Balloon aortic valvuloplasty (BAV) remains a therapeutic option for severe aortic stenosis, especially in frail, elderly, and multimorbid patients, providing short-term symptomatic relief. Radial BAV (rBAV) emerges as a promising approach, mitigating bleeding risks and demonstrating safety and efficacy profiles. A step-by-step guide for performing rBAV is provided, highlighting potential benefits such as faster hemostasis and reduced complications. Special considerations and complications, including vessel tortuosity and balloon entrapment, are discussed. The chapter concludes by suggesting potential scenarios where radial BAV could be beneficial.