CICUdevices

Group of young cardiologists with special interest in the field of cardiac devices and simulation. At least 1 thread a week about CICU devices.

[CICUdevices @CicUdevices]

INDEX OF THREADS:
· IMPELLA GUIDE
· IABP GUIDE
· CICU CHALLENGES
· CICU DEVICES SECURITY ALERTS
⬇️ Unroll...
#IMPELLA #IABP #ECMO #LVAD

[CICUdevices @CicUdevices]

📏 The #impella console combines compact design with clinical stability.
With dimensions of 351 × 443 × 236 mm and a weight of 12.2 kg, it offers a robust yet bedside-friendly form factor for critical care environments.
👉Learn more: ⚙️ IMPELLA CONSOLE
https://t.co/0yn7rpYg0p

[CICUdevices @CicUdevices]

📚Worth reading:
• Prevention and Management of Hemolysis when Utilizing Mechanical Circulatory Support
https://t.co/yVQM4thLxU)

Hemolysis🩸 remains a key complication, and this review highlights why vigilance and device assessment matter. 🔍🩺

#Impella #ecmo #lvad

[CICUdevices @CicUdevices]

@kizashipraveen @DrRajeshG1 A dicrotic pulse?

[CICUdevices @CicUdevices]

@IhabFathiSulima 🔦 She is performing transillumination of the tubing in a CentriMag system, mainly to detect thrombus.

🎥 We recently published a video exploring the design, functionality, and versatility of the CentriMag device:
⚙️ LEVITRONIX CENTRIMAG
https://t.co/lIFiUS8shR

#lvad

[CICUdevices @CicUdevices]

• IMPELLA CONSOLE
💡 Power LED indicator provides instant feedback on the Impella console.
🟢 Green = system ON
🟠 Amber = standby
⚫ Off = no power

Simple, clear. 🫀⚙️

👉Learn more: IMPELLA CONTROLLER
https://t.co/0yn7rpYg0p

#Impella

[CICUdevices @CicUdevices]

@RohangantiMD @CardioNerds @UMN_CCCEdSummit @RebeccaGarberMD @KatieVanchiere The #IABP pressure waveform suggests late deflation.

🔍 Another clue is that the assisted diastolic pressure exceeds the unassisted systolic pressure, indicating suboptimal timing and potentially increased LV afterload.

[CICUdevices @CicUdevices]

@JoySanyal74 @RohangantiMD @UMN_CCCEdSummit @dpot29 @CardioNerds That #IABP console is the Cardiosave Hybrid.

Its design combines a full-size console with a compact, for 🚑 interhospital transport.

📚 You can learn more about the history and evolution of IABP in this video: ⚙️ IABP HISTORY
https://t.co/1y0tIwU7E7

[CICUdevices @CicUdevices]

• CENTRIMAG IN ROLAND GARROS🫀🎾

Rafael Nadal with his 3200rpm Topspin lifted supporters heart at Roland Garros…
While now Centrimag , spinning at 3200rpm supports patient’s heart.

#centrimag #lvad

[CICUdevices @CicUdevices]

• CARDIOHELP-2
A new #ECMO console⚙️
From setup to transport, Cardiohelp-2 simplifies ECMO.
✔️ Intuitive interface
✔️ Integrated gas blender
✔️ Advanced monitoring
✔️ Remote view

👉Learn more: ⚙️ ⚙️ CARDIOHELP 2, THE NEXT GEN OF ECMO CONSOLE.
https://t.co/NU0wOk7UmV

#ECMO

[CICUdevices @CicUdevices]

• IMPELLA CONSOLE
From the front panel and display screen to the purge cassette mechanism and optical pressure sensor, this video explores the Automated Impella Controller in detail.
👉Learn more: https://t.co/0yn7rpYg0p

[CICUdevices @CicUdevices]

#IMPELLA FAMILY:
DEDICATED RV DEVICES
· Impella RP⚙️
Femoral |22F |~4.4 L/min| up to ~14 days⏱️

