The lack of evidence-based therapeutic strategies for left ventricular unloading during venoarterial extracorporeal membrane oxygenation therapy calls for randomized trials

Abstract

This commentary refers to the article 'Prevention and treatment of pulmonary congestion in patients undergoing venoarterial extracorporeal membrane oxygenation for cardiogenic shock', by E. Lü sebrink et al., doi:10.1093/eurheartj/ehaa547 and the discussion piece 'Congestive pulmonary edema during veno-arterial ECMO support: a plea for balloon atrial septostomy', by M. Kloeckner et al., doi:10.1093/eurheartj/ehab118.