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Healthcare providers involved in the care of patients with cardiogenic shock might wish to consider early or concomitant left ventricular venting in patient supported with veno-arterial extracorporeal life support. The optimal left ventricular venting strategy may be dictated on case-by-case bases.
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This scientific statement suggests that CMR may be most appropriate when: a) there is the suggestion of a possible LV thrombus on echocardiogram but echocardiography imaging even with an ultrasound-enhancing agent is not diagnostic, and b) echocardiography does not demonstrate LV thrombus but a clinical concern .
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