**5.6 Femoral versus radial approach**

In case of AOCCA femoral access may offer better options allowing for easy, and multiple catheter exchanges [27]. Although, in the setting of ACS, the operator is usually unaware of AOCCA presence, having to make the best use of the chosen access site. Also, it seems best to use the approach one is most comfortable with as there is usually a way to perform successful PCI of AOCCA regardless of access site.
