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We present a novel technique for performing endovascular procedures by obtaining vascular access directly through a venovenous extracorporeal membrane oxygenation (VV ECMO) circuit. This technique is demonstrated in a lung transplant recipient, supported on VV ECMO, whose course was complicated by an extensive right femoral vein and inferior vena cava (IVC) deep vein thrombosis. The patient was successfully managed by the placement of an IVC filter using the VV ECMO circuit as a point of access to the circulatory system prior to ces