ECPR in the Invasive Arm of Cardiology

So far we do have just one very small randomized trial on this topic it was a Minneapolis trial published 2020 arrest trial which actually a randomized patient after admission to ER when they remain in cardiac arrest to ECPR versus conventional CPR. The DSMB stop the trial saying that the ECPR in this settings is beneficial and heard it's unethical to randomized patients further so we are coming to our study it was a study originally named hyperinvasive approach because at that time so 10 years ago we thought it's really hyper in ways what we are doing.