Mechanical Circulatory Support in High-Risk Coronary Intervention: Rational or Just Trendy?

[...]interpretation of the multivariate predictors of outcomes (mortality and periprocedural bleeding) requires caution and may be of limited value in clinical decision-making. According to the 2021 American College of Cardiology/American Heart Association/Society for Cardiovascular Angiography and Interventions Guideline for Coronary Artery Revascularization, the use of elective MCS during complex PCI is given a class IIB and level of evidence C recommendation.7 In this context, the decision to use MCS in elective high-risk PCI is routinely made based on best clinical judgment. [...]the decision to offer MCS in high-risk elective PCI must be made on an individual patient level with consideration of the risk:benefit ratio and local expertise.