The distal radial approach in interventional cardiology is an innovative and promising technique that uses an artery more superficial than the proximal radial artery primarily in coronary angiography and coronary angioplasty procedures, and perhaps in other types of procedure in the future. This technique offers several advantages over the conventional or femoral approach, including reduced risk of bleeding, vascular complications and pain, and essentially reduced risk of radial artery occlusion, as well as improved patient comfort and quality of life. However, this approach requires a longer learning curve and mastery of specific catheterization techniques, as it can sometimes be limited by anatomical difficulties or individual variations. The distal radial approach is an attractive option in interventional cardiology for eligible patients, which can improve clinical outcomes and patient satisfaction.