Can IABP be used with Impella?

Abiomed does not recommend simultaneous use of IABP with Impella. The combined use of IABP and Impella results in decreased forward flow with Impella during diastole due to augmentation of diastolic pressure from IABP.1 In addition, this reduction in forward blood flow with Impella prolongs red blood cell transit times through Impella, thus increasing the risk of hemolysis.1


  1. Burzotta F, Trani C, Doshi SN, et al. Impella ventricular support in clinical practice: Collaborative viewpoint from a European expert user group. Int J Cardiol.2015;201:684-91.