Related Experiment Video
Updated: May 23, 2026
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Peripheral insertion techniques for the Impella 5.0 circulatory support system
Jamil Bashir1, Matt Klas, Anson Cheung
1Division of Cardiovascular Surgery, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada. jbashir@shaw.ca
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.
