SCAI Expert Consensus Statement on Percutaneous Coronary Intervention Without On-Site Surgical Backup

PCI without SOS is as safe as PCI at centers with SOS across randomized controlled trials, observational studies, and international experiences. Adequate oper-ator experience, appropriate clinical judgment and case selection, and facility preparation are essential to a safe and successful PCI program without SOS. The economic benefits of PCI without SOS have driven and will continue to drive payers toward the migration of PCI to the ambulatory setting. This expert consensus statement summarizes the evidence supporting PCI without SOS and provides the community with the guidance necessary for this transition.