MCS can be used in 5 different situations:

• Bridge to decision is used primarily with short- term devices
• Bridge to recovery provides support until recovery when the device is explanted
• Bridge to transplantation (BTT) is most common and supports the patient until transplantation
• Bridge to candidacy (BTC) are potentially eligible for transplant, and receive MCS until they become eligible. If they remain ineligible, a decision is made to terminate MCS or to continue as destination therapy (DT)
• DT is long-term MCS for patients who are ineligible for transplant but otherwise have a good life expectancy