Dalia AA, et al. - Researchers sought to perform comparisons of outcomes for patients cannulated for venoarterial extracorporeal membrane oxygenation (VA-ECMO) by outside institutions and transferred to referral centers for further care vs those cannulated and taken care of in house at the referral center based on the experience of a single quaternary referral center. This retrospective chart review–based study comprised 215 patients cannulated for VA-ECMO in house and 51 patients cannulated by 17 different outside institutions then transferred. Findings revealed no difference in survival of the ECMO therapy or survival to discharge in these 2 populations. Even though the feasibility of transfer centers has been analyzed extensively in patients with respiratory failure requiring venovenous ECMO, there is a minimal investigation in patients requiring VA-ECMO. They recommend considering these results for generating hypothesis given the necessity for larger sample sizes to guide care of these patients more definitively.