The balloon-assisted tracking (BAT) technique is a novel and innovative method to successfully perform transradial procedures in patients with difficult vascular anatomy, severe tortuosity or RAS. In addition, the BAT technique can serve as a bail-out technique when vascular complications such as artery dissection or perforation occur. We analysed data of all PCI patients (N=62) in whom BAT technique was undertaken in daily practice and report acute and long term outcomes. The primary end point, defined as successful passage of the catheter through the artery of the arm using the BAT technique, was 98%. 11% of patients had a complication within 24 hours (hematoma, prolonged pain or visible vascular damage at the end of procedure), all completely recovered at follow-up. No complications occurred during long term follow-up. BAT is a lowrisk and easy-to-use technique that increases the success rate of radial artery access and may prevent vascular complications.