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As a surgeon once told me these procedures, we do in cardiology are often the triumph of technology over reason.

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John ,I really enjoy your commentary. With regards to the INCEPTION trial we may have differing opinions. We also have to take the ARREST and Prague OHCA trials into account when deciding if ECLS works. Both randomized. Both with stunning reduction in mortality in the intervention group. INCEPTION may have demonstrated that not everyone should have an ECLS program.

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