Fig. 6.

Echocardiographic assessment during mechanical circulatory support with Impella. This picture shows the echocardiographic assessment of cannula position during Impella support in two different patients. The distance from the inlet of the cannula and the aortic root, which should be around 35 mm in parasternal long axis view (top pictures), should be routinely measured in order to monitor cannula position and assess possible cannula dislocation. The picture at the bottom shows the outlet of the motor in the ascending aorta, visualized with the aid of Color Doppler