A trans radial approach (TRA) is increasingly being used worldwide in both elective and emergency procedures of cardiac catheterization and percutaneous coronary intervention (PCI). Several factors contribute to explain this trend, including patient comfort, early mobilization, and a significant reduction in hospital stay. When compared to the transfemoral approach, TRA reduced major bleeding and allcause mortality. Radial artery spasm (RAS) is still an important limitation of TRA and the main cause of cross over to another access like the most traditional one the femoral approach.Transradial access has been adopted worldwide and now represents the primary access modality in many countries, with increasing use all over the world Despite the increasing use of transradial access and consequential reciprocal reduction in femoral access use for coronary angiography and PCI, femoral access remains necessary for numerous procedures, many of which require large bore access. This review is tackling new modalities in TRA for coronary intervention and how to deal with the complications that willhappen during the procedure.

Coronary Intervention;Trans Radial Approach