Beyond VV and VA: Targeted Ventricular Support in ECMO

For many clinicians, ECMO begins and ends with two familiar configurations: veno-venous (VV) for respiratory failure and veno-arterial (VA) for cardiopulmonary collapse. In practice, however, not every patient fits cleanly into those categories. As ECMO programs have matured, cannulation strategies have evolved to address more specific hemodynamic problems—particularly isolated right or left ventricular failure, inadequate ventricular unloading, or mixed […]