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An ECMO configuration after combining VV and VA ECMO using a single pump and oxygenator with oxygenated blood delivered to both the pulmonary and the systemic circulations. The use of the Hoffman clamps allowed for titration of flow through both systems without the complications associated with two competing pumps. The flow measurement controller on the arterial side of the VV circuit was used only as a flow-measuring device and RPMs were not titrated.
