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Figure 1: Distal radial “snuff box” access technique: (a) Identifying the snuff box (white arrow) is performed by having the patient abduct and extend their thumb thus activating the extensor pollicis longus and abductor pollicis longus tendons. (b) A small 2–3 cc aliquot of lidocaine is injected before incision. (c) Depending on sheath or guide size (if placing a sheathless long guide), the skin is nicked or incised along the distal radial artery (white arrow)

Figure 1: Distal radial “snuff box” access technique: (a) Identifying the snuff box (white arrow) is performed by having the patient abduct and extend their thumb thus activating the extensor pollicis longus and abductor pollicis longus tendons. (b) A small 2–3 cc aliquot of lidocaine is injected before incision. (c) Depending on sheath or guide size (if placing a sheathless long guide), the skin is nicked or incised along the distal radial artery (white arrow)