**Author details**

**Figure 3.** Graphical illustration of different ventricular assist devices (VAD) for extracorporeal life support (ECLS): Central left ventricular assist device (LVAD): (A) LV (left ventricular) to aorta: non-pulsatile axial Impella® 2.5/5.0 (Abiomed Europe, Aachen, Germany). (B) LA (left atrial) to aorta: Tandem Heart® VLAD KIT (Cardiac Assist, Inc., Pittsburgh, USA). Central right ventricular assist device (RVAD): (A) Vena cava inferior (VCI) to PA: nonpulsatile axial Impella RP® (Abiomed Europe, Aachen, Germany). (C) RA (right atrial) to PA (pulmonary artery): Tandem Heart® RVAD KIT with 2 cannulas (Cardiac Assist, Inc., Pittsburgh, USA). (D) RA to PA: Tandem Heart® RVAD PROTEKDuo® dual lumen cannula (Cardiac-Assist, Inc., Pittsburgh, USA). Peripheral ECLS: (E) extracorporeal membrane oxygenation (VA [veno-arterial] - ECMO): peripheral femoral vein to femoral artery (VA) - ECLS: CARDIOHELP System (MAQUET GETINGE GROUP, Rastatt, Germany). (F) Placement of LA cannula (trans-septal) in addition to the VA-ECMO: improved "unload" of the congested heart, the additional cannula can be integrated into the VA-ECMO circuit via Y-connectors. Unfavorable effects on the cardiovascular system due to peripherally placed assist devices can be reduced.

54 Myocardial Infarction

Michael Behnes1 \*, Philipp Kuche1 , Ibrahim Akin1 and Kambis Mashayekhi2

\*Address all correspondence to: michael.behnes@umm.de

1 First Department of Medicine, University Medical Centre Mannheim (UMM), Faculty of Medicine Mannheim, University of Heidelberg, Germany

2 Division of Cardiology and Angiology II, University Heart Center Freiburg Bad Krozingen, Bad Krozingen, Germany
