Vascular suite

Vascular suite 

Redefining the outcome of vascular treatment

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Vascular interventions are becoming more diverse and complex. An increasing patient population, the development of new devices, and an uptake in the complexity of minimally invasive procedures mean you need to see better to perform better. Our Vascular suite does just that by providing outstanding imaging and an extensive device offering for even the most difficult procedures.  
Vascular suite

Vascular suite

Peripheral artery disease – a growing epidemic


To treat the growing epidemic of peripheral artery diseases (PAD), we see a clear need for standardization when defining interventional treatment strategies. Philips participates actively in further standardization of CLI procedures from both the imaging and device perspectives.

Making endovascular treatment simpler and efficient


Endovascular treatments of aortic diseases are becoming longer and addressing more complex anatomy. Radiation and contrast medium usage are a concern, specifically for elderly and health-impaired patients.

Contrast-induced nephropathy (CIN), in particular, has been associated with an increase in complications and prolonged hospital stay.9 In this dynamic area, there is a clear need for imaging technologies which improve accuracy, efficiency, and patient safety. Our Vascular suite offers premium workflow improvements and dedicated interventional tools to improve procedural efficiency and redefine outcomes for your patients with aortic disease.

Philips Vascular suite: Redefining outcomes for vascular treatment

Educational supplement

 

The number of people living with diabetes continues to climb, bringing PAD and CLI interventions to epidemic levels. Today these patients have more options.

image:vascular

With Philips Azurion a breakthrough in workflow improvement has been realized, resulting in proven efficiency


With the ever growing number of PAD patients, Azurion offers a number of workflow innovations designed to help vascular teams work efficiently and consistently, while maintaining a single-minded focus on the patient and keeping radiation dose low during peripheral vascular interventions.

17% reduction of procedure time with Philips Azurion at St. Antonius Hospital1

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.

 

Read the white paper online

ClarityIQ technology – clinically proven

ClarityIQ
Our novel ClarityIQ X-ray imaging technology provides superb image quality at significantly lower dose across clinical areas, patients, and operators3. One study showed that ClarityIQ reduces patient dose by 83% in iliac DSA procedures4, while maintaining equivalent image quality, compared to a system without ClarityIQ.

TSM and FlexVision Pro

FlexVision Pro
Gives you full control of all system inputs including intravascular ultrasound (IVUS), CX50 vascular ultrasound at tableside to save time and unnecessary walking in and out of the sterile area. It also enables you in viewing CT patient information from external source (e.g. PACS database). All data readily at hand and controllable at table side.

Zero Dose Positioning to manage dose

Zero Dose Positioning
This feature helps you manage dose by allowing you to pan the table, change table height or move the X-ray system on Last Image Hold to determine the new center position. This helps you prepare your next run without using fluoroscopy.

Roadmap Pro with SmartMask

Roadmap Pro with SmartMask
Provides a continuous real-time visualization of the leg as you navigate to the region of interest, making efficient use of iodinated contrast media and radiation dose.

Clinical solutions for peripheral artery interventions

Our Vascular suite provides dedicated vascular interventional tools and advanced vascular devices to support high levels of standardization and redefine outcomes for your PAD patients. They support each step of your procedure – as you decide, guide, treat, and confirm treatment results.

2D Perfusion for instant perfusion feedback

2D Perfusion
2D Perfusion enables you to obtain stable, reliable, and instant information of the foot perfusion8 while the patient is still on the table, to assess treatment effect. This image analysis tool provides functional information about tissue perfusion based on a digital subtraction angiography (DSA). You can compare perfusion characteristics in micro- and macro-circulation, pre- and post-intervention to quantify the effects of revascularization procedures immediately after the procedure.

Live image guidance with ClarityIQ technology

2D DSA
High definition images of vessels with superior vascular detail to support precise treatment strategies, navigation, and follow-up.

IVUS enhances disease assessment

Intravascular ultrasound (IVUS)
Intravascular ultrasound (IVUS) is a catheter-based imaging technology that allows physicians to visualize blood vessels from the inside out to aid assessment of presence and extent of disease. IVUS helps to decide, guide, and confirm the right interventional treatment for each patient.

