrucción en banco y autotrasplante heterotópico / Repair of complex left renal artery aneurysm: laparoscopic nephrectomy, ex vivo reconstruction and heterotopic autotransplantation

Los aneurismas de la arteria renal son entidades clínicas poco frecuentes. Si bien la mayoría de casos son asintomáticos y se detectan incidentalmente, su rotura se asocia a elevadas tasas de mortalidad y de pérdida del riñón, lo que afecta a los supervivientes. Aunque la mayoría de estos aneurismas pueden tratarse mediante técnicas de reparación endovascular o in situ, esto puede no ser posible en pacientes con aneurismas complejos, como aquellos localizados en la bifurcación arterial. Presentamos el caso de un aneurisma renal complejo tratado satisfactoriamente mediante nefrectomía laparoscópica, reconstrucción vascular en banco y autotrasplante heterotópico.(AU)

renal artery aneurysms are rare clinical entities. While most cases are asymptomatic and detected incidentally, rupture is associated with high mortality rates and loss of the aff ected kidney in survivors. although most of these aneurysms can be treated by endovascular or in situ repair techniques, this may not be possible in patients with complex aneurysms, such as those located at the arterial bifurcation. We present a case of complex renal aneurysm successfully treated by laparoscopic nephrectomy, ex vivo vascular reconstruction, and heterotopic autotransplantation.(AU)

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)