Temporary mechanical support in fulminant myocarditis
🔍 patients treated with VA #ECMO and/or #Impella from FULLMOON study
🫀 FM requiring t-MCS associated with high 1-year mortality = 36%, even if young cohort: rapid recognition + timely transfer to specialized #ECLS centers pivotal
🔓 rdcu.be/e4IBX
• IMPELLA & ARCHIMEDES SCREW
Mechanism behind #impella is partly inspired by the Archimedes’ screw🌀
A rotating helical structure generating forward flow through continuous displacement.
👉Learn more: ⚙️ HISTORY OF IMPELLA: (IMPELLA GUIDE 005)
youtu.be/EvyWtTrG1i4
· THE IMPELLA PURGE CASSETTE
🫀The core of the purge system.
It incorporates a rack-and-pinion piston pump mechanism combined with two unidirectional check valves⚙️
👉Learn more: ⚙️ IMPELLA PURGE SYSTEM (IMPELLA GUIDE 012)
youtu.be/YVhhiYBA_68
#Impella
• IMPELLA IN THE OLYMPIC GAMES
In figure skating, during spin jumps, the athlete performs a rapid axial rotation around a vertical axis.
A similar principle applies to the Impella microaxial pump
👉Learn more: ⚙️ HOW THE IMPELLA DEVICE WORKS
youtu.be/xD-6yWdRwuM
#impella #WinterOlympics2026
•IMPELLA BICARBONATE PURGE
HCO3 doesnt act as anticoagulant like heparin, role mainly related to alkaline pH 7.8-8.0📈
👉Learn more: IMPELLA PURGE SYSTEM
youtu.be/YVhhiYBA_68
#impella
· IMPELLA CP OUTLET AREA
Outlet region plays a key role in the device’s overall hemocompatibility🫀
This segment is engineered with a hydrodynamic design that promotes smooth blood flow and low shear stress.
-> Learn more: IMPELLA COMPONENTS
youtu.be/Ffe21CfY20o
#Impella
· IMPELLA PURGE SYSTEM
🫀Impella purge system continuously delivers purge fluid, generating a protective pressure barrier that prevents blood from entering the motor housing.
👉Learn more: IMPELLA CP COMPONENTS
youtu.be/YVhhiYBA_68
#Impella
· 🚀THE 9TH GEN IMPELLA CP
The next-gen Impella CP introduces key innovations:
1⃣ One piece pigtail design.
2⃣ Refined catheter packaging
3⃣ Updated purge cassette
👉 Learn: more: 9th GEN IMPELLA CP
youtu.be/VhCrCV4_gz4
#IMPELLA
• IMPELLA PIGTAIL ON ECHOCARDIOGRAM
The Impella pigtail can be identified on echo by a characteristic 2-mm double-rail appearance.
This finding reflects the parallel echogenic borders of the pigtail structure.
It helps to confirm correct positioning within LV.
#impella
#Impella
· IMPELLA, HOW IT WORKS
Impella is a micro–axial pump for mechanical circulatory support. Its sinusoidal flow pattern reflects dynamic chamber pressures.
👉 Learn more: youtu.be/TgleQ0Iv4UQ
#IMPELLA
PROTECT IV Trial
A large-scale, multicentre RCT investigating whether routine use of #Impella during high-risk PCI in patients with complex CAD and reduced LVEF confers clinical benefit compared with standard care. #cardiosky #medsky Read more:
eurointervention.pcronline.com/article/mech...
🔍 IMPELLA CP — DEDICATED GUIDEWIRE ACCESS PORT.
This port allows the introduction of a 0.035” guidewire into the arteriotomy before catheter removal, ensuring that vascular access is safely maintained.
👉Learn more: IMPELLA CP COMPONENTS PART 4
youtu.be/NwxaJZN9RWE
#Impella
· 🚀THE 9TH GEN IMPELLA CP
The next-gen Impella CP introduces key innovations:
1⃣ One piece pigtail design.
2⃣ Refined catheter packaging
3⃣ Updated purge cassette
👉 Learn: more: 9th GEN IMPELLA CP
youtu.be/VhCrCV4_gz4
#IMPELLA
Severe PAD is a red flag for femoral #Impella access🚫 high risk of vascular injury or device malfunction.
Alternative routes: axillary, direct aortic, or brachiocephalic.
