Reference: J Interven Cardiol 2016; 29:248–256. Cardiogenic shock (CS) is the leading cause of death after acute myocardial infarction (AMI) and occurs in up to 10% of cases.1 Notably, the incidence of CS is higher in women presenting with STEMI than men (11.6% vs. 8.3%, p < 0.01).2 Previous studies evaluating the impact of CS … Continue reading “Impella Support Pre-PCI for AMICS is Associated with Higher Survival in Women”
Standardize Your Approach to Limit Bleeding Paul D. Mahoney, MD, describes the standardized approach for large bore femoral access at Sentara Heart Hospital in Norfolk, Virginia, where he is the director of the structural heart program. His institution has a large program that performed more than 400 TAVR procedures, 100 MitraClip™ procedures, 100 Watchman™ procedures, … Continue reading “Planning for Large Bore Access”
Vascular Closure Techniques and Devices Amir Kaki, MD, FACC, FSCAI discusses large bore femoral and axillary closure techniques as well as vascular closure devices currently on the market and in the pipeline. Dr. Kaki is an associate professor of medicine at Wayne State University and also director of MCS and complex coronary intervention and associated … Continue reading “Large Bore Femoral and Axillary Closure with Dr. Amir Kaki”
Technical Skills for Advanced Operators Raj Tayal MD, MPH, FACC, FSCAI discusses axillary access and other alternative access site techniques for large bore procedures. Dr. Tayal is the director of the cardiac cath lab at Overlook Medical Center. Dr. Tayal explains that percutaneous axillary implant volume is increasing with very favorable data from the axillary … Continue reading “Alternative Access Sites for Large Bore Procedures with Dr. Raj Tayal”
Using Multimodality Approach for Femoral Access Adhir Shroff, MD, MPH, presents data supporting a multimodal approach to femoral access. Dr. Shroff is Associate Professor of Medicine at the University of Illinois, Chicago and Jesse Brown VA Medical Center Co-Chair of the Vascular Access Working Group. He also recently co-authored a free SCAI Best Practices for … Continue reading “Large Bore Access Critical Skills with Dr. Adhir Shroff”
Step by Step Approach Paul D. Mahoney, MD, director of the structural heart program at Sentara Heart Hospital in Norfolk, VA, discusses step-by-step approaches to managing complications associated with large bore access. Dr. Mahoney notes that in addition to developing a systematic approach to transfemoral large bore access, it is very important to prepare for … Continue reading “Managing Large Bore Access Complications”
Committed to improving outcomes in Cardiogenic Shock and Protected PCI through excellence in education.
Use this patient transfer checklist and documentation when transferring a patient supported with an Impella® device from the “Spoke” hospital to the “Hub” hospital. Completing the patient transfer checklist ensures the best possible outcome for the patient during the transfer process.
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”
This instructional video provides the steps to insert the Impella 2.5® or Impella CP® with the assistance of the Automated Impella Controller into the femoral artery. Subscribe, Tweet this or join the conversation by following us on Twitter: @ProtectedPCI AIC-007-17