Category: Tips & Tricks


Techniques to Reduce Bleeding with Large Bore Access Devices

Dr. Amir Kaki Discusses Techniques to Reduce Bleeding Dr. Amir Kaki outlines the factors that have led to reductions in bleeding and complications with large-bore access devices, including Impella, over the past decade, and discusses techniques and best practices for access and closure. Dr. Kaki is the director of mechanical circulatory support and complex PCI … Continue reading “Techniques to Reduce Bleeding with Large Bore Access Devices”

Duane Pinto Comments on SCAI Vascular Access and Closure Best Practices

A Practical Resource for Practicing Physicians Duane Pinto, MD, MPH, one of the nation’s experts on vascular access and closure, discusses the SCAI “Vascular Access, Management, and Closure: Best Practices” eBook he and Dr. Adhir Shroff edited. “It’s not a boring book,” he assures us. Dr. Pinto describes the eBook, which is available for free … Continue reading “Duane Pinto Comments on SCAI Vascular Access and Closure Best Practices”

Impella Management in the CCU with Drs. Parrillo, Porvin, and Keller

Inotrope Weaning, Repositioning, Invasive Monitoring, Impella and ECMO Joseph Parrillo, MD, Brian Porvin, DO, and Steven Keller, MD, PhD, discuss managing patients in the CCU with Impella®. They focus on weaning off inotropes, repositioning Impella, invasive monitoring, and use of Impella and ECMO. Video Chapters: Chapter 1: Impella Management in the Critical Care Unit – … Continue reading “Impella Management in the CCU with Drs. Parrillo, Porvin, and Keller”

Quick Tips on Access and Closure

Dr. Alex Truesdell provides his top 3 tips for safe access and closure with the Impella device which include utilizing all of your senses, developing a rhythm, and more. Watch the video to learn more. Subscribe or join the conversation by following us on Twitter: @ProtectedPCI NPS-178

Importance of Right Heart Catheterization

Dr. Susan Joseph, Advanced Heart Failure Specialist from Baylor University Medical Center, discusses perspectives on management of Impella patients in critical care units, particularly the use of invasive hemodynamic monitoring. PA catheters, or right heart catheterization, provide a minute to minute constant source of information about a patient with shock and their filling pressures, pulmonary … Continue reading “Importance of Right Heart Catheterization”

Best Practice Protocols for Cardiogenic Shock Showing Improved Outcomes Within the WellStar System

Dr. Salvatore Mannino, Director of the Short-Term Mechanical Circulatory Support Program at WellStar Health System joins Dr. Seth Bilazarian to discuss how his team has implemented a cardiogenic shock protocol that has shown to improve patient outcomes. Part of the protocol includes the following best practices: Safe femoral practices for large bore access Pre-PCI hemodynamic … Continue reading “Best Practice Protocols for Cardiogenic Shock Showing Improved Outcomes Within the WellStar System”

Hybrid Closure Technique with Impella

Rajiv Tayal, MD, Director of Structural Heart Disease at JFK Medical Center, presents information from a clinical paper he co-authored regarding vascular closure in Impella supported PCI patients using multiple devices. Read more about The Hybrid Closure Technique: A Potential Standard for Large-Bore Arteriotomy Closure by R. Tayal, et al, in JACC: Cardiovascular Interventions Supplement, CRT-200.03. … Continue reading “Hybrid Closure Technique with Impella”

Femoral Access and Explant

Dr. Thomas Tu of Baptist Health Hospital discusses his approach to safely and effectively obtain access in the femoral artery and techniques to place a sheath in preparation for Impella insertion and avoid vascular complications. Topics include: Femoral access and removal Device insertion and positioning technique Special situations including resheathing and alternative access Tune in … Continue reading “Femoral Access and Explant”