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cicudevices.bsky.social
cicudevices
@cicudevices.bsky.social
Group of young cardiologists with special interest in the field of cardiac devices and simulation. At least 1 thread a week about CICU devices.
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• IMPELLA GUIDE
• Bivacor Total Artificial Heart.
It represents a new era in advanced MCE, using a magnetically levitated rotary pump designed to provide continuous, balanced output to both ventricles. A promising option for patients with end-stage biventricular failure.
November 26, 2025 at 6:34 AM
· 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
November 24, 2025 at 5:39 PM
⚠️ BUBBLES IN THE ECMO CIRCUIT
Air bubbles appeared in the circuit after an inadvertent cannula puncture during fixation.
Immediate clamping, inspection, and possible system replacement are essential.
#ecmo
November 8, 2025 at 9:35 AM
🔍 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
November 3, 2025 at 10:04 PM
⚠️ HeartMate II & III – Backup Battery Fault Alert!! SAFETY ALERT
Oct 2025
Abbott has recalled a battery failure issue
Investigation found corrosion at the connector between the controller and the ribbon cable
👉Learn more: HEARTMATE 2-3, CONTROLLER BACKUP BATTERY FAULT
youtu.be/KT4_LSHnP4w
#lvad
⚠️ HEARTMATE 2 & 3, CONTROLLER BACKUP BATTERY FAULT ALARM, SAFETY ALERT 25-10
YouTube video by Cicudevices
youtu.be
November 2, 2025 at 4:36 PM
· CENTRIMAG, FAILURE TO PROPERLY LOCK THE PUMP INTO THE MOTOR, SAFETY ALERT.
Oct 2025
Abbott issued an Urgent Field Safety Notice concerning the interface between Pump and Motor.
👉Learn more: CENTRIMAG SAFETY ALERT
youtu.be/BtSRd596PVU
October 30, 2025 at 5:15 PM
· 🚀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
October 26, 2025 at 6:57 PM
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
October 25, 2025 at 7:42 AM
· IABP GUIDE 004: INDICATIONS, CONTRAINDICATIONS & OFF-LABEL USE
We recently developed our perspective on the role of the IABP🫀, focusing current indications, contraindications, and off-label uses.

👉Learn more: youtu.be/XW3tQxjCQDk
#iabp
INTRA-AORTIC BALLOON PUMP (IABP): INDICATIONS, CONTRAINDICATIONS & OFF-LABEL USE (IABP GUIDE 004)
YouTube video by Cicudevices
youtu.be
October 24, 2025 at 4:49 PM
•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
October 21, 2025 at 8:13 PM
🚀 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
October 20, 2025 at 1:29 PM
• IMPELLA NURSING MANAGEMENT
One of the priority tasks is to ensure proper catheter securement.
Catheter adequately fixed at the insertion site, using sutures at distal eyelets. It facilitates 30-45º
👉Learn more: IMPELLA CP NURSING
youtu.be/iX3blm0TFM0
October 14, 2025 at 5:54 PM
• 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
October 12, 2025 at 7:57 AM
🚨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
October 10, 2025 at 4:59 PM
🚨AIR IN THE ECMO PUMP!
A real ECPR case. During emergency cannulation, incomplete priming led to a massive air bubble trapped in the pump housing — flow <0.5 L/min. New circuit primed, but adverse neuro outcome. & fatal outcome.
In ECPR minimal mistakes are critical.
#ecmo
October 4, 2025 at 11:27 AM
🚀BRIOVAD SYSTEM

BRIOVAD reduces friction & blood trauma, fits smaller chests, better hemocompatibility, ultra-thin driveline
🇺🇸Now INNOVATE trial vs HeartMate 3.

👉Learn more: BRIOVAD, LVAD THAT INNOVATES
youtu.be/ti_uKiv9uEc
#lvad
October 4, 2025 at 9:30 AM
🚨CARDIOSAVE IABP OVERTEMPERATURE RISK
Aug 2025
Getinge reported over-temperature events in Cardiosave systems.
If internal temps exceed 80°C, console enters standby, interrupting counterpulsation therapy…1/2
#IABP
September 28, 2025 at 7:16 AM
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
September 27, 2025 at 9:28 PM
• CORONARY ANGIOGRAPHY DURING VFIB
A visitor collapsed with sudden CA in the hospital lobby. After 10 min of CPR with no rhythm, ECPR initiated. In the cath lab, angiography while the LV remained in VF—an striking sight. Stenting and favourable outcome.
#ecmo
September 27, 2025 at 12:28 AM
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
September 20, 2025 at 9:09 PM
📣Sept 20th, Happy Batman Day!🦇
Looking back at early Batman series, Batcave strikingly resembled 1960s biotech labs.
One could almost imagine groundbreaking devices being created there, like the Bubble Oxygenator Lung.
👉Learn more: ECMO HISTORY
youtu.be/I53g5-rDpO8
September 20, 2025 at 8:06 AM
· BIVACOR
In Aug 2025 BiVACOR’s Bi-VAD or total artificial heart (TAH) was accepted into the FDA TAP program. This collaboration aims to accelerate development, regulatory guidance & patient access to transformative MCS technology.
👉Learn more: BIVACOR
youtu.be/07LinDUIZcI
September 12, 2025 at 3:33 PM
• 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
September 10, 2025 at 6:39 AM
8th Sept, Happy Star Trek Day!🖖
One of the most iconic devices in the saga was Tricorder.
If you look closely, its early design wasn’t so far from the first IABP consoles.
👉Learn more: IABP HISTORY EXPLAINED, FROM IDEA TO LIFESAVING DEVICE
youtu.be/DjX7wA8vw94
#StarTrekDay
September 7, 2025 at 10:10 PM
• CARDIOSAVE IABP CONTROLER SAFETY ALERT
Aug 2025
Fluid ingress risk

Cardiosave Hybrid & Rescue #IABP consoles, face a risk: fluid ingress. Even small spills of saline can damage electronics, causing sudden device shutdown and interruption of counterpulsation…1/2
September 5, 2025 at 6:53 AM