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Th in a veno-venous (VV) circuit for pure pulmonary support asTh in a veno-venous (VV) circuit for pure pulmonary support as well as a veno-arterial (VA) circuit for concomitant cardiac support (8-10). Cannulation strategies and implantation techniques vary tremendously based upon the local environment, resources and patient needs (6-8). Because of the technical expertise required and consid