Sheathless Femoral Impella Implantation: A Safer Hemodynamic Support in High‐Risk PCI and Cardiogenic Shock

Femoral sheathless Impella implantation is feasible and safe in this initial series of patients undergoing high-risk PCI. This technique may be useful to reduce vascular complications and could be particularly valuable in patients with small-caliber femoral arteries or increased bleeding risk. Larger prospective studies are warranted to further validate these findings.