<?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>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702023000200007</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00467</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Terapia multimodal para cicatrización temprana de úlceras venosas]]></article-title>
<article-title xml:lang="en"><![CDATA[Multimodal therapy for early healing of venous ulcers]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berastegui-Vellojín]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa-Berastegui]]></surname>
<given-names><![CDATA[Marlon Hernán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A2b"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berastegui-Ortiz]]></surname>
<given-names><![CDATA[Luisa Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán-González]]></surname>
<given-names><![CDATA[Dahiana Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Sinú Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Montería ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A2a">
<institution><![CDATA[,Universidad de Antioquía Facultad de Medicina Departamento de Cirugía Vascular]]></institution>
<addr-line><![CDATA[Antioquía ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A2b">
<institution><![CDATA[,Universidad de Cartagena  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Manizales Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Manizales ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<volume>75</volume>
<numero>2</numero>
<fpage>106</fpage>
<lpage>108</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702023000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702023000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702023000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivos: las úlceras venosas representan aproximadamente el 80 % de todas las úlceras en extremidades inferiores y constituyen el espectro más avanzado de la insuficiencia venosa crónica (IVC). El pilar del tratamiento es la compresión venosa, con la que se logra una tasa de curación de hasta el 76 % después de 16 semanas de compresión, pero con alta probabilidad de recurrencia, ya que la compresión no resuelve la causa de la hipertensión venosa ambulatoria (HTVA). En este sentido, la velocidad de la cicatrización y la reducción de recurrencias deben ser objetivos a perseguir en el manejo de las úlceras venosas.  Caso clínico: presentamos el caso de una mujer de 68 años con IVC C6r en la pierna derecha, osteoartrosis de rodillas, sobrepeso, pie plano y anquilosis parcial del cuello del pie a la que se consiguió cerrar una úlcera venosa a las cuatro semanas. Mantiene la cicatrización a 18 semanas de seguimiento con terapia multimodal.  Discusión: el manejo de las úlceras venosas debe ser holístico y enfocado en el aspecto causal involucrado dentro de los tres mecanismos etiopatogénicos conocidos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction and objectives: venous ulcers represent approximately 80 % of all ulcers in the lower extremities and constitute the most advanced spectrum of chronic venous insufficiency (CVI). The mainstay of treatment is venous compression, with which a cure rate of up to 76 % is achieved after 16 weeks of compression, but with a high probability of recurrence, since compression does not resolve the cause of venous hypertension. In this sense, speed of healing and reduction of recurrences should be objectives to be pursued in the management of venois ulcers.  Case report: we present the case of a 68-year-old woman with C6r CVI in the right leg, knee osteoarthritis, overweight, flat feet and partial ankylosis of the foot neck; in whom venous ulcers closure was achieved at 4 weeks and maintained healing at 18 weeks of follow-up with multimodal therapy.  Discussion: the management of venous ulcers should be holistic and focused on the causal aspect involved within the three known etiopathogenic mechanism.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Insuficiencia venosa]]></kwd>
<kwd lng="es"><![CDATA[Úlcera]]></kwd>
<kwd lng="es"><![CDATA[Extremidad inferior]]></kwd>
<kwd lng="es"><![CDATA[Válvulas venosas]]></kwd>
<kwd lng="en"><![CDATA[Venous insufficiency]]></kwd>
<kwd lng="en"><![CDATA[Ulcer]]></kwd>
<kwd lng="en"><![CDATA[Lower extremity]]></kwd>
<kwd lng="en"><![CDATA[Venous valves]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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