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Therapeutic Strategy Using Extracorporeal Life Support, Including Appropriate Indication, Management, Limitation and Timing of Switch to Ventricular Assist Device in Patients with Acute Myocardial Infarction

The appropriate indication for, management of and limitations to extracorporeal life support (ECLS) and the timing of a switch to a ventricular assist device (VAD) remain controversial issues in patients with acute myocardial infarction (AMI) complicated with cardiogenic shock or cardiopulmonary arrest.