{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T16:42:30Z","timestamp":1786207350721,"version":"build-2736575974"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Artif Organs"],"abstract":"<jats:p>Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has become an accepted treatment modality for refractory cardiogenic shock (CS). However, its use is limited to tertiary centers due to resource allocation, education, and personnel requirements. The cannulate-and-ship model has therefore emerged to extend access to VA-ECMO. This model faces several communication, education, and logistical challenges. We describe the safety and early outcomes of a regional VA-ECMO training and air medical transport program that uses a text-message-based communication protocol and an \u201calways open\u201d VA-ECMO transfer status. In this retrospective descriptive study, 14 patients were cannulated at rural or limited-resource hospitals and transported by air to a tertiary ECMO center between October 2024 and December 2025. Median transport distance was 440\u2009km. All patients survived transport without transport-related complications. Survival to VA-ECMO decannulation was 86%, to hospital discharge 79%, and 30-day survival from cannulation was 69%. These findings suggest that our structured regional program, incorporating simulation-based training, centralized consultation and communication, and perfusionist-supported transport, may safely extend VA-ECMO access to remote hospitals while addressing communication and logistical barriers.<\/jats:p>","DOI":"10.1177\/03913988261471406","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T05:03:33Z","timestamp":1786079013000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A regional partnership model for VA-ECMO initiation and transfer from remote centers using air medical transport"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3891-6476","authenticated-orcid":false,"given":"Collin","family":"Barrett","sequence":"first","affiliation":[{"name":"Abbott Northwestern Hospital, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maroun","family":"Chedid","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Christl","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Irwin-Crouse","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Kerola","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Kaiser","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Hryniewicz","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.119.034512"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202212-1029OC"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001653"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resplu.2024.100596"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.123.032288"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000884"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000002515"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2024.05.011"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-016-0232-7"}],"container-title":["The International Journal of Artificial Organs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03913988261471406","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03913988261471406","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03913988261471406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T15:46:36Z","timestamp":1786203996000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03913988261471406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":9,"alternative-id":["10.1177\/03913988261471406"],"URL":"https:\/\/doi.org\/10.1177\/03913988261471406","relation":{},"ISSN":["0391-3988","1724-6040"],"issn-type":[{"value":"0391-3988","type":"print"},{"value":"1724-6040","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,6]]},"article-number":"03913988261471406"}}