The Patient was a 80 years old man who had treated with CABGs 10 years ago.

He admitted with low threshold angina

PMH: Controlled HTN

LVEF was Mildly reduced about 45%

Cr:1.4mg/dl  Hb:14 mg/dl

Post CABGs Angiography routinely done via Femoral or Left Radial Access.

This case was done from Rt. Radial Access.