HC AX_26201_B_Hybrid cath lab.indd - Siemens Healthcare

16 downloads 92 Views 2MB Size Report
Designing and installing a hybrid cath lab spe- ... experience. With its forward- oriented Artis zee ... Starting with syngo DynaCT Cardiac images as the basis,.
Hybrid cath lab solutions Creating new therapeutic opportunities in interventional cardiology

www.siemens.com/healthcare

Expanding the capabilities of your cath lab As invasive procedures such as aortic valve

care by expanding your room capabilities and

replacements, mitral valve repairs, and epicardial

broadening your procedure mix.

ablations of ventricular