<strong>Background: </strong><span style="font-family:Verdana;">Radial artery catheterization is a fundamental approach that is used as a procedural access in the different catheterization laboratories so our study is a</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">compari</span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""><span style="font-family:Verdana;">on between distal radial artery approach and convential traditional transradial approach to explore the fesibility and safety of coronary angiography and percutanous coronary. </span><b><span style="font-family:Verdana;">Aim of the Work: </span></b><span style="font-family:Verdana;">The purpose of our study is a comparison between the conventional transradial approach versus distal transradial approach for diagnostic and interventional coronary procedures. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">This </span></span><span style="font-family:Verdana;">is </span><span style="font-family:Verdana;">a</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">prospective study that included 60 patients who presented to the Cardiology departments in Ahmed Maher</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Teaching Hospital from December 2018 until October 2019 to perform planned Transradial Coronary Angiography and/or coronary intervention</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">T</span><span style="font-family:Verdana;">he study </span><span style="font-family:Verdana;">is </span><span style="font-family:;" "=""><span style="font-family:Verdana;">divided into two groups, group (A) included 30 patients who undergone the procedure through the distal radial approach (The Anatomical Snuffbox)</span><b></b><span style="font-family:Verdana;">and group (B) included 30 patients who unde