Impella Basics
This Impella device provides left ventricular support and is most commonly inserted via the femoral artery.
What is the Impella CP?
This alarm suggests the pump has migrated too far into the ventricle.
What is Impella in Ventricle?
This chamber benefits from unloading during complex PCI.
What is the left ventricle?
BCIS III was designed around patients undergoing this procedure.
What is complex/high-risk PCI?
Before Impella insertion, this coagulation target should be reached.
What is an ACT of 250 or higher?
The recommended minimum P-level during weaning before explant.
What is P-2?
This alarm suggests the pump has pulled back so the inlet is no longer across the aortic valve.
What is Impella in Aorta?
This catheter helps assess filling pressures, cardiac output, and PAPi in shock patients.
What is Swan-Ganz catheter?
BCIS III compared routine planned Impella support versus this strategy.
What is standard care without routine planned support?
During CP insertion, this technique allows PCI through the Impella sheath.
What is Single access?
This chamber is unloaded by the RP flex.
What is the right ventricle?
This alarm occurs when the inlet is no longer adequately surrounded by blood and ventricular preload may be low.
What is suction?
This hemodynamic index is commonly used to assess RV function
What is PAPi (Pulmonary Artery Pulsatility Index)
True or False: BCIS III studied patients in cardiogenic shock.
What is false?
This imaging modality is recommended to improve accuracy and reduce complications during access.
What is ultrasound-guided vascular access?
A patient is aggressively diuresed prior to their cath lab procedure. The most likely cause for suction is inadequate...
What is preload?
When troubleshooting suction alarms, these are the first two things you should evaluate.
You place an Impella CP in a RCA STEMI patient but are unable to flow higher than 1.5 Lpm. A swan is placed showing a CVP of 25 mmHg which may indicate this problem.
What is right ventricular failure.
This type of patient was primarily studied in BCIS III.
What is a stable high-risk PCI patient with severe LV dysfunction?
During insertion, crossing this structure is required before final positioning.
What is aortic valve?
The RP flex is inserted through this size sheath.
What is 23 Fr?
A patient develops recurrent suction alarms despite adequate fluid status. Echocardiography reveals a nearly empty LV. This indicated the patient may need less support, more support, or reassessment of this clinical factor.
What is right ventricular failure?
During the Impella CP weaning, moderate doses of these medications suggest the patient may not yet be ready for explant.
What is inotropes and vasopressors?
The main message many experts take from BCIS III is to improve this rather than support every patient.
What is patient selection?
Having these available before insertion help prepare for closure and post-procedure management.
What is vascular closure devices?