Percutaneous coronary procedures allow the minimally invasive treatment of coronary artery disease. These procedures are a mainstay of interventional cardiology and usually uneventful. However, some procedures carry an elevated risk either due to the physiological or anatomical condition of the patient, or the complexity of a particular procedure, and are deemed high-risk procedures (high-risk PCI). Percutaneous ventricular assist devices (pVADs) are used to stabilize hemodynamics and protect patients throughout high-risk PCI.