Prevalence and clinical correlates of extended mechanical support in patients undergoing high-risk percutaneous coronary intervention in current clinical practice: Insights from the cVAD registry

•About 9% of elective/urgent high-risk PCI patients receive extended Impella support.•Higher likelihood of extended Impella support during revascularization of CTO•Benefits of extended Impella support must be weighed against risk of complications.•Procedural planning, adequate arterial access and management is critical during HR-PCI.