Percutaneous cardiopulmonary support （PCPS） is one of the most important therapeutic options foremergency patients with severe heart and lung failure. Prompt establishment of the precise supportenables us to improve the clinical results in those patients. The key points for the introduction of PCPSare quick and accurate techniques of the cannulation including the exact cannula selection and the decisionof the cannulation sites based on the patients’ conditions, ultrasonography and/or computed tomography.The use of the C-arm system and/or transesophageal echocardiography can play an importantrole in the insertion of the cannulae and the confirmation of the position of the cannula tips. In addition,the accurate management for possible complications during the PCPS can provide us with the stablesupport. Here, the techniques for the PCPS management are described.