• 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.

· 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

⚠️ 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

🔍 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

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 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

• 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

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

• 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

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