Dual left anterior descending coronary artery (LAD) is a rare congenital anomaly. We report a patient presenting with chest tightness, who was subsequently found to have this coronary anomaly via Multidetector computed tomography (MDCT). He underwent staged percutaneous coronary interventions (PCI) of the totally occluded long LAD and its diagonal branch (DB) successfully through the radial route. We conclude that anomalous coronary artery disease can be safely and successfully treated through the radial route after careful evaluation of origin and course of the anomalous vessels. CT coronary angiography is extremely useful in delineating the vessel course and particularly their relation to great arteries. Then, we present a technique that combines the reversed guidewire technique with a Crusade catheter, and we expect that this technique will increase the rate of access into the intended vessels, particularly with a difficult anatomy. We describe the details of this technique, its usefulness, why it works, and when to employ it in clinical practice through the following case report.