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Im dr. Robert Frankel director of the cardiac catheterization laboratory at Maimonides Medical Center and today Id like to show you the Impella its put in with a needle stick instead of any kind of surgery and if you have a heart attack the heart cant pump it may be necessary to use one of these left ventricular assist devices its a catheter that goes up through the femoral artery we pass it up around the aorta and then we put the catheter across the aortic valve into the left ventricle that point when you start a micro motor in the device which spins and when that motor spins it pulls blood from the left ventricle out into the aorta it ejects it around the aorta to supply blood to the coronary arteries to the rest of the body the other organ systems the device cannot replace your heart its an assist device so it assists the heart it can do the work of about half of what the normal heart can do if theres somebody who has heart failure and is not doing well this device can be a