Introduction
The traditional approach to coronary catheterisation in patients with a history of coronary artery bypass grafting (CABG) with left internal mammary artery (LIMA) graft is via the femoral approach. However, trans-radial catheterisation still remains a distinct option for such patients. Operators tend to be cautious about using this approach due to the nature of having to exchange diagnostic catheters several times during the procedure, risk of spasm, alternative set-up for the procedure, arm positioning, etc. A retrospective audit of 22 single-operator coronary graft angiography cases over a six-month period demonstrates the feas