Access site bleeding remains a persistent challenge in patients with Impella CP catheters (Abiomed).1,2 Strategies for management include sheath manipulation, manual pressure, mattress suture placement, or preprocedural placement of Perclose suture-mediated closure devices (Abbott Vascular).3,4 Despite these maneuvers, bleeding around the repositioning sheath can occur, often leading to premature device removal. In this report, we describe the “sideclose” technique, a novel strategy to achieve hemostasis with the placement of an additional Perclose while maintaining an Impella CP uninterrupted.