Though once considered high-risk and below the standard of care, percutaneous coronary intervention (PCI) without on-site surgical backup has been performed with acceptable outcomes since the 1980s. An initial consensus document on PCI without surgery on site (No-SOS) was published by SCAI in 2007 and updated in 2014. The writing committee has revised the 2014 document to (a) update the available data, (b) reconsider the types of cases that could be undertaken without on-site surgical backup, (c) review data regarding which patients are at higher risk and (d) recommend patient selection criteria based on patient risk, operator experience and facility capabilities. Importantly, as PCI with no-SOS is often the predominant mode of delivery globally, we expanded the document to include international experience, perspectives, and outcomes.

All authors: Cindy L. Grines, MD, MSCAI (Chair); Lyndon C. Box, MD, FSCAI; Mamas A. Mamas, MD; J. Dawn Abbott, MD, FSCAI; James Blankenship, MD, MSCAI; Jeffrey G. Carr, MD, FSCAI; Nick Curzen, PhD; William Kent, MD, MSc; Yazan Khatib, MD, FSCAI; Alexis Matteau, MD; Jennifer Rymer, MD, MBA, MHS; Theodore Schreiber, MD, FSCAI; Poonam Velagapudi, MD, MS; Mladen I. Vidovich, MD, FSCAI; Stephen W. Waldo, MD; and Arnold H. Seto, MD, MPA, FSCAI (Vice-Chair).