Table 1.

Indications and contra-indications for VA-ECLS

Indications	Contra-indications
Refractory cardiogenic shock due to:	Absolute
– Acute coronary syndrome (with or without mechanical complications) – Acute valvular heart disease – Acute deterioration of non-ischaemic cardiomyopathy – Acute myocarditis – Tako Tsubo cardiomyopathy – Intractable arrhythmias	– Recent intracranial haemorrhage or infarction – Uncontrolled coagulopathy – Multi-trauma with high risk of bleeding – Irreversible cardiac disease with no prospect for permanent ventricular assist device implantation or heart transplantation – Aortic dissection and severe aortic regurgitation
Refractory cardiac arrest
Post-cardiotomy cardiogenic shock	Relative
	– Age >65 years

VA-ECLS veno-arterial extracorporeal life support