Impella: concepts, troubleshooting scenarios, weaning, sheath management- Elias Hanna

0:00 Impella catheter description-Implantation steps- Explanation of the purge system
06:50 Impella position: how to assess on echo
09:45 Impella waveforms and hemodynamics (flow and pressure hemodynamics)
22:37 Impella vs IABP
26:02 Troubleshooting of Impella position and waveform
31:39 Impella sheath troubleshooting: repositioning sheath concepts, limb ischemia management (35:53), post-close technique (39:55)
42:50 Clinical troubleshooting: 6 ICU cases scenarios (eg, low flow, suction, escalation, hemolysis, bleeding, sepsis)
1:05:35 Criteria to wean: when and how? Will the chronically depressed LV have sustained improvement?

[@deepakk7067]

Grateful to you for posting such informative and clinically applicable lectures. I am an intensivist in a community hospital - my only resource to continuous learning day to day are generous teachers like you.

[@annas890]

I am a cardiology fellow and i've watched lots of videos throughout my medical training. this is one of the best overview videos of any topic I've ever seen, thank you!

[@EMILIOFABIAN24]

Vikhram is killing it! 😎

[@antoniolewis3162]

Amazing lecture as always Dr Hanna! You are such a gifted mentor. Please keep sharing your knowledge in RUclips! - PGY5 Cards fellow from Florida

[@drmaqboolsohail1960]

very comprehensive and detailed presentation and great teaching skills

[@tellmeofyourhomeworldusul6060]

This is a very informative lecture. I am a cath lab nurse and am always looking to expand my knowledge on MCS

[@ahmedmed4811]

Great lecture as usual sir! A small comment regarding distal limb perfusion one thing that can be done is first to stick the CFA in ategrade fashion and place a 6Fr 23 cm sheath from the CFA into the SFA, then puncture the same CFA in retrograde fashion to place ur impella sheath or ECMO cannula. That way you can easily achieve hemostasis on the antegrade limb when its time to decannulate.
Thank you so much again!

[@miguelg.teixeira7502]

Very helpful summary . Thank you for sharing.

[@waslaliaqat1479]

This was amazing. I was looking for something like that. Thank you!!

[@hussanraza4010]

You are the best teacher

[@mreddy7356]

excellent presentation

[@Mohamed-cz7kc]

thank you sir❤

[@nanoevolution1]

Dear Dr. Hanna, how can I participate in one of your future talks? Theyre so helpful and condensed! It would be an honor to me!