We see a strong increase in thrombectomy interventions as a first line treatment for patients1 with ischemic stroke. There is also a shift from time-based to image-based patient selection in this area. Our Neurovascular suite has been developed to help to address these trends. It can support high levels of procedural efficiency and redefine outcomes for your stroke patients.
SmartCT Soft Tissue generates a CT-like visualisation of soft tissue and supports stroke diagnosis in three ways. A non-contrast scan aids detection of early ischemic changes. An early phase scan helps to identify the proximal occlusion. A late phase contrast enhanced scan supports detection of collaterals.
SmartCT Vaso allows visualisation beyond the clot with peri-procedural imaging of the distal vessel aspects in ischemic stroke. SmartCT Vaso is an acquisition technique based on a Cone Beam CT scan and an intra-arterial contrast injection. It allows visualisation beyond the clot with peri-procedural imaging of the distal vessel aspects in ischemic stroke. By retrograde filling, vessel structures before and after the clot become visible. The SmartCT Vaso 3D Roadmap can be used to visualise clot retrieval devices.
Dual View for viewing early and late phase Cone Beam CT volumes side by side enhances identification of penumbra and enables visualisation of collateral filling.
Use SmartCT Soft Tissue (CT-like) images in the Neurovascular suite to check treatment success and bleeding.
ClarityIQ applies Automatic Motion Compensation during real-time DSA to maintain sharp images of the vessels. This supports confident decision making throughout stroke procedures.
SmartCT Roadmap provides anatomical references to support precise navigation of guidewire, catheter and device to the clot.
High quality DSA visualisations allow you to assess if you have retrieved the complete clot and if pieces of clot have been dispersed distally in the brain. You can check the restoration of blood flow to the penumbra and check for peri-procedure bleeding.
Make informed decisions about whether the clot can be reached and which route to use. Roadmap Pro, an advanced double contrast roadmap, helps enhance visualisation of overlapping vessels, while balancing radiation exposure.
Azurion offers a number of workflow innovations designed to help on-call staff work efficiently and easily, while maintaining a single-minded focus on the patient and manage radiation dose during acute ischemic stroke interventions.
Gives you direct access and full control of pre-operative diagnostic scans, patient information, planning tools, at table side to save time and unnecessary walking in and out of the sterile area. Touch screen module Pro allows table side control of images and applications with tablet ease.
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Gives you direct access and full control of pre-operative diagnostic scans, patient information, planning tools, at table side to save time and unnecessary walking in and out of the sterile area. Touch screen module Pro allows table side control of images and applications with tablet ease.
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Can be used to help reduce motion artefacts during the procedure.
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Continue * Söderman M, Holmin S, Andersson T, Palmgren C, Babic D, Hoornaert B. Image noise reduction algorithm for digital subtraction angiography: clinical results. Radiology. 2013 Nov;269(2):553-60.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 20 patients. DSA runs for Allura Xper with ClarityIQ and Allura Xper without ClarityIQ were acquired on the frontal and lateral channel on the same patient under same condition of geometry, field of view, and injection protocol. Image quality was based on subjective assessment (score 1-5, 1=very poor, 5=excellent, blinded review by 3 radiologists involved in the study).
ClarityIQ technology reduces patient dose by 75% in neuro DSA*, while maintaining equivalent image quality, compared to a system without ClarityIQ to support a broad patient population. ClarityIQ automatic motion compensation removes skull and motion artifacts which is key when placing small devices at the base of the skull.
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Helps you reduce dose by positioning the system or table on Last Image Hold so you can prepare your next run without using fluoroscopy.
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FlexVision Pro gives you direct access and full control of pre-operative diagnostic scans, patient information and planning tools at table side to save time and unnecessary walking in and out of the sterile area. Touch screen module Pro allows table side control of images and applications with tablet ease.
Work together instantaneously
Instant Parallel Working allows team members to work on different tasks at the same time without interrupting each other to shorten procedure times for critical stroke patients.
Can be used to restrain restless patients under conscious sedation to help reduce motion artifacts during the procedure.
Integrated OR table for acute care
The Getinge Magnus OR table can be used for emergency and trauma care. It is synchronised with Philips X-ray systems to take advantage of advanced Philips solutions.
Monoplane angio systems are increasingly being used as dedicated stroke systems or as back-up systems in interventional neuro departments along side a biplane system. The Azurion 7 M20 is compatible with all advanced neuro interventional tools.
When it comes to acute stroke, everyone deserves the best care. Today, more patients can benefit from mechanical thrombectomy through changed guidelines, which widen the time window for endovascular treatment.
See clearly and navigate efficiently when treating cerebral aneurysms.
Learn morePhilips sophisticated neurovascular imaging solutions support confident planning, medical monitoring and treatment decisions for AVM interventions.
Learn more Disclaimer Product availability is subject to country regulatory clearance. Please contact your local sales representative to check the availability in your country. References 1. www.mdedge.com/neurology/article/107506/stroke/stroke-centers-increase-and-refine-use-thrombectomy?sso=true 2.In a simulation study with over 60 users globally, results obtained during user tests performed in the period of November 2015-February 2016. The tests were designed and supervised by Use-Lab GmbH, an independent and objective usability testing engineering consultancy and user interface design company. The tests involved 31 US-based clinicians (16 physicians and 15 technicians) and 30 European-based clinicians (15 physicians and 15 technologists), who performed procedures using Azurion in a simulated interventional lab environment. Results from case studies are not predictive of results in other cases. Results in other cases may vary. 3. The user level of expertise required is described in the Instructions for Use as the Intended Operator Profile. 4. 3D reconstructions at higher resolution settings may take longer times
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