Aneurysm ambolization

Cerebral aneurysm treatment

Neurovascular icon

See clearly and navigate efficiently when treating cerebral aneurysms


Visualizing new, less opaque devices presents new challenges during treatment planning and device placement which can lengthen your procedure time. That makes superb 2D and 3D imaging more important than ever to guide treatment decisions and device placement, and efficiently manage radiation dose.

Highlighted products for this procedure

Azurion 7 B20/15

Azurion 7 B20/15 Image-guided therapy system

Biplane image-guided therapy system with one 20" frontal and one 15" lateral flat detector

Enhance certainty during ischemic stroke, cerebral aneurysm and other neuro interventions

Experience a simple, smooth clinical workflow with the dedicated neuro features

Visualize the full intricacies of complex malformations and less radio-opaque flow diverters

During neuro interventions, the goal is to see clearly, while managing safety for all involved. Philips Neurovascular suite with leading Azurion biplane 7 with 20'' and 15'' detector X-ray system is designed to enhance treatment and support effective guidance as you work. Seamlessly control all compatible applications from a single touch screen at table side, to help make fast, informed decisions in the sterile field.
AneurysmFlow blood flow patterns visualization

Asses the impact of flow diverters immediately in the angio room

Being able to immediately assess the impact of flow diverters on blood flow is crucial during treatment. AneurysmFlow converts information from a SmartCT Angio acquisition and 2D DSA flow sequences into quantitative flow values. These values are used to visualize and quantify blood flow patterns before and after flow diverter deployment in cerebral aneurysms.
SmartCT Angio

High-resolution 3D visualization from a single rotational angiography run

SmartCT Angio is an X-ray acquisition technique that generates a complete high-resolution 3D visualization of cerebral vasculature from a single rotational angiography run – all controlled via the touch screen at the table. This can improve visibility of tortuous or complex anatomy that may not be seen on a 2D or DSA image.

    Clinical solutions for treating cerebral aneurysms

    Infographic image

    Visualize lesion boundaries and corresponding vascularization

    MR-CT roadmap
    MR-CT Roadmap offers the possibility to overlay a previously acquired SmartCT Angio or MR angio scan with live fluoroscopy to visualize lesion boundaries and corresponding vascularization for risk assessment. Re-using pre-acquired data helps you manage X-ray dose and contrast medium.

    Clearly view brain perforators and challenging devices

    SmartCT Vaso IA
    Enhance visualization of endovascular stents, flow diverters and other devices as well as vessel morphology down to the perforator level with SmartCT Vaso. This acquisition technique is based on a Cone Beam CT scan and an intra-arterial contrast injection. It is increasingly used for follow-up of aneurysms treated with flow-diverter stents to check device positioning.

    Navigate precisely using dynamic 3D image guidance

    SmartCT roadmap enhanced visualization
    SmartCT Roadmap enhances visualization of overlapping vessels to support precise navigation of guidewire and catheter through complex vasculature. Offers high level precision with real-time compensation for gantry, table and small patient movements.

    Visualization of blood flow patterns helps to support accuracy

    MR-CT roadmap
    AneurysmFlow helps to visualize and quantify blood flow patterns in the parent vessel and aneurysm sac to obtain key information that can assist deployment of flow diverters and other embolization devices.

    Improve visibility of cerebral vasculature

    Roadmap pro
    Roadmap Pro is an advanced double contrast roadmap that helps improve visibility of overlapping vessels while balancing radiation exposure. It can be customized to show advancement during coil placement.

    Visualize tortuous pathologies in high-fidelity 3D

    SmartCT Angio
    SmartCT Angio provides a volumetric view in a few seconds3 to assist assessment of location, size, neck, and severity of aneurysm for treatment planning. 3D volumes are visualized with high spatial resolution and automatic patient movement compensation.

    Check for bleedings peri-procedure

    CBCT (CT-like)
    Use SmartCT Soft Tissue imaging in the Neurovascular suite to check treatment success and identify bleedings.

    Calculate blood flow post-treatment

    Aneurysm flow post treatment
    AneurysmFlow evaluates changes in blood flow in the aneurysm, by calculating the change in Mean Aneurysm Flow Amplitude (MAFA ratio) before and after flow diverter placement.

    Workflow innovations to treat cerebral aneurysms efficiently


    Azurion offers a number of workflow innovations designed to help staff work efficiently and easily, while maintaining a single-minded focus on the patient and manage radiation dose.
    Azurion Biplane B20/12

    Sharp, motion-free vessels at low dose

    ClarityIQ wheel
    ClarityIQ technology reduces patient dose by 75% in neuro DSA,1 while maintaining equivalent image quality, compared to a system without ClarityIQ. Its automatic motion compensation removes skull and motion artifacts which is key when placing small devices at the base of the skull.

    Manage dose and simplify workflow

    Zero Dose Positioning
    Zero Dose Positioning helps you reduce 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.

    Full table side control

    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.

    Reduce in-lab prep time supported by ProcedureCards

    ProcedureCards image
    ProcedureCards5 streamline and standardize system set-up and help reduce preparation errors. Select the Aneurysm ProcedureCard and the system is set-up the way you want.

    Use neuro headrest to help reduce motion artifacts

    Neuro headrest
    Can be used to restrain restless patients under conscious sedation to help reduce motion artifacts during the procedure.
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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. 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).
    2. The user level of expertise required is described in the Instructions for Use as the Intended Operator Profile.
    3. 3D reconstructions at higher resolution settings may take longer times
    4. www.mdedge.com/neurology/article/107506/stroke/stroke-centers-increase-and-refine-use-thrombectomy?sso=true
    5. 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.

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