Surgical Applications

The Procedure


Impella 5.5® with SmartAssist® is implanted either directly through the axillary artery or ascending aorta using a single access point. Known as the surgeon's heart pump, Impella 5.5 with SmartAssist stabilizes hemodynamics, unloads the left ventricle, facilitates end organ perfusion and allows for recovery of native heart function.


OR and ICU Checklists

Global Impella® Training Manager, Kevin Ray, MS, RT(R), CV, presents pre-insertion, post-insertion and daily management best practices for Impella 5.5 with SmartAssist.

Impella® Step-by-Step Guides

Step-by-step guide to left heart unloading with the Impella 5.0 heart pump.

Download PDF

Resources from the Education Library


Impella Support for COVID-19 Myocarditis

Cardiac Surgeon Amit Pawale, MD, presents the case of a 56-year-old male with COVID-19 myocarditis. Dr. Pawale describes how he and his team used ECMO to oxygenate the patient and Impella to unload the left ventricle.


Impella 5.0 Axillary Insertion

This quick skills video describes the insertion of Impella 5.0 with the axillary insertion kit.


Impella 5.5 with SmartAssist Overview

Global Impella Training Manager, Kevin Ray, MS, RT(R), CV, provides a tip-to-toe overview of the Impella 5.5® with SmartAssist® heart pump that’s designed for long-duration support.

Review Patient Management Best Practices

Learn more about measuring cardiac power output (CPO) and pulmonary artery pulsatility index (PAPi) and managing patients in the OR