Transcatheter Aortic Valve Replacement

Transcatheter aortic valve replacement

Structural heart disease icon

Highlighted products for this procedure

Azurion 7C20 with FlexArm

Azurion 7 C20 with FlexArm image-guided therapy system

The revolutionary Azurion with FlexArm gives you the freedom to improve and grow your minimally invasive care.

Unlimited imaging flexibility

More independent control for physician

Full staff positioning freedom

Unobstructed patient access

Increased lab utilization with procedure-based workflows

3D image fusion in any 45° position

Improved workflow for radial access (e.g. for cerebral embolic protection)

HeartNavigator heart model

HeartNavigator

The HeartNavigator is a structural heart CT planning and live guidance solution using automatic heart model segmentation of anatomy to improve ease of use, speed and reproducibility of planning tasks, and adding the ability to overlay planned targets, landing zones and anatomical boundaries onto live fluoroscopy.

 

In TAVR, HeartNavigator enables:

  • Calcification distribution assessment
  • Fully automatic sizing and view planning
  • Virtual TAVR device visualization to examine anatomical fit
  • Automatic planning report
  • Table side recall of planned X-ray projections
  • Live overlay of segmentation to visualize landing zones, coronary ostia and annotations
Philips Interventional Hemodynamic system

Philips Interventional Hemodynamic system

Brings advanced hemodynamic measurements into the interventional lab to support clinical decision making. This system includes a patient monitoring device mounted at the table side and a workstation in the control room with a user interface designed to simplify hemodynamic monitoring and assessment. The users in the control room can also perform hemodynamic analyses and display them in the exam room. Displaying all relevant physiologic waveforms and analyses supports you in making a real-time assessment of the patient’s condition during an intervention.

 

  • Improved communication in the interventional lab by visualizing hemodynamic analyses in the exam room
  • Enhanced workflow through integrated valve gradient assessment
  • Confidently used by all staff members with minimal training
IntelliSpace Portal TAVI Planning

IntelliSpace Portal CT TAVI Planning


CT TAVI Planning on IntelliSpace Portal consists of four main elements to help you plan transcatheter aortic valve replacement.

 

  • 3D model-based segmentation and visualization of aortic valve annulus and other related structures required for TAVI procedure planning, including aortic valve calcifications. All for a clear understanding of patient's anatomy and pathology
  • Automatic annulus and aortic root-related measurements, together with peripheral vessels access route. These were demonstrated to be fast and reproducible (in comparison to one of the main competitors1)
  • Automated device-related measurements, vascular access route measurements, together with automatic generation of standard C-arm angles
  • IntelliSpace Portal supports communication to Philips Azurion image-guided therapy suites. The unique "interventional bookmark" (iBookmark) automatically launches relevant advanced analysis (CT TAVI Planning) before a procedure. This provides the interventional cardiologist with rich imaging information as the starting point of the procedure

    Customer experiences with Philips Azurion

    Azurion whitepaper

    The ability to treat one more patient per day, or in the future


    This is just one of the many improvements in lab performance achieved by the Interventional Vascular Department at St. Antonius Hospital after installing the Azurion system. The first Azurion lab performance study achieved impressive results which have been verified by an independent third party.

    17%

    reduction in procedure time

    44%

    increase in usage of supporting software tools

    12%

    reduction in patient preparation time

    25%

    reduction in planned cases finished after normal working hours

    28%

    reduction in post-procedure time

    100%

    of physicians who participated in a simulated use study agreed that FlexArm offered uncompromised access to the patient's head end
    * Results are specific to the institution, where they were obtained. Results in other institutions may vary.

    Clinical solutions for treating structural heart diseases

    Transcatheter Aortic Valve Replacement
    EchoNavigator augmented visualization

    EchoNavigator

    EchoNavigator reorients and combines ultrasound and X-ray information into a single augmented visualization for guidance and device-tissue relationship assessment.

     

    In TAVR EchoNavigator enables the following to eliminate iodine contrast in patients with severely compromised kidney function:

    • Aorta and aortic valve segmentation from 3D TEE to determine optimal implant projections
    • Live-on-live fusion of fluoroscopy and ultrasound, including 2D, 3D and color flow, to visualize valve deployment
    Azurion Workflow Solutions

    Azurion workflow solutions

    The Azurion has been specifically designed to integrate information from multiple sources and to save procedure time through flexible and user-centric display and control options. For example:

     

    • The touch screen module Pro enables table side control of images and applications with tablet ease.
    • FlexSpot is a clutter-free environment to control all connected applications.
    • Parallel working  enables people to work on two different activities at the same time without interruptions.
    • IntelliSpace Cardiovascular is designed to help streamline workflow and improve operational performance throughout the cardiovascular service line, with a tight integration with Philips TOMTEC, Xper IM, IntelliSpace Portal and IntelliSpace ECG. IntelliSpace Cardiovascular also interfaces with multiple third-party applications. It can be viewed and controlled from FlexSpot and FlexVision Pro of Azurion.
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    Disclaimer

    Product availability is subject to country regulatory clearance. Please contact your local sales representative to check the availability in your country.

     

    References

    1. Baeßler B, et al. Software-automated multidetector computed tomography-based prosthesis-sizing in transcatheter aortic valve replacement: Inter-vendor comparison and relation to patient outcome. Int J Cardiol. 2018 Dec 1;272:267-272. doi: 10.1016/j.ijcard.2018.07.008.

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