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cicudevices.bsky.social
cicudevices
@cicudevices.bsky.social
Group of young cardiologists with special interest in the field of cardiac devices and simulation. At least 1 thread a week about CICU devices.
• ECMO AND FLOWTRIEVER

Flowtriever device is showing favourable results in Intermediate-High Risk and High Risk pulmonary embolism.
However some precautions are required when Flowtriever is used during #ECMO support.
👉Learn more: ECMO & FLOWTRIEVER
youtu.be/0FLGR-BUVZk
February 9, 2026 at 5:20 PM
#ECMO IN WINTER OLYMPIC GAMES🏅

Figure skating spins and ECMO have more in common than it seems. ❄️

Both depend on rotational dynamics: on the ice, angular momentum; in ECMO, a centrifugal pump creating smooth, continuous circulatory support. ⛸️🫀
February 8, 2026 at 3:33 PM
•IMPELLA BICARBONATE PURGE

HCO3 doesnt act as anticoagulant like heparin, role mainly related to alkaline pH 7.8-8.0📈

👉Learn more: IMPELLA PURGE SYSTEM
youtu.be/YVhhiYBA_68

#impella
February 7, 2026 at 10:05 AM
💊CICU CHALLENGE 07
“WHITE TRACHEA AFTER CARDIAC ARREST”
(Based on real case)

59M suffered OHCA. ALS, ROSC 15min. Prehospital hypothermia initiated. At arrival #ECMO ➡️CT Scan

ANY EXPLANATION FOR A WHITE TRACHEA??

👉Full video: WHITE TRACHEA ON CT
youtu.be/whly6gYyMvE
February 6, 2026 at 4:04 PM
🚨 Impella RP & RP Flex – FDA Safety Alert Feb 2026
Diff pressure sensor drift may lead to inaccurate displayed flow and placement metrics on the controller. No direct way to confirm calculation errors from pump signals alone, and alarms may not always trigger.
👉Learn more: youtu.be/Gy0ccWAjjuI
February 5, 2026 at 5:26 PM
🔋Safety Corrective Action for CS100 & CS300 IABP
This update clarifies battery specs — not a recall or device failure.
Min battery runtime=135min-120 bpm
🔄 Battery management update: Replace every 3 years
👉Learn more: youtu.be/poyvCspcKnA
#iabp
February 3, 2026 at 4:25 PM
· IMPELLA CP OUTLET AREA
Outlet region plays a key role in the device’s overall hemocompatibility🫀
This segment is engineered with a hydrodynamic design that promotes smooth blood flow and low shear stress.
-> Learn more: IMPELLA COMPONENTS
youtu.be/Ffe21CfY20o
#Impella
February 2, 2026 at 3:31 PM
🩺 #IABP Best Responders – Patient Selection Matters

👉Learn more in the full video: INTRAAORTIC BALLOON PUMP: WHO ARE THE BEST RESPONDERS?
youtu.be/jeUAYcgVhnE
February 1, 2026 at 9:35 AM
· IMPELLA PURGE SYSTEM
🫀Impella purge system continuously delivers purge fluid, generating a protective pressure barrier that prevents blood from entering the motor housing.
👉Learn more: IMPELLA CP COMPONENTS
youtu.be/YVhhiYBA_68
#Impella
January 31, 2026 at 11:15 AM
• THE RHINOCHILL DEVICE
Portable, non-invasive transnasal evaporative cooling device designed to induce rapid, preferential brain hypothermia.
It uses perfluorohexane as coolant that rapidly evaporates into nasal cavities.
👉Learn more: RHINOCHILL DEVICE
youtu.be/ZZsePyPNjTQ
January 31, 2026 at 11:07 AM
• LVAD AND WEARABLES

#LVAD patients pose challenge for wearables due to absence of strictly pulsatile flow. On the other hand, early detection of VTs could prevent adverse events
👉Interesting article in EHJ Digital Health: ow.ly/xXmO50XZC01
👉Learn more:LVAD&APPLEWATCH youtu.be/Btkssrd2mNA
January 22, 2026 at 10:02 PM
• RHINOCHILL DEVICE
Intranasal evaporative cooling. Physiologically coherent approach-still awaiting clinical benefit.
👉Learn more: RHINOCHILL DEVICE, ULTRA-EARLY BRAIN COOLING IN CPR
youtu.be/ZZsePyPNjTQ
January 16, 2026 at 2:26 PM
• IABP CONTRAINDICATIONS

