Peripheral arterial disease prohibiting vascular access
Bilateral abnormal Barbeau tests
Hemodialysis access (arteriovenous fistula or graft) in the arm to be used for PCI in case of assignment to radial approach (the opposite arm may be used for radial access if a dialysis graft is present in one arm provided that the opposite arm has a normal Barbeau test result)
Valvular heart disease requiring valve surgery
Planned right heart catheterization
Primary PCI for STEMI
Presence of bilateral internal mammary artery coronary bypass grafts
Participation in investigational drug or device study currently or within 30 d before enrollment
International normalized ratio ≥1.5 while treated with oral vitamin K antagonists (ie, warfarin)
Receipt of oral factor Xa or IIa inhibitors ≤24 h before procedure
Planned staged PCI within 30 d after index procedure