3D image guidance promotes precise navigation

VesselNavigator vascular
3D Image guidance provides an intuitive and continuous 3D roadmap. Dynamic 3D roadmap uses the rotational angiograhpy volume acquired in the angio suite overlayed on a live X-ray image. Vesselnavigator uses an existing CTA or MRA dataset as overlay. Both solutions provide insight into the exact position of the guide wire and catheter within the vessel during navigation. They offers a high level of precision thanks to real-time compensation for gantry, table, and small patient movements.

Philips IGT Devices
 

Philips IGT Devices
During treatment, you have to decide if it is safe to treat the lesion, and what size and type of device should be used, and where to place the stent for best long term patency. Philips IGT Devices provides a portfolio of peripheral device solutions that allow you to personalize treatment decisions for each patient.

2D Perfusion case: Balloon Angiography of the distal Posterior Tibial Artery.

Patient:

 

  • 55 year old male
  • Diabetic
  • Critical Limb Ischemia
  • Recent amputation of the 3rd toe, bad healing of the wound.
  • Posterior tibial artery occluded and fibular (peroneal) artery is fragile but without significant stenoses.

Treatment:

 

  • Balloon Angioplasty of the distal part of the Posterior Tibial Artery.
  • Peroneal Artery is too fragile to treat.
Dorsalis Pedis Artery (DPA)
Stealing effect in Dorsalis Pedis Artery (DPA), based on pre and post comparison.
Posterior Tibial Artery (PTA)
Posterior Tibial Artery (PTA) shows more and faster flow after treatment.
forefoot
The forefoot is supplied with more blood after treatment.
Graph 1
  • Peak density drops after treatment in the DPA.
  • Area under curve reduces after treatment, indicating less blood to flow through the region of interest. This suggests a stealing effect due to opening of the PTA.
Graph 2
  • Conversely to the effect in the DPA, the PTA perfusion has increased.
Graph 3
  • Considering the whole forefoot, the perfusion characteristics have improved.

Philips Azurion Hybrid OR solutions featuring FlexMove


Our Azurion Hybrid OR solutions provide an innovative surgical care environment that offers exceptional procedural flexibility and ease of use, while meeting the highest standards for surgical infection control and hygiene. The Azurion imaging system is mounted on our unique FlexMove ceiling suspension so it can be smoothly merged into OR processes. Treatment teams can easily move the X-ray system wherever needed, and work in their preferred way. Interventional tools and an unique user experience help users quickly and confidently perform a broad range of open and minimally invasive procedures.

ClarityIQ technology – clinically proven

ClarityIQ technology
Our novel ClarityIQ X-ray imaging technology provides superb image quality at significantly lower dose across clinical areas, patients, and operators3. In EVAR procedures ClarityIQ technology reduces patient dose by 57%, while maintainig equivalent image quality, compared to a system without ClarityIQ2,3

FlexVision Pro

FlexVision Pro
Gives you full control of all system inputs including intravascular ultrasound (IVUS), CX50 vascular ultrasound and VesselNavigator at tableside to save time and unnecessary walking in and out of the sterile area.

Zero Dose Positioning to manage dose

Zero Dose Positioning
This feature helps you manage dose by allowing you to pan the table, change table height or move the X-ray system on Last Image Hold to determine the new center position. This helps you prepare your next run without using fluoroscopy.

ProcedureCards standardize system set-up

ProcedureCards
ProcedureCards help you streamline and standardize system set-up and helps to preparation errors. Select the EVAR ProcedureCard and the system is set up the way you want. Hospital specific protocols and/or checklists can be added to ProcedureCards and displayed on monitors to support consistent workflow in one click.

Flexible workspots

Flexible workspots
Team members can access all information from any workspot to save time, improve consistency, and decrease delays.

Clinical solutions for EVAR, TEVAR, FEVAR, and other aortic procedures

Our Vascular suite provides workflow options, dedicated interventional tools, and a broad selection of advanced vascular devices to improve procedural efficiency and redefine outcomes for your patients with aortic disease. They support each step of your procedure – as you decide, guide, treat, and confirm treatment results.

