The management of a patient on ECLS is still challenging in terms of utilization of resources and commitment of health personnel. Beyond the insertion procedure, a multidisciplinary team can better accomplish the tasks of daily management of the patient, as an intensivist, a cardiac surgeon and a perfusionist should repeatedly evaluate the circuit and the patient to guarantee a safe and uneventful treatment. Furthermore, every ECLS patient needs a dedicated nurse. With the assistance of these dedicated professionals, also in-hospital transportation can be safely carried out (i.e. to radiological suite). In our population 63% of patients received a CT scan during ECLS treatment, and no transport-related complications occurred. The most common complication was local bleeding, usually simple to manage. In this regard, the use of Bioline surface-heparinized circuits allowed a limited dose of heparin, and may have reduced the incidence of complications such as coagulation, complement activation, thrombus formation and the need for transfusions [17] [18] [19] .