Transradial access offers important advantages over transfemoral access, including increased procedure comfort and better outcomes. However, complications during transradial access can occur, with radial artery occlusion being the most clinically relevant. A growing number of interventionalists are now performing distal transradial access procedures when clinically possible. The movement to use the distal radial artery as a standard was popularized in 2017 by Ferdinand Kiemeneij, MD, PhD, the world-renowned interventional cardiologist who pioneered the first transradial access procedure in 1992 and is also recognized as the “Father of Transradial Intervention”. Today the distal radial approach has been widely spread through social media and is used by many operators as the default access site. Follow #ldTRA, #rdTRA, #dTRA, #radialfirst and #StatSeal on Twitter for all the latest and greatest updates on this evolving topic. Ultrasound is typically used to guide access to the distal radial artery through the anatomical snuff box, a hollow space on the radial side of the wrist when the thumb is extended. If well developed, this artery can accept 4, 5 and 6 Fr sheaths and catheters. In the case of distal transradial access (dTRA), the left or right arm can be brought toward the patient right side, allowing a comfortable working position for the operator. CLICK HERE to watch a video that demonstrates locating and accessing the left distal radial artery.