Device position in the thoracic X‐ray. Impella RP® is a three‐dimensional catheter‐based percutaneous microaxial pump, which consists of a 23F pump head containing the electric motor, axial blood pump, and outflow cannula, mounted on an 11F catheter. This device is especially designed for use as a right ventricular assist device. Implantation is performed under a fluoroscopic guidance, where after the percutaneous puncture of the femoral vein, the inflow pump is placed in the vena cava inferior (IVC), and the outflow pump is positioned across the tricuspid and pulmonary valves into the pulmonary artery (PA). The correct position was verified in the chest X‐ray. The Impella RP® is able to provide flow up to >4 L/min with a maximum use of 14 days.