ECMO configurations and lines


VV

There are generally three types of configuration:

  • femoral-femoral: also familiar with decreased mobility. Also has recirculation problem.
  • femoral-IJ: most familiar, easiest. Decreased mobility
  • 1 cannula IJ: typically avoided but best for mobility and proning1

  • left: centrifugal pump. Blood comes in middle and spun outward
  • right: roller pump propels blood forward

2

Footnotes

  1. NCTS lecture 11 2026 ↩

  2. 2025-08-07 critical care fellow lecture MCS ↩