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"The use of Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) as a salvage therapy in cardiogenic shock is becoming of current practice. While VA-ECMO is potentially a life-saving technique, results are sometimes mitigated, emphasising the need for selecting the right indication in the right patient. This relies upon a clear definition of the individual therapeutic project, including the potential for recovery as well as the possible complications associated with VA-ECMO. To maximise the benefits of VA-ECMO, the basics of extracorporeal circulation should be perfectly understood since VA-ECMO can sometimes be detrimental. Hence, to be successful, VA-ECMO should be used by teams with sufficient experience and initiated after a thorough multidisciplinary discussion considering patient's medical history, pathology as well the anticipated evolution of the disease."1
1.Veno-Arterial-ECMO in the Intensive Care Unit: From Technical Aspects to Clinical Practice.
Le Gall A, Follin A, Cholley B, Mantz J, Aissaoui N, Pirracchio R.
Anaesth Crit Care Pain Med. 2017 Oct 12. [Epub ahead of print]