This sheath enables reaccess to the artery for the duration of Impella support with up to an 0.035” guidewire. The additional sheath length may provide improved hemostasis for tissue tracks longer than 6cm.
Category: Protected PCI
Dr. Michael P. Flaherty’s TCT 2018 presentation on Renal Effects of Impella support during Protected PCI.
Download the Mt. Sinai Protected PCI Algorithm to guide decision-making for appropriate use of the Impella 2.5 and Impella CP heart pump for Protected PCI.
Download the WVU Heart & Vascular Institute Complete Revascularization of Complex and High Risk Coronary Artery Disease Algorithm.
Dr. Tanveer Rab of Emory University joins Dr. Cathy Jeon to discuss a case of an 80 year old male with a low ejection fraction of 30% and very complex coronary artery disease who was deemed to be too high risk for CABG. The comorbidities included chronic kidney disease, diabetes on insulin, and hyperlipidemia. The … Continue reading “Complex PCI with Multiple Comorbidities”
This is a sample high-risk PCI algorithm used by Henry Ford Health System. Specifically, it is a Left Ventricular Mechanical Circulatory Support Device (MCS) Decision Tree Before Elective CTO and Complex PCI.
Download INOVA Heart and Vascular Institute’s Protected PCI algorithm, which begins with a heart team evaluation of high risk criteria including complex anatomy, comorbidities and hemodynamic compromise. Clinical goals include increasing ventricular function, decreasing angina/heart failure, reducing re-hospitalization, and improving quality of life.
The Impella® Program Protocol and Tools Provides Resources on Impella Best Practices Including: Data-driven protocols and algorithms Tools for optimized economics Decision-making guides Quality improvement strategies Clinical Guidelines Outreach education materials Training resources