· Impella RP Flex⚙️
Fem/Jugular |22F|~4.4 L/min| up to ~14 days⏱️

🔹Right ventricular support 🫀
🔹Femoral/jugular approach ⚖️

👉Learn more: IMPELLA FAMILY https://t.co/cRZb555CwR

[CICUdevices @CicUdevices]

@PurumittalDr In this setting, an ideal MCS would be VA-ECMO+IABP or ECPELLA. However, the overall profile makes a more realistic strategy: PPCI + IABP and 🤞.
#ecmo #impella

[CICUdevices @CicUdevices]

@alex1708ander We would consider #Impella in this scenario. An aortic valve area of 1.1 cm² would not preclude Impella support (>0.6cm²). Perhaps starting with Impella CP and closely monitoring the hemodynamic response — including RV performance (Swan). Bridge to TAVR.

[CICUdevices @CicUdevices]

@alex1708ander Great case. 👏
It appears to be an #Impella 5.5, with no pigtail visible and the characteristic angled segment at the level of the aortic root clearly appreciated on 3D TEE.
Excellent visualization of catheter tracking through the heart. 🔍🫀

[CICUdevices @CicUdevices]

• #IMPELLA FAMILY: DEDICATED LV DEVICES🫀

• Impella CP ⚙️
14F | ~3.7 L/min | up to ~4 days ⏱️

• Impella 5.5 ⚙️
21F | ~5.5 L/min | up to ~15 days ⏱️

🔹Same principle: LV unloading 🫀
🔹Different levels of support ⚖️

👉Learn more: ⚙️ IMPELLA FAMILY
https://t.co/cRZb555CwR

[CICUdevices @CicUdevices]

• DIRECT AORTIC IMPELLA CP
Postcardiotomy CS in patient w/ LVEF 15% after triple CABG.🫀
Failure to wean from CBP ➡️Impella CP direct aortic access, jugulun exteriorization.
3d of MCS, ventricular recovery allowed weaning and device removal. ✅
#Impella

[CICUdevices @CicUdevices]

@EHJCVIEiC @cleaglez21 @pabloplopez_ @JGrapsa @BenekiEirini @MSBBrandao @ErsozluSara @echo_stepbystep @AdrianaCMares @CristinaRomanMD @andrespmlobo We suspect a pulmonary embolism. Following ECMO decannulation, residual venous thrombosis may persist in up to 30% of cases, highlighting the importance of careful surveillance and anticoagulation management during the recovery phase. 🫀⚠️

[CICUdevices @CicUdevices]

@mirvatalasnag @PCRonline @TAVRBot @thiele_holger @G_Tarantini01 @HRahbi @giuliamasiero3 @drptca @Babar_Basir @TCT_ME_ @AlkashkariWail @SrihariNaiduMD @ShelbyKuttyMD @NavinKapur4 @Allison_Dupont @Giulia_Botti_ @RHAAttar @RhianEDavies1 @RHammami_cardio Great case!👏
In cases of Impella support in the presence of TAVR, it is essential to follow a series of precautions to minimize the risk of device interaction and complications. As we previously explained in this video: ⚠️ IMPELLA & TAVR INTERACTION
https://t.co/F5VTAcxU3S

[CICUdevices @CicUdevices]

📢 NEW UPDATE FROM ABIOMED!!
A follow-up communication has been released on purge cassette leak events, building upon the initial early alert.
Gen 2 cassettes are intended to replace Gen 1 systems.🫀⚙️
👉Learn more: PURGE CASSETTE PURGE FLUID LEAK RISK
https://t.co/I3vWNiS0Ix

[CICUdevices @CicUdevices]

🫀 “Protected cardiac surgery”
The IMPACT trial evaluates planned intraoperative #Impella 5.5® support in high-risk cardiac surgery patients with severe LV dysfunction before CPB weaning.

Interesting shift from reactive ➡️ proactive MCS strategies.
doi:10.1016/j.ahj.2026.107434