👉Learn more: IMPELLA CP INDICATIONS, CONTRAINDICATIONS & OFF-LABEL USE
youtu.be/60cfGt2YT84
•IMPELLA CP SECURING STERILE SLEEVE
1️⃣Twist-Lock! 🌀Slide, rotate clockwise, and lock
2️⃣Tighten the Touhy-Borst valve 🔄 until resistance is felt, and document the cm to the tip 📏
👉Learn more: STEP-BY-STEP IMPELLA CP NURSING CARE
youtu.be/iX3blm0TFM0
#impella
🚀 IMPELLA REPOSITIONG SHEATH
1️⃣Main sheath protects catheter
2️⃣Access port allows closure or exchange
3️⃣Suture pad secures in place
👉Learn more: IMPELLA CP COMPONENTS PART 4 - REPOSITION SHEATH
youtu.be/NwxaJZN9RWE
#impella
• Impella & TAVR interaction risk!
⚠️ Self-expanding TAVR valves can interfere with the Impella causing low flow, pump stop, or blade damage.
👉Learn more: IMPELLA & TAVR INTERACTION
youtu.be/c0MQ1_MHC84
#Impella
🚨New on CicuDevices!
Impella CP – From Tip to Toe, Part 4
We explore repositioning sheath, sterile sleeve, red hub, and white cable — the key elements ensuring sterility, safety, and flawless data & power transmission.
👉: youtu.be/NwxaJZN9RWE
#Impella
The PROTECT IV trial will investigate whether routine Impella CP support during high-risk PCI in patients with complex CAD and HFrEF can improve long-term outcomes.
A multicentre, randomised study enrolling 1,252 patients across the US, Canada, and Europe. #cardiosky #impella shorturl.at/161oW
🔥🔥NEW OUT TODAY
Can mechanical support change outcomes in high-risk PCI?
The PROTECT IV trial tests whether using #Impella CP in patients with complex CAD and LVEF ≤40% can improve survival, reduce complications, and enable complete revascularisation.
Learn more: shorturl.at/161oW
#cardiosky #PCI
WHAT AI TOLD US ABOUT THE INSIDE OF THE IMPELLA RED PLUG!!
We opened the Impella CP red plug to see what’s inside.
Then we asked AI to identify the components… and this is what it told us…
#globalmcscommunity #Impella
Congrats to the TTUHSC Poison Center on their new paper on phosphine (AlP) exposures — 10 cases, rapid CV collapse in many, and one survivor after Impella® + ECMO. 👏
Link: www.sciencedirect.com/science/arti...
#TTUHSC #PoisonCenter #Toxicology #Impella #ECMO
62M, DM2, 6h STEMI➡️CS on norepi & dobutamine, lactate 4.1. #Impella?
Echo:apical thrombus ➡️absolute contraind.
❌Risk: embolization/device failure
✅Strategy:ECMO+IABP
Always rule out LV thrombus before Impella!
👉Learn more: IMPELLA CP CONTRAINDICATIONS
youtu.be/60cfGt2YT84
• IMPELLA 5.0 vs 5.5
The 5.5 marks a leap in MCS design: shorter catheter, slimmer motor with reduced rigid segment, and removal of the pigtail all enhance surgical handling and vascular safety.
#Impella
📣Late breaking ESC25!!
“Long term outcomes of the DanGer shock trial”
DOI: 10.1056/NEJMc2508284
Follow-up reached up to 10y
Mortality lower in mafp group microaxial-flow-pump group
Unloading effect? More data needed
👉Learn more about #IMPELLA PHYSIOLOGY
youtu.be/JGXevZWm61E
📢 New ESC #Myocarditis Guidelines are out!
Great document, comprehensive and practice-shaping.
But for those treating the sickest cases, the section on Mechanical Circulatory Support (MCS) feels thin: just a few lines on VA-ECMO and IABP. 🤔1/2
#impella
📣Brand-new 2025 ESC Guides of Valvular Heart Disease released
Among the most striking recommendations, TAVI is now IA level for severe AS with tricuspid valves >70
Without debating the recommendation itself, reflexion on potential implications in cardiogenic shock… 1/4
#impella
• IMPELLA BTR
Bridge to Recovery is in feasibility trials for medium-term support (up to 90 days) in advanced HF.
Inserted surgically through the axillary artery, 21F max size, and provides up to 5.5 L/min flow
👉Learn more: THE IMPELLA FAMILY
youtu.be/MtxWxChjhWg
#globalmcscommunity #Impella
Impella RP vs RP Flex
Both devices deliver temporary support in RV failure.
•Impella RP: femoral access, limits mobility, may increase site-related risks.
•Impella RP Flex: jugular access, allows ambulation, easier nursing care, improved steerability for precise placement.
#Impella
• IMPELLA ECP
(Expandable Cardiac Power) starts at 9F at insertion and expands up to 18 French inside the thoracic aorta.
It features an impeller located distally on the catheter.
Nowadays in Pivotal Trial.
👉Learn more: THE IMPELLA FAMILY
youtu.be/MtxWxChjhWg
#impella
