Cath Lab Impella St. Vincent

CP

100

Indications for Impella CP

What is Cardiogenic Shock and Protected PCI?

200

Recommended new sheath for single-access 

What is?

7Fr x 30cm Companion Sheath 

300

Required purge solution  

What is D5W?

400

Name 1 contraindication

What are Mechanical Aortic Valve, LV Thrombus, Severe AS, Severe PAD?

500

Hospital supplies not included in Impella CP box (name one)

What is micro-puncture, pigtail/MP catheter, D5W, J-wire, 5-8Fr sheath?

RP Flex

100

Access locations for Impella RP Flex

What is Right Femoral Vein or Internal Jugular Vein?

200

Verifying Impella RP Flex placement

What is with a chest X-ray?

300

Sheath size for RP Flex

What is 23Fr?

400

This size wire is used with an Impella RP Flex

What is 0.027”?

500

The recommended starting purge solution for Impella RP

What is:

D5W w/ 25 U/ml of heparin

OR

D5W w/ 25 mEq/L of Sodium Bicarbonate?

St. V’s Impella History

100

This Interventional Cardiologist placed the 200th Impella!!

Who is Dr. Quade? 

AKA the Quadfather

200

This Interventional Cardiologist placed the 1st Impella RP Flex in Southern Indiana. 

Who is Dr. Casino?

300

This Interventional Cardiologist placed the 1st Impella RPSA and 1st Bipella at St. Vincent?

Who is Dr. Voelkel?

400

This Interventional Cardiologist had an amazing Bipella heart recovery story.

Hint: Easter miracle 

Who is Dr. Whitler?

500

This Interventional Cardiologist did a HRPCI with axillary cutdown performed by Dr. Thomas in the hybrid OR.

Who is Dr. Oates?

Before Leaving

100

Best practice for preventing CP from migrating inward

What is removing slack and locking tuohy burst?

200

Best practice for removing peel away to reduce complications and advancing repo sheath. 

Hint: avoiding fish mouth on the peel-away sheath

What is removing the sheath completely from body before cracking and peeling? Then advancing repo sheath.

300

The hemodynamic monitoring device recommended for all Shock patients

What is Swan-Ganz catheter?

400

Best practices to reduce groin bleeding

What is angle matching and forward tension suture?

500

This mode (P-level/flow control) is used in CCL to prevent suction alarms

What is AUTO? 

Wild Card

100

Abiomed best practice recommendations for getting access

What is ultrasound and micro-puncture?

200

The most common cause of RV failure 

What is LV failure?

300

Impella CP inlet and outlet sit here

What is inlet in the LV and outlet in the aorta?

400

Impella RP Flex inlet and outlet sits here

What is 

Inlet- IVC/SCV

Outlet- PA (above pulmonic valve at PA bifurcation)?

500

Your favorite Impella reps are 

Who are Steve and Samantha?