Transplant cardiologist Rohan Goswami, MD, discusses advances in bridge to decision (BTD) therapy and optimizing outcomes with Impella 5.5 with SmartAssist. Joining him are Jacob Schroder, MD, from Duke University School of Medicine, Dominic Emerson, MD, from Cedars-Sinai Medical Center, and Basar Sareyyupoglu, MD, from the Mayo Clinic in Jacksonville, FL. This presentation was part of the 2021 virtual International Society for Heart & Lung Transplantation (ISHLT) conference.