<?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>0864-0300</journal-id>
<journal-title><![CDATA[Revista Cubana de Investigaciones Biomédicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Invest Bioméd]]></abbrev-journal-title>
<issn>0864-0300</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-03002020000200007</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Initial experience of cardiac catheterization through distal radial access in a femoralist center]]></article-title>
<article-title xml:lang="es"><![CDATA[Experiencia inicial de cateterización cardiaca mediante acceso radial distal en un centro femoralista]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfonso Rodríguez]]></surname>
<given-names><![CDATA[Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llerena Rojas]]></surname>
<given-names><![CDATA[Lorenzo Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Ferrero]]></surname>
<given-names><![CDATA[Leonardo Hipólito]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zabala García]]></surname>
<given-names><![CDATA[Aresky]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Cabrera]]></surname>
<given-names><![CDATA[Giselle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Institute of Cardiology and Cardiovascular Surgery Department of Interventional and Hemodynamic Cardiology ]]></institution>
<addr-line><![CDATA[Havana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Institute of Cardiology and Cardiovascular Surgery Department of international medical care. Havana ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-03002020000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-03002020000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-03002020000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Objective:  to share our experience in the radial distal approach to perform coronary angiography and / or dilation of coronary stenosis. The initial results are exposed in the access of the distal radial artery or in the so-called anatomical "snuff box".  Methods:  The left or right radial distal artery was used as an access site in 6 patients admitted to the Institute of Cardiology and Cardiovascular Surgery for coronary angiography and dilatation of coronary stenosis between May 6 and June 6 of 2019. All with pulse present in their distal radial artery. In the laboratory, they had the access arm flexed with respect to the homolateral shoulder so that the hand was placed on their contralateral groin. In all cases, the operator was placed on the right side of the patient, to perform coronary angiography and / or dilation of coronary stenosis. During the hospital stay, the main demographic characteristics and complications were recorded.  Results:  the average age of the patients was 72 +/- 10 years and 83.3% were men. We use the Judkins and Amplatz 6 and 5 French catheters for the procedures. Five admitted with the diagnosis of angina and one with severe aortic valve stenosis. In 5 patients, distal transradial coronary angiography was successfully performed. Only one patient experienced distal radial spasm, using in this case the ipsilateral proximal radial access, without making it necessary to approach the femoral artery. In total, 4 patients had coronary intervention, performing successfully in the 4 patients. The right coronary artery was the artery that required most of the intervention (3 patients). There were no cases of occlusion of the radial arteries, no hematoma of the hand, of the B.A.R.C scale greater than 1 was observed in any patient. Numbness of the hand was documented in none. The radial introducer was removed at the end of the procedure. Hemostasis was achieved with manual compression.  Conclusion:  the distal radial approach is feasible in a selected group of patients as a procedure for coronary angiography and dilatation of coronary stenosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  compartir nuestra experiencia en el abordaje radial distal para realizar la angiografía coronaria y/o la dilatación de la estenosis coronaria. Se exponen los resultados iniciales en el acceso de la arteria radial distal o en la llamada "tabaquera" anatómica.  Métodos:  se utilizó la arteria radial distal izquierda o derecha como sitio de acceso en 6 pacientes ingresados en el Instituto de Cardiología y Cirugía Cardiovascular para angiografía coronaria y dilatación de estenosis coronaria del 6 de mayo al 6 de junio de 2019. Todos los pacientes tenían pulso en la arteria radial distal. En el laboratorio, se les flexionó el brazo de acceso con respecto al hombro homolateral de modo que la mano descansara sobre la ingle contralateral. En todos los casos, el técnico se situó a la derecha del paciente para realizar la angiografía coronaria y/o dilatación de la estenosis coronaria. Durante la estancia de los pacientes en el hospital, se registraron sus principales características demográficas y complicaciones.  Resultados:  la edad promedio de los pacientes fue de 72 +/- 10 años y 83,3% eran hombres. Usamos catéteres franceses Judkins y Amplatz 6 y 5 para los procedimientos. Cinco pacientes habían sido ingresados con un diagnóstico de angina y uno con estenosis valvular aórtica severa. La angiografía coronaria transradial distal fue exitosa en 5 pacientes. Solo un paciente experimentó un espasmo distal radial, usándose en ese caso el acceso radial proximal ipsilateral sin que fuera necesario abordar la arteria femoral. Un total de 4 pacientes se sometieron a intervención coronaria, la que fue exitosa en los 4. La arteria coronaria derecha fue la que requirió la mayor parte de la intervención (3 pacientes). No hubo ningún caso de oclusión de las arterias radiales ni de hematoma de la mano. Tampoco se observó un valor de la escala BARC mayor de 1 en ningún paciente. No se documentó entumecimiento de la mano en ningún paciente. El introductor radial se retiró al final del procedimiento. La hemostasia se alcanzó mediante compresión manual.  Conclusión:  el abordaje radial distal es factible en un grupo seleccionado de pacientes como procedimiento para la angiografía coronaria y la dilatación de la estenosis coronaria.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[distal radial artery]]></kwd>
<kwd lng="en"><![CDATA[transradial coronary angiography]]></kwd>
<kwd lng="en"><![CDATA[radial fossa]]></kwd>
<kwd lng="en"><![CDATA[snuff box]]></kwd>
<kwd lng="es"><![CDATA[arteria radial distal]]></kwd>
<kwd lng="es"><![CDATA[angiografía coronaria transradial]]></kwd>
<kwd lng="es"><![CDATA[cavidad radial]]></kwd>
<kwd lng="es"><![CDATA[tabaquera]]></kwd>
</kwd-group>
</article-meta>
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