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Peripheral Insertion Techniques for the Impella 5.0 Circulatory Support System

Bashir, Jamil MD*; Klas, Matt MD; Cheung, Anson MD*

Innovations:Technology and Techniques in Cardiothoracic and Vascular Surgery: September-October 2010 - Volume 5 - Issue 5 - p 341-344
doi: 10.1097/IMI.0b013e3181f8b79d
Original Article

Objective: The Impella 5.0 is a peripherally inserted short-term left ventricular assist device. It is typically inserted through a large peripheral artery such as the common femoral artery. We describe both a graft technique and a purse-string technique in detail.

Methods: In the course of introducing this technology to our hospital, we independently developed two techniques for the insertion of the device. These novel insertion techniques are different from those described by the manufacturer.

Results: The techniques described have distinct advantages that may be helpful to physicians inserting the device. Common areas of difficulty with insertion of the device and solutions to these problems are also described.

Conclusions: Insertion techniques for the Impella 5.0 are described in detail.

From the *Division of Cardiovascular Surgery and †Department of Anesthesia, University of British Columbia, St. Paul's Hospital, Vancouver, BC Canada.

Accepted for publication July 17, 2010.

Address correspondence and reprint requests to Jamil Bashir, MD, Division of Cardiovascular Surgery, St. Paul's Hospital, 1081 Burrard Street, Vancouver, BC Canada V6Z 1Y6. E-mail:

© 2010 Lippincott Williams & Wilkins, Inc.