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Proctor’s Playbook: VA-ECMO with Dr. Ann Gage, Dr. Marwan Jumean, Dr. Nazli Okumus, Dr. Daniel Ambinder on the BackTable CathMasters Podcast
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CathMasters by CardioNerds

Episode # 2  •  09 Jun 2026

Proctor’s Playbook: VA-ECMO

with Dr. Ann Gage, Dr. Marwan Jumean, Dr. Nazli Okumus, Dr. Daniel Ambinder

CathMasters Drs. Nazli Okumus and Daniel Ambinder, along with expert faculty Drs. Ann Gage and Marwan Jumean, walk through the step-by-step procedural approach to VA-ECMO (veno-arterial extracorporeal membrane oxygenation) cannulation. Building on the Data to Delivery episode, this Proctor Playbook episode covers pre-procedural planning, cannula selection, team composition and equipment, the role of the distal perfusion cannula (DPC), decision-making on mechanical left ventricular (LV) unloading, anticoagulation dosing and timing, the cannulation procedure itself, and vascular closure strategies during decannulation. The hypothetical case continues with the 36-year-old man with fulminant myocarditis, biventricular failure, and cardiogenic shock.

Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes.

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