Cath lab: Impella CP

Insertion

100

Hospital supplies needed

D5 purge solution, 

Diagnostic catheter (4-6 F pigtail, AL1, or MP),

0.35x175 cm J-tip guidewire. 

200

2 other 0.018 wires that cab be used instead of Abiomed 0.018 wire

Boston scientific: Platinum Plus and V18

300

Components in the CP insertion box

Purge Cassette, 

0.018x 260cm placement guide wire, 

Impella catheter, 

Introducer kit

400

components in the Impella Introducer Kit

13cm and 25cm 14F peel-away introducer

8F, 10F, 12F, and 14F dilators 

0.035 inch stiff access guide wire 

500

Goal ACT for insertion 

Above 250 sec before removing the dilator 

Cath Lab Procedure

100

P level during Cath lab procedure 

Auto

200

French size sheath for single access

7 French 

Abiomed companion sheath: 7Fx 30cm. Hydrophylic coating

300

Three things to confirm before starting the Impella device

ACT above 250,

Guidewire out,

Confirm purge fluid exits the catheter 

400

Clearing adjust LV waveform alarm

Press Menu and select adjust LV waveform, 

Accept displayed suggested LV adjustments by selecting done 

500

Normal LVEDP range on AIC 

-10 - 10