Reducing radiation exposure is a major issue in percutaneous coronary procedures, as high radiation doses may be associated with deterministic (long-term risk of cancer induction) and stochastic (skin lesions, cataracts) risks to patients and operators. The impact of distal radial access (DRA) in terms of radiation exposure is controversial, with a general perception of possible higher radiation exposure due to more catheter manipulation and longer fluoroscopy times compared to conventional transradial access. There are several approaches to reducing radiation dose during cardiac catheterization procedures, such as adjunctive protective drapes or various floor- or ceiling-mounted systems, which allow for adequate operator protection from radiation exposure, particularly during DRA.