This document discusses the use of radial artery access for various structural heart interventions. It provides examples of procedures that can be effectively performed through the radial artery, including alcohol septal ablation, paravalvular leak closure, VSD closure, RV biopsy, TAVR, EVAR, and PDA closure. The literature demonstrates radial access is associated with fewer vascular complications compared to femoral access and can be used as either the primary access site or as an ancillary access. The conclusion is that radial access is a safe and effective option for many endovascular structural heart procedures.