70 year-old male with a PMHx of HTN, HLD, asthma, NIDDM, CKD Stage III, HFpEF (55%), MGUS, CAD s/p 2vCABG and PAD s/p bilateral common iliac stent c/b left common iliac artery stent occlusion s/p R->L fem-fem bypass who is presenting with progressive claudication now present at rest (Rutherford 4). Lower extremity ultrasound revealed 50-99% stenosis of the R common femoral artery immediately proximal to bypass graft anastomosis. Given complex anatomic restrictions, plan is for transradial approach for R common femoral artery intervention.