Outcomes for pediatric patients on VA ECMO can vary widely based on the underlying condition, the timeliness of ECMO initiation, and the presence of complications. Survival rates have improved over the years due to advancements in technology and clinical expertise. According to recent studies, survival rates for pediatric patients on VA ECMO range from 40% to 60%. Long-term outcomes may include neurodevelopmental challenges, which necessitate ongoing follow-up and supportive care.