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we will discuss the transradial approach for accurate MI interventions you all know that acute MI intervention is in any case a very high bleeding prone situation and if you know how to tackle acute MI through translated approach then you remain away from major vascular complications that is the reason why it is so important to deal with acute MI intervention this is a case of acute anterior wall mi LED is totally occluded after its origin and ebu three point five six F guide catheter was used and a BMW ptc a wire was negotiated across the lesion wire was parked in distally lady ballooning was done standing in progress this is an optimal end result selective RC injection using a 6f jr4 guide catheter revealed total occlusion with a large thrombus in the mid part the lesion was crossed using a point zero 14 inch whisper PTC a guide wire PTCA was done standing in progress here you see an optimal end result selectively LMC injection through a 6f ebu 3.5 guide catheter reveals a total occl