Objective To identify and compare patient and procedural variables that are associated with a high radiation dose exposure and worse clinical outcomes between transradial arterial (TRA) and transfemoral arterial (TFA) approaches. Design This was a retrospective analysis. Setting A community hospital during the initial phase of adopting a TRA-first approach. https://www.alarecre.com/Virescent-Harmony-Galaxy-A14-5G-Clear-Case-p106336/