Efficacy and Safety of Hemostatic Methods in Distal Radial Artery Approach for Cardiac Catheterization

Inclusion Criteria: * Coronary artery disease including chronic coronary syndrome or acute coronary syndrome. * Cardiovascular disease that requires coronary angiography in its approach. Exclusion Criteria: * Cardiogenic shock. * Lesions in venous or arterial hemoducts. * Impossibility to provide informed consent. * Chronic kidney disease on hemodialysis through arteriovenous fistula at the same site where the approach is planned. * Severe chronic renal failure (GFR less than 30 ml/min/m2) * Patients diagnosed with cancer. * Patient with rheumatological and hematological pro-thrombotic disorders. * Non-hydrophilic radial introducer. * Failed cannulation of the radial artery with an introducer. * Successful trans-radial access that is crossed over to the femoral approach. * Patients with an interventional procedure using a radial approach in the previous 30 days.