Undergoing diagnostic angiography for ischemic symptoms with possible PCI, or undergoing planned urgent or elective PCI
Has provided informed consent and agrees to participate
Patients must be equally eligible to undergo cardiac catheterization via radial or femoral access
You may not be if
Primary PCI for STEMI
Planned right heart catheterization
Valvular heart disease requiring valve surgery within 30 days after the index procedure
Hemodialysis access (arteriovenous fistula or graft) in the arm to be used for PCI in case of assignment to radial approach (the opposite arm may be used for radial access if a dialysis graft is present in one)
Presence of bilateral internal mammary artery coronary bypass grafts
International normalized ratio ≥1.5 while treated with oral vitamin K antagonists (i.e. warfarin) Receipt of oral factor Xa or IIa inhibitors ≤24 h before procedure
Planned staged PCI within 30 days after index procedure.
Any planned surgeries within 30 days after index procedure
Planned dual arterial access (for example for chronic total occlusion PCI)
Coexisting conditions that limit life expectancy to less than 30 days
