How is closure managed with Impella devices?

September 11, 2018

Manual compression is the standard closure technique with Impella devices.1

Key steps of the manual compression technique are: 2

Sheath Removal: Operator applies gentle pressure 1-2 cm above the access site and removes the sheath.

Hemostasis: Immediately, operator applies firm downward pressure for 15-30 minutes (5 minutes of full pressure, 5 minutes of 75% pressure, 5 minutes of 50% pressure and 5 minutes of 25% pressure) or until hemostasis is achieved.

For additional best practices for access and closure with Impella, watch Dr. Alex Truesdell discuss his best practices for vascular access and closure and details a step-by-step process.


  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.
  2. Impella Certification Workbook 2018.