Thanks for the excellent video! One question though, at 13:30 you say "the device has to work harder during diastole than during systole", but the motor current is at its lowest during diastole so that might not be true. The reason for the change in motor current is the change in bloodflow that the device has to cope with. You see during diastole the bloodflow through the device is 3.2 l/min in your picture, and during systole its 4.3 l/min. Hence the difference in motor current because in systole the device has te deal with a greater amount of bloodflow and therefor needs more power/current/mA
Do you believe the use of the Impella has a place in adult congenital heart disease patients? Have you ever used it in such cases? Οπως παντα, πολυ χρησιμο βιντεο!
@@manosbrilakis what are the patients where you would use it, instead of balloon pump, ecmo or elvat or even nerve- stimulation ? Are there any indications that could be promissing ? Like aortic valve problems ? Or after every severe MYocard infarct .
Thanks for your educative presentation.
Thank you very much Doc...its really informative ...
Very great illustration
Thanks Alot
Impressed!! Your videos are super helpful.
Thanks for the excellent video!
One question though, at 13:30 you say "the device has to work harder during diastole than during systole", but the motor current is at its lowest during diastole so that might not be true.
The reason for the change in motor current is the change in bloodflow that the device has to cope with. You see during diastole the bloodflow through the device is 3.2 l/min in your picture, and during systole its 4.3 l/min. Hence the difference in motor current because in systole the device has te deal with a greater amount of bloodflow and therefor needs more power/current/mA
You are absolutely right, thank you!
Thank you sir
very nice video! is there also the video 14.2?
Thanks
good video :)
Thank you for making us study easily, In your videos 14.2 is missing.........?
Can you show a video on RP impella insertion
My brother is having this removed this Friday..the Ecmo comes out tomorrow..I'm scared
Do you believe the use of the Impella has a place in adult congenital heart disease patients? Have you ever used it in such cases? Οπως παντα, πολυ χρησιμο βιντεο!
My apologies, I do not have any experience in adult congenital cases.
Hi Dr. There is a video/image missing at 19:20.
Is aortic stenosis considered contraindication?
You can insert it up Impella in AS - for severe AS with valve area
Please educate us about RV imeplla
Sorry I have never used it.
@@manosbrilakis what are the patients where you would use it, instead of balloon pump, ecmo or elvat or even nerve- stimulation ? Are there any indications that could be promissing ? Like aortic valve problems ? Or after every severe MYocard infarct .