14.3 Impella step-by-step - Manual of PCI

[@ahmeddaoud9901]

Thanks for the excellent video

[@jasperprem8793]

Thank you very much Doc...its really informative ...

[@daannzo]

Thanks for the excellent video! One question though, at 13:30 you say "the device has to work harder during diastole than during systole", but the motor current is at its lowest during diastole so that might not be true. The reason for the change in motor current is the change in bloodflow that the device has to cope with. You see during diastole the bloodflow through the device is 3.2 l/min in your picture, and during systole its 4.3 l/min. Hence the difference in motor current because in systole the device has te deal with a greater amount of bloodflow and therefor needs more power/current/mA

[@manosbrilakis]

You are absolutely right, thank you!

[@shangz0216]

Thanks for your educative presentation.

[@areenal-taie6836]

Very great illustration Thanks Alot

[@cdr408]

Impressed!! Your videos are super helpful.

[@claudiurasinar1079]

very nice video! is there also the video 14.2?

[@kellyallen8279]

Hi Dr. There is a video/image missing at 19:20.

[@karankrish8415]

Thank you for making us study easily, In your videos 14.2 is missing.........?

[@santarosadoc]

Can you show a video on RP impella insertion

[@AmritpalSingh-ec8ce]

Thank you sir

[@libramagyk]

My brother is having this removed this Friday..the Ecmo comes out tomorrow..I'm scared

[@n9pq54]

Is aortic stenosis considered contraindication?

[@manosbrilakis]

You can insert it up Impella in AS - for severe AS with valve area

[@shannellyblinklove1970]

good video :)

[@areenal-taie6836]

Please educate us about RV imeplla

[@manosbrilakis]

Sorry I have never used it.

[@morikanteyekeyeke6147]

@@manosbrilakis what are the patients where you would use it, instead of balloon pump, ecmo or elvat or even nerve- stimulation ? Are there any indications that could be promissing ? Like aortic valve problems ? Or after every severe MYocard infarct .

[@emmahourda3507]

Do you believe the use of the Impella has a place in adult congenital heart disease patients? Have you ever used it in such cases? Οπως παντα, πολυ χρησιμο βιντεο!

[@manosbrilakis]

My apologies, I do not have any experience in adult congenital cases.

[@ayadalramadan2615]

Thanks