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This episode of Mayo Clinic Q&A discusses ventricular assist devices (VADs) as a surgical option for advanced heart failure when medications are no longer effective. VADs help pump blood through the heart and can be implanted long-term for patients who are not transplant candidates. Patients over the age of 65 who are not eligible for transplants can live with VADs for the rest of their lives, allowing them to return to normal activities. This high-tech solution may seem futuristic, but it is a reality for many patients with advanced heart failure.