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relieves the ventricle from work by dis-
Describe function of a VAD placing volume around the weakened
ventricle
T or F - VADs are devices that pump
blood from ventricle to the rest of the True
body without an oxygenator
Which VADs are considered short-term
Impellas, Tandem Heart, ECMO w/o oxy
mechanical support devices?
Which VAD is known as a micro-axial
flow pump that provides mechanical cir- Impella
culatory support?
Name the different models of Impella de-
impella 2.5, 5.5, CP, RP
vices?
For high-risk patients going into a PCI
procedure due to multi vessels lesions,
and severely reduced LV function, which Impella
VADs can be used to provides them with
temporary hemodynamic support?
True or False - Impella can be used as a False. it can be used a bridge to decision
destination therapy or recovery, not a destination therapy
- High risk PCI
- Cardiogenic shock/HF
What are some indications for the use of
- unable to wean from CPB
Impella?
- LV venting
- Bridge to decision or recovery
True or False - placement for all models
False - placement for different models
of Impella are the same, only their flow
may vary slightly
capacity and indications are different
What are the differences between differ-
Flow capacity and indications for use
ent model of impellas?
Which models of impellas are indicated
Impella RP
for RV support?
Where is the RP Impella placed in the inserted through the femoral vein. inflow
heart to provide RV support? in located in the RA and outflow in the PA
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, Ventricular Assist Device (VAD) Actual Exam Questions With Reviewed 100%
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What are the possible sites of vascular
Femoral, axillary, and subclavian
access for impella insertion?
in order to prevent damaging the aortic
valve during insertion of the impella, this Fluroscopic guidance ensure proper po-
process needs to be done under what sitioning
condition?
Which technology is used to confirm
Fluroscopy and/or TEE/TTE
proper placement of the impella?
before the impella is inserted into the
guide wire and introducer sheath
vasculature, what are placed first?
Liva Nova
Which manufacturer does the Tandem
Heart comes from?
Access for Tandem heart set up can be
percutaneously in the femoral vessels
obtained through where?
Inflow cannula is inserted through the
femoral vein, crossing the intratrial sep-
Describe the place catheters/cannulas
tum to be placed in the LA
placement for a Tandem Heart
Out flow cannula is inserted in the
femoral artery
True or False - Tandem heart can be
False - Tandem heart cannot be used as
used in all the same clinical situations as
LV venting as impellas
the Impellas, including LV venting
True or False - in a Tandem heart place-
ment, a transseptal puncture is per- True - for the inflow cannula to pass
formed in order to create a passage be- through and enter the LA
tween a left and right atrea
the LV, blood is diverted from the LA,
Which chamber is bypass in Tandem
through a pump and returned to the ar-
heart?
terial system
Which side of the heart does Tandem
Left side
heart provide support to?
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