Transradial Approach Superior to Transfemoral Approach for Guide Catheter Engagement of Right Coronary Artery

We describe one of several cases where right coronary intervention was contemplated. Transfemoral access was selected by the operator. Despite using 12 different guide catheter shapes, attempts at engaging the right coronary artery from transfemoral approach were unsuccesful. The patient was brought for reattempt at percutaneous coronary intervention using transradial approach. Right radial approach allowed immediate JR4 guide catheter seating without difficulty, in the right coronary ostium, with succesful completion of placement of right coronary ostial stent.