Access & Closure

How is Closure Managed with Impella® Heart Pumps?

Manual compression is the standard closure technique with Impella heart pumps.1 Key steps of the manual compression technique are:2

  • Sheath removal: Operator applies gentle pressure 1-2 cm above the access site and removes the sheath.
  • Hemostasis: Immediately, operator applies firm downward pressure for 15-30 minutes (5 minutes of full pressure, 5 minutes of 75% pressure, 5 minutes of 50% pressure and 5 minutes of 25% pressure) or until hemostasis is achieved.



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  1. Burzotta, F., et al. (2015). Int J Cardiol, 201, 684-691.
  2. Impella Certification Workbook 2018.