❌ Aortic Regurgitation
❌ Aortic Dissection
❌ Aortic Aneurysm
❌ Severe PAD

👉 Learn more: IABP GUIDE 004
youtu.be/XW3tQxjCQDk

#globalmcscommunity #IABP
December 27, 2025 at 10:37 AM
· 🚀THE 9TH GEN IMPELLA CP
The next-gen Impella CP introduces key innovations:
1⃣ One piece pigtail design.
2⃣ Refined catheter packaging
3⃣ Updated purge cassette

👉 Learn: more: 9th GEN IMPELLA CP
youtu.be/VhCrCV4_gz4

#IMPELLA
December 26, 2025 at 11:45 AM
• IMPELLA PIGTAIL ON ECHOCARDIOGRAM

The Impella pigtail can be identified on echo by a characteristic 2-mm double-rail appearance.

This finding reflects the parallel echogenic borders of the pigtail structure.
It helps to confirm correct positioning within LV.
#impella

#Impella
December 20, 2025 at 3:53 PM
· ⚠️CARDIOSAVE PROPER CONSOLE DOCKING
CardioSave Hybrid must be properly docked in the cart to operate on AC and charge batteries.
New visual alerts implemented to prevent this issue...
-> Learn more: CARDIOSAVE IABP, PROPERLY CONSOLE DOCKING.
youtu.be/TqzeKiZ7ZEE
#iabp
December 19, 2025 at 3:46 PM
• Bivacor Total Artificial Heart.
It represents a new era in advanced MCE, using a magnetically levitated rotary pump designed to provide continuous, balanced output to both ventricles. A promising option for patients with end-stage biventricular failure.
November 26, 2025 at 6:34 AM
· IMPELLA, HOW IT WORKS
Impella is a micro–axial pump for mechanical circulatory support. Its sinusoidal flow pattern reflects dynamic chamber pressures.
👉 Learn more: youtu.be/TgleQ0Iv4UQ
#IMPELLA
November 24, 2025 at 5:39 PM
⚠️ BUBBLES IN THE ECMO CIRCUIT
Air bubbles appeared in the circuit after an inadvertent cannula puncture during fixation.
Immediate clamping, inspection, and possible system replacement are essential.
#ecmo
November 8, 2025 at 9:35 AM
🔍 IMPELLA CP — DEDICATED GUIDEWIRE ACCESS PORT.
This port allows the introduction of a 0.035” guidewire into the arteriotomy before catheter removal, ensuring that vascular access is safely maintained.
👉Learn more: IMPELLA CP COMPONENTS PART 4
youtu.be/NwxaJZN9RWE
#Impella
November 3, 2025 at 10:04 PM
· CENTRIMAG, FAILURE TO PROPERLY LOCK THE PUMP INTO THE MOTOR, SAFETY ALERT.
Oct 2025
Abbott issued an Urgent Field Safety Notice concerning the interface between Pump and Motor.
👉Learn more: CENTRIMAG SAFETY ALERT
youtu.be/BtSRd596PVU
October 30, 2025 at 5:15 PM
· 🚀THE 9TH GEN IMPELLA CP
The next-gen Impella CP introduces key innovations:
1⃣ One piece pigtail design.
2⃣ Refined catheter packaging
3⃣ Updated purge cassette

👉 Learn: more: 9th GEN IMPELLA CP
youtu.be/VhCrCV4_gz4

#IMPELLA
October 26, 2025 at 6:57 PM
Severe PAD is a red flag for femoral #Impella access🚫 high risk of vascular injury or device malfunction.
Alternative routes: axillary, direct aortic, or brachiocephalic.

👉Learn more: IMPELLA CP INDICATIONS, CONTRAINDICATIONS & OFF-LABEL USE
youtu.be/60cfGt2YT84
October 25, 2025 at 7:42 AM
•IMPELLA CP SECURING STERILE SLEEVE
1️⃣Twist-Lock! 🌀Slide, rotate clockwise, and lock
2️⃣Tighten the Touhy-Borst valve 🔄 until resistance is felt, and document the cm to the tip 📏
👉Learn more: STEP-BY-STEP IMPELLA CP NURSING CARE
youtu.be/iX3blm0TFM0

#impella
October 21, 2025 at 8:13 PM
🚀 IMPELLA REPOSITIONG SHEATH
1️⃣Main sheath protects catheter
2️⃣Access port allows closure or exchange
3️⃣Suture pad secures in place

👉Learn more: IMPELLA CP COMPONENTS PART 4 - REPOSITION SHEATH
youtu.be/NwxaJZN9RWE

#impella
October 20, 2025 at 1:29 PM