Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Outcomes of Simultaneous Heart-Kidney Transplant With a Positive Crossmatch in the United States.

The Journal of surgical research·2026
Same author

Contemporary Outcomes of Temporary Mechanical Circulatory Support Use in Ischemic Ventricular Septal Defect: A U.S. Multi-Center Analysis.

The Annals of thoracic surgery·2026
Same author

Recurrent Infective Endocarditis With Recurrent Intravenous Drug Use: Illustrating the High Complexity of Surgical Decision-Making.

Annals of thoracic surgery short reports·2026
Same author

Two variations of Commando-Nicks approach for calcified aortic and mitral valve disease.

Multimedia manual of cardiothoracic surgery : MMCTS·2026
Same author

Incidence and Management of Access Site Infection Following Trans-Axillary Implant of a Microaxial Left Ventricular Assist Device.

Artificial organs·2026
Same author

Re-operative hemi-commando operation without a homograft: an alternative approach for complex aortic root abscess.

Multimedia manual of cardiothoracic surgery : MMCTS·2026
Same journal

The HELP Score in Non-Asphyxial Hypothermic Cardiac Arrest Treated With Extracorporeal Life Support: External Validation and Clinical Utility.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
Same journal

Incidence and Mortality Outcomes of Extracorporeal Membrane Oxygenation in Infants With Congenital Lung Malformations: A Registry Study.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
Same journal

Hemolysis During Microaxial Flow Pump Support: Cause or Marker of Hemocompatibility-Related Adverse Events After Left Ventricular Assist Device Implantation?

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
Same journal

Machine Learning Prediction of Pediatric In-Hospital Survival Before Extracorporeal Membrane Oxygenation Cannulation.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
Same journal

Erratum: Safety and Efficacy of Stored Wet-Preprimed Extracorporeal Membrane Oxygenation Circuits: A Scoping Review.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
Same journal

Case Series of Extracorporeal Cardiopulmonary Resuscitation for Refractory Cardiopulmonary Arrest After Cardiac Surgery.

ASAIO journal (American Society for Artificial Internal Organs : 1992)·2026
See all related articles

Related Experiment Video

Updated: Nov 8, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.4K

Direct Pull-Through Technique to Insert the Impella RP Device Without Using Fluoroscopy.

Suguru Ohira1, David Spielvogel, Steven L Lansman

  • 1From the Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York.

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|April 22, 2021
PubMed
Summary
This summary is machine-generated.

This study presents a novel fluoroscopy-free technique for Impella RP device insertion. The method utilizes transesophageal echocardiography and direct visualization for accurate placement, enhancing patient safety.

More Related Videos

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

2.1K
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

1.9K

Related Experiment Videos

Last Updated: Nov 8, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.4K
Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

2.1K
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

1.9K

Area of Science:

  • Cardiovascular Surgery
  • Medical Device Technology
  • Echocardiography

Background:

  • The Impella RP device is crucial for temporary right ventricular support.
  • Traditional Impella RP insertion often relies on fluoroscopy, posing radiation risks.
  • Minimally invasive techniques are sought to improve procedural safety and efficiency.

Purpose of the Study:

  • To describe a novel, fluoroscopy-free method for Impella RP device insertion.
  • To detail the procedural steps and guidance techniques involved.

Main Methods:

  • Percutaneous venous cannulation via superior vena cava and femoral vein.
  • Right atriotomy followed by transesophageal echocardiography-guided Impella RP insertion into the right atrium.
  • Retrograde advancement of a C-shaped clamp through pulmonic and tricuspid valves into the right atrium via a main pulmonary artery incision.
  • Direct visualization for grasping and positioning the device in the main pulmonary artery.

Main Results:

  • Successful Impella RP device insertion without the use of fluoroscopy.
  • The technique allows for precise device positioning under direct vision and echocardiographic guidance.
  • Potential for reduced procedure time and radiation exposure.

Conclusions:

  • A feasible and safe fluoroscopy-free technique for Impella RP insertion has been established.
  • This method offers an alternative approach, potentially improving patient outcomes and operator safety.
  • Further studies are warranted to evaluate the long-term efficacy and broader applicability.