Distal radial artery excess for coronary angiogram has been introduced since 2017. It is known to have good success rate and low risk of complication. There are few advantages for this procedure compare to the conventional radial puncture. This is a retrospective single center study on the distal radial approach as a feasible vascular excess option on day-to-day practice in government hospital.  To assess the success rate with distal radial approach, complication rate and to review optimal tourniquet time to secure hemostasis.  

Retrospective single center, single operator, case series. Total of 35 patients had distal radial puncture performed. Patient was recruited if he has good distal radial pulse, who had planned for angiogram. Verbal consent and explanation by operator before the procedure. Primary end point is procedure success which is defined as the ability to complete the task after successful puncture of distal radial artery. Secondary end point is looking at tourniquet time needed to establish hemostasis.

•     Good procedure success rate of 97%. 1 patient require to convert to femoral approach. Very low complication rate 3%. 1 patient developed vasovagal episode. Median average compression time of 30-60mins.

Distal radial puncture is an alternative vascular excess with good procedure success with minimal complication that is feasible in day-to-day practice in a busy government hospital.