This podcast describes the 14 steps involved in performing percutaneous coronary intervention: 1. Planning 2. Monitoring 3. Medications 4. Access 5. Engagement 6. Angiography (with the exception of the “zero contrast PCI”, although the latter still requires a prior angiogram) 7. Determine target lesion(s) 8. Wiring 9. Lesion preparation 10 Stenting 11. Vascular closure 12. Coronary physiology 13. Intracoronary imaging 14. Hemodynamic support The following steps are not always performed: • Lesion preparation (sometimes direct stenting is performed without predilation, although this is generally discouraged) (Chapter 9). • Stenting (sometimes balloon angioplasty, including drug-coated balloons, or thrombectomy only are performed) (Chapter 10). • Physiology (Chapter 12). • Imaging (Chapter 13). • Hemodynamic support (Chapter 14).