Makdisi, GeorgeMakdisi, TonyWang, I-Wen2022-08-232022-08-232017-03-012017-09-15Ann Transl Med. 2017 Mar;5(5):103. doi: 10.21037/atm.2017.03.01. <a href="https://doi.org/10.21037/atm.2017.03.01">Link to article on publisher's site</a>2305-5839 (Linking)10.21037/atm.2017.03.0128361068https://hdl.handle.net/20.500.14038/40325Extra corporeal membrane oxygenation (ECMO) is a life-saving technique to manage refractory cardiopulmonary failure. Its usage and indication continue to increase. Femoral venoarterial ECMO (VA ECMO) is relatively less invasive and the cardiac support may be more rapidly instituted in in these extremely tenuous patients. Vascular injuries and limb ischemia unfortunately occur in these emergent access settings. Here we will discuss the optimal techniques of preventing this complication which might affect patient survival and impact the patient quality of life.en-USExtra corporeal membrane oxygenation (ECMO)distal perfusionleg ischemiaCardiovascular DiseasesSurgeryUse of distal perfusion in peripheral extracorporeal membrane oxygenationJournal Articlehttps://escholarship.umassmed.edu/oapubs/312510750067oapubs/3125