Abstract
The room setup and patient positioning of the transradial approach (TRA) are different from that of the transfemoral approach (TFA). This is critical to the success of transitioning a medical practice. The most important areas are keeping the hand tight on the patient’s hip, minimal hand supination, and building up the space next to the knee to provide a platform for the catheters to lie during a transradial procedure. The initial patient positioning, room setup, access techniques, and medications are reviewed, including cocktail, puncture techniques and sheath placement, as well as setup and hand positioning for left radial access procedures.