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*Subcostal view (off-axis) is best for locating pump.  
 
*Subcostal view (off-axis) is best for locating pump.  
 
*If too deep, the machine can walk you through repositioning.
 
*If too deep, the machine can walk you through repositioning.
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*If you need to torque the impella to rotate it, give one turn of the catheter, then while holding torque, pull it out and push it in 1 cm to release friction and allow the torque to translate to the device.

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