116 S. P. Butt et al.: J Extra Corpor Technol 2025, 57, 115 – 116
on patient-centered care. The rapid advancement and widespread use of extracorporeal technologies such as ECMO, often applied in situations where long-term outcomes remain uncertain and have introduced complex ethical challenges [ 7 ]. These devices, when used beyond clearly defined indications, risk shifting from life-saving interventions to uncertain destination therapies. As clinicians, researchers, and policymakers, it is our responsibility to maintain an ongoing dialogue that ensures the use of mechanical circulatory support is not driven solely by technological capability, but by thoughtful, ethical, and patientfocused decision-making.
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Cite this article as: Butt SP, Paul D, Darr U & Bhatnagar G. The complexities of MCS – How far is too far?. J Extra Corpor Technol 2025, 57, 115 – 116. https:// doi. org / 10.1051 / ject / 2025012.