What is your preferred mechanism for venting the left ventricle in patients on VA-ECMO?

Based on recent studies and evidence in the literature, my preferred approach for venting the left ventricle in patients on VA-ECMO would be guided by the individual patient's clinical scenario, with a cautious inclination towards using the intra-aortic balloon pump (IABP) over Impella. This prefere...

PA catheter hemodynamics dictates the choice of the device, not the device itself.