**5.2 Bridge to transplant (BTT)**

ECMO use as a bridge to transplantation is most commonly used for patients already on the wait list, as opposed to those placed on the wait list while already on ECMO [14–17]. By providing mechanical support of the heart, ECMO allows patients to stabilize and recover from cardiogenic shock refractory to maximal medical management, while waiting for a suitable donor organ to become available. This not only increases their chances of successful transplantation but also reduces the risk of further complications and end organ deterioration. Notably, ECMO improves renal and hepatic perfusion, with the goal of normalization of function prior to transplant [18]. This support not only helps stabilize the patient's condition but elevates their status on the transplant waiting list.
