“…Of the major technological advancements during this time, the improved design and applicability of mechanical circulatory support and the expanding clinical knowledge of these devices have had a direct impact on patient care . Among these devices, the Impella axial flow pump (Abiomed, Danvers, MA, USA) is unique because it is inserted into the left ventricle (LV) and expels blood into the aorta, thereby unloading the LV . Impella devices include the Impella 2.5, Impella CP, and Impella 5.0.…”