Abiomed Impella 2.5, Instructions For Use Manual

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5.51 Impella
®
System for Use During Cardiogenic Shock
Figure 5.51 Removing the Stylet
2.
Aspirate using a syringe to ensure that the line is patent; confirm pulsatile blood flow
from entrance port.
3. Advance the 0.035”(or smaller) guidewire with an atraumatic tip through the guidewire
access port using the supplied cheater.
Guidewire outlet
approximately 1.5 cm
from distal end of sheath
It may be helpful to rotate
the hub/sheath to better
position the outlet of the
wire at the distal tip of
the sheath
Figure 5.52 Inserting the Guidewire with the Cheater
4.
Advance the guidewire tip into the descending aorta under fluoroscopic guidance.
5. Loosen the anticontamination sleeve by rotating the Tuohy-Borst valve counterclockwise.
Tuohy-Borst Valve
Figure 5.53 Loosening the Tuohy-Borst Valve
6.
Anchor the guidewire and repositioning unit and withdraw the catheter until the distal
end of the catheter reaches the distal tip of the repositioning unit.
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