Front-page allegations of inappropriate stenting in the US have fueled a storm that has challenged the integrity of various high-profile physicians, shaken the patient-physician bond, and prompted some to doubt the widespread practice of stenting.

How do European interventional cardiologists interpret this debate? Our panel of experts met during the EuroPCR meeting in Paris to share their thoughts on this controversy. While pondering whether inappropriate stenting also occurs in Europe, they examine the role of appropriate-use guidelines, discuss how to effectively oversee PCI in Europe, and debate whether structured auditing or informal peer review is best to ensure optimal patient care.