Extra-corporeal membrane oxygenation (ECMO) implantation is limited to specialized centres with cardiac surgery facilities. ECMO implantations in centres without on-site cardiovascular surgery facilities have been reported with ECMO system and surgeon dispatched from the referring hospital. We report the circumstances, feasibility, in-hospital complications and outcomes of ECMO implantation by an interventional cardiology team in a local hospital with a high-volume catheterization laboratory but without on-site cardiovascular surgery facilities Study hospital The Hospital Centre of Annecy hosts a catheterization laboratory available 24 hours a day, 7 days a week (24/7), with a team of 12 interventional cardiology nurses and four interventional cardiologists. The hospital catchment area covers a population of 900 000 people. One thousand to1200 percutaneous coronary interventions (PCIs) are performed annually. This local hospital does not have a cardiac surgery department. The nearest cardiac surgical hospital is located 100 km away.
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