VesselNavigator – reduce need for contrast

VesselNavigator
VesselNavigator provides an intuitive and continuous 3D roadmap based on existing CTA and MRA datasets to guide you through vasculature during aortic procedures. One study showed an average of 170 ml contrast reduction during endovascular repair of complex aortic aneurysms with the use of VesselNavigator CTA image fusion guidance5. Another study showed a reduction in average procedure time from 6.3 to 5.2 (1.1) hours during FEVAR/BEVAR with VesselNavigator CTA image fusion guidance6.

2D DSA with ClarityIQ technology

2D DSA
Visualizes high definition images of vessels with outstanding vascular detail to support precise treatment strategies, navigation, and follow-up.

IVUS enhances disease assessment

Intravascular ultrasound (IVUS)
Intravascular ultrasound (IVUS) is a catheter-based imaging technology that allows physicians to visualize blood vessels from the inside out to aid assessment of presence and extent of disease. IVUS helps to decide, guide, and confirm the right interventional treatment for each patient.

XperCT Dual – real-time needle feedback

XperGuide
With aortic repair, the detection and management of endoleaks is important while the patient is still on the table. XperCT Dual can visualize endoleak details. XperGuide enables percutaneous access for treatment with needle path planning and live fluoro overlay for placement.

CX50 ultrasound system
 

CX50 ultrasound system
A realistic visualization of arterial vasculature is required to effectively access the arterial system. Our integrated CX50 ultrasound system provides premium quality images of the radial artery and veins to support radial access interventions.
  1. Results are specific to the institution where they were obtained and may not reflect the results achievable at other institutions.
  2. Hybrid atherectomy refers to the Phoenix family of products. 2.4 mm deflecting catheter is the only device with directional cutting ability.
  3. In 18 individual comparative studies, Philips ClarityIQ was associated with reductions in patient radiation exposure.
  4. Van Strijen MJ, Grünhagen T, Mauti M, Zähringer M, Gaines PA, Robinson GJ, Railton NJ, van Overhagen H, Habraken J, van Leersum M. Evaluation of a noise reduction imaging technology in iliac digital subtraction angiography: noninferior clinical image quality with lower patient and scatter dose. J Vasc Interv Radiol. 2015 May;26(5):642-50.e1. The results of the application of dose reduction techniques will vary depending on the clinical task, patient size, anatomical location and clinical practice. The interventional radiologist assisted by a physicist as necessary has to determine the appropriate settings for each specific clinical task. Results based on DSA dose area product per frame from a single center prospective randomized study on 48 patients. DSA runs for Allura Xper with ClarityIQ and Allura Xper without ClarityIQ were randomly acquired on the same patient under same condition of geometry, field of view and injection protocol. Image quality was based on subjective assessment (side-by-side, equal or superior than the other, blinded review by 5 independent radiologists).
  5. Tacher V, et al (2013). Image Guidance for Endovascular Repair of Complex Aortic Aneurysms: Comparison of Twodimensional and Three-dimensional Angiography and Image Fusion, J Vasc Interv Radiol, 24(11), 1698-1706. Doi: 10.1016/j.jvir.2013.07.016.
  6. Sailer AM, et al (2014). CTA with fluoroscopy image fusion guidance in endovascular complex aortic aneurysm repair, Eur J Vasc Endovasc Surg. 2014 Apr;47(4):349-56. Doi: 10.1016/j.ejvs.2013.12.022.
  7. Hybrid atherectomy refers to the Phoenix family of products. 2.4 mm deflecting catheter is the only device with directional cutting ability.
  8. S. Jens, Henk A. Marquering , Mark J. W. Koelemay, Jim A. Reekers. Perfusion Angiography of the Foot in Patients with Critical Limb Ischemia: Description of the Technique.
  9. Gutiérrez Castillo D1, San Norberto García EM, Fidalgo Domingos L, Fuente Garrido R, Estévez Fernández I, Vaquero Puerta C.[Incidence of contrast induced nephropathy in patients who underwent an aortic endovascular repair. Rev Port Cir Cardiotorac Vasc. 2015 Apr-Jun;22(2):101-10

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