<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2696-130X</journal-id>
<journal-title><![CDATA[Revista mexicana de angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. angiol.]]></abbrev-journal-title>
<issn>2696-130X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Angiología, Cirugía Vascular y Endovascular A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2696-130X2025000100007</article-id>
<article-id pub-id-type="doi">10.24875/rma.23000005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Isquemia aguda por trombosis de arterias subclavia, radial y cubital en relación con hipercolesterolemia familiar]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute ischemia due to thrombosis of subclavian, radial and ulnar arteries in relation to familial hypercholesterolemia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Jiménez]]></surname>
<given-names><![CDATA[César E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Beltrán-Rincón]]></surname>
<given-names><![CDATA[Diego A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sarmiento-Hernández]]></surname>
<given-names><![CDATA[Jheinner E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado-Hoyos]]></surname>
<given-names><![CDATA[Valeria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saavedra-Henao]]></surname>
<given-names><![CDATA[Juan D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Avidanti Departamento de Cirugía Vascular Periférica ]]></institution>
<addr-line><![CDATA[Ibagué ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Avidanti Departamento de Cirugía Cardiovascular ]]></institution>
<addr-line><![CDATA[Ibagué ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica Avidanti Departamento de Cuidado Crítico ]]></institution>
<addr-line><![CDATA[Ibagué ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>53</volume>
<numero>1</numero>
<fpage>41</fpage>
<lpage>46</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2696-130X2025000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2696-130X2025000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2696-130X2025000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La isquemia aguda de miembros se presenta por obliteración abrupta de las arterias, interrumpiendo el flujo sanguíneo y siendo una emergencia quirúrgica con una importante morbimortalidad si no se trata de forma rápida. Adicional al enfoque emergente, la identificación de la etiología es de importancia para prevenir nuevos eventos. Describimos el caso de una mujer joven que presentó un evento agudo en miembro superior derecho, en relación con trombosis arterial. La paciente fue llevada a arteriografía identificando trombosis de la arteria subclavia derecha y arterias cubital y radial, dándose manejo endovascular con trombectomía e implante de stent, permitiendo la restauración del flujo sanguíneo. Una vez resuelta la emergencia se realizaron estudios para identificar la etiología, determinándose dos factores predisponentes, la hipercolesterolemia familiar e hipotiroidismo, condición que puede comprometer la homeostasis. El caso ilustra la importancia de un diagnóstico y tratamiento oportuno y del estudio de los factores etiológicos en pacientes jóvenes para prevenir eventos de repetición.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Acute ischemia is a condition in which there is external or internal obliteration of the arteries, interrupting blood flow and representing a surgical emergency with an important morbimortality if not treated promptly. In addition to the emergent approach, the subsequent identification of the etiology is important to prevent new events. We describe the case of a young woman who presented an acute ischemia in right upper limb, related to arterial thrombosis. The patient was taken to arteriography, identifying thrombosis of the right subclavian artery and ulnar and radial arteries, and endovascular management with thrombectomy and stent placement was performed, allowing complete restoration of blood flow. Once the emergency was resolved, studies were carried out to identify the etiology, establishing two predisposing factors familial hypercholesterolemia and hypothyroidism, a condition that could affect homeostasis. This case illustrates the importance of establishing a prompt diagnosis and treatment of acute ischemia and the study of etiologic factors in young patients to prevent repeat events.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Isquemia aguda de extremidad]]></kwd>
<kwd lng="es"><![CDATA[Trombosis arterial]]></kwd>
<kwd lng="es"><![CDATA[Adulto joven]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad arterial periférica]]></kwd>
<kwd lng="es"><![CDATA[Hipercolesterolemia]]></kwd>
<kwd lng="es"><![CDATA[Hipotiroidismo]]></kwd>
<kwd lng="en"><![CDATA[Acute limb ischemia]]></kwd>
<kwd lng="en"><![CDATA[Arterial thrombosis]]></kwd>
<kwd lng="en"><![CDATA[Young adult]]></kwd>
<kwd lng="en"><![CDATA[Peripheral arterial disease]]></kwd>
<kwd lng="en"><![CDATA[Hypercholesterolemia]]></kwd>
<kwd lng="en"><![CDATA[Hypothyroidism]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Emmerich]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Stansal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Isquemia aguda de una extremidad:orientación diagnóstica, actitud terapéutica]]></article-title>
<source><![CDATA[EMC-Tratado de medicina]]></source>
<year>2022</year>
<volume>26</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ueda]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Murata]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Miki]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Yasui]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sugihara]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Tajima]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endovascular treatment strategy using catheter-directed thrombolysis, percutaneous aspiration thromboembolectomy, and angioplasty for acute upper limb ischemia]]></article-title>
<source><![CDATA[Cardiovasc Intervent Radiol]]></source>
<year>2017</year>
<volume>40</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>978-86</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coskun]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Soylu]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Coskun]]></surname>
<given-names><![CDATA[PK]]></given-names>
</name>
<name>
<surname><![CDATA[Bayaz&#305;t]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Short series of upper limb acute arterial occlusions in 4 different etiologies and review of literature]]></article-title>
<source><![CDATA[Am J Emerg Med]]></source>
<year>2013</year>
<volume>31</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>e1-4</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andersen]]></surname>
<given-names><![CDATA[LV]]></given-names>
</name>
<name>
<surname><![CDATA[Lip]]></surname>
<given-names><![CDATA[GYH]]></given-names>
</name>
<name>
<surname><![CDATA[Lindholt]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Frost]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Upper limb arterial thromboembolism:a systematic review on incidence, risk factors, and prognosis, including a meta-analysis of risk-modifying drugs]]></article-title>
<source><![CDATA[Journal of Thrombosis and Haemostasis]]></source>
<year>2013</year>
<volume>11</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>836-44</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santistevan]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute limb ischemia:An emergency medicine approach]]></article-title>
<source><![CDATA[Emerg Med Clin North Am]]></source>
<year>2017</year>
<volume>35</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>889-909</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ordoñez Ortega]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Importancia clínica del síndrome del opérculo torácico]]></article-title>
<source><![CDATA[Revista Navarra Médica]]></source>
<year>2016</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>32-40</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Björck]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Earnshaw]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bastos Gonçalves]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Cochennec]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Debus]]></surname>
<given-names><![CDATA[ES]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Editor's Choice - European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Acute Limb Ischaemia]]></article-title>
<source><![CDATA[Eur J Vasc Endovasc Surg]]></source>
<year>2020</year>
<volume>59</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>173-218</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moon]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[IW]]></given-names>
</name>
<name>
<surname><![CDATA[Jeon]]></surname>
<given-names><![CDATA[GS]]></given-names>
</name>
<name>
<surname><![CDATA[Choi]]></surname>
<given-names><![CDATA[SY]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endovascular Intervention as management for acute limb ischemia, including the rutherford class IIb ischemia:Korean experience]]></article-title>
<source><![CDATA[J Korean Soc Radiol]]></source>
<year>2016</year>
<volume>75</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>263-70</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nugroho]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gunadi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute limb ischemia in the young:A rare case of essential thrombocytosis]]></article-title>
<source><![CDATA[Case Rep Cardiol]]></source>
<year>2021</year>
<volume>2021</volume>
<page-range>2563578</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mytilinaiou]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kyrou]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Grammatopoulos]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
<name>
<surname><![CDATA[Randeva]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Familial hypercholesterolemia:New horizons for diagnosis and effective management]]></article-title>
<source><![CDATA[Front Pharmacol]]></source>
<year>2018</year>
<volume>9</volume>
<page-range>707</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marongiu]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Cauli]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mariotti]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thyroid, hemostasis and thrombosis]]></article-title>
<source><![CDATA[J Endocrinol Invest]]></source>
<year>2004</year>
<volume>27</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1065-71</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gao]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Variation tendency of coagulation parameters in different hypothyroidism stages Acta]]></article-title>
<source><![CDATA[Endocrinol (Buchar)]]></source>
<year>2016</year>
<volume>12</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>450-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
