Abstract
THE EMERGENCY USE of implantable ventricular-assist devices (VADs) in patients with cardiogenic shock or cardiopulmonary arrest is associated with poor survival rates.1 Some centers therefore prefer a mechanical double-bridge strategy using primarily femorofemoral venoarterial extracorporeal membrane oxygenation (ECMO) for emergency, short-term mechanical circulatory support.2,3 In addition to its less invasive and more rapid implantation, ECMO support allows a recovery period from shock-associated multiorgan injury and gives time for patient evaluation (eg, exclusion of ischemic brain injury).
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