A venous-venous (VV) extracorporeal membrane oxygenation (ECMO) implantation procedure in a cath lab at Tufts Medical Center in Boston. The procedure is led by Nevin Kapur, M.D., executive director of the Cardiovascular Center for Research Innovation and director of the acute mechanical circulatory support program. The Tufts cardiac cath lab teams began implanting ECMO systems on a regular basis about five years ago as part of its program. This allows the interventional cardiologists trained for ECMO to be able to perform levels of support that include IABP, Impella, TandemHeart, and ECMO. If needed, patients are transferred to the cardiac surgeons on the heart team for ventricular assist device (VAD) placements.