Resolving the conundrum of impediments while navigating from radial path to coronary lumen

Through the efforts of dedicated interventionists, catheterization of the cardiovascular system by transradial method has been recognized as the gold standard due to the several advantages associated with it, such as early ambulation, decline in bleeding and in various other vascular complications. It has successfully turned as an alternative to femoral access. The huge experience of interventionists has helped in understanding the anatomical impediments that can result in many technical issues and complications associated with the transradial approach. A trial-and-error method adopted by the interventionists on their learning curve at the cost of increased procedural failure, complications and patient inconvenience may not be justifiable. The objective of the present manuscript was to review all these difficulties, and understand the treatment method and various preventative strategies that can be used to overcome the complications.