We've started utilizing Impella recently in our organization as well. I am not impressed with the companies support of the device post cath procedure. It is a very low volume/high risk event for critical care as most impellas are removed in the cath lab. The rep spends a considerable amount of time in the cath lab during the procedures for support and education so our cardiologists are proficient but appears to have no interest in supporting areas outside of critical care.
What has been the outcomes of your patients that require support outside of the cath lab?