Members of ACC’s Interventional Section Leadership Council have created an algorithm to guide interventional cardiologists in clinical decision-making related to mechanical circulatory support (MCS) devices in patients undergoing percutaneous coronary intervention with high-risk features or cardiogenic shock. The statement, published May 2 in JACC: Cardiovascular Interventions, defines a practical approach for the interventional cardiologist regarding when to use MCS, how to select a device type, and practical points to consider when utilizing these devices. “With multiple MCS devices available, each institution must develop a strategy for the preferred MCS device for patients with adequate training of cardiac catheterization and ICU staff,” write Tamara M. Atkinson, MD, et al. “This facilitates protocols that can be used and executed in a timely manner and assist in especially for troubleshooting issues or complications.” Read more on ACC.org.