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W hen invited to write an editorial on bailout stenting, many titles came to mind-"The Double-Edged Sword," "Friend or Foe," and "Jekyll and Hyde"-to convey the current balance of the efficacy and the risk associated with bailout stent therapy. Rather than consolidating the role of stenting in the emergency management of abrupt or threatened occlusion following coronary interventional procedures, the observational study reported by Hearn and colleagues in this issue of Circulation' raises further questions over the benefit-to-risk ratio of bailout stenting.

The bailout stent. Is a friend in need always a friend indeed?