Besides anticoagulation, how would you approach the management of a large LV thrombus newly seen on TTE in patients on VA-ECMO?

This is a highly morbid condition due to coexisting high bleeding and thromboembolic risk in acutely ill patients. No guidelines exist to direct the best strategies.

In addition to optimizing or changing anticoagulation strategy and depending on the location of the thrombus and co-morbidities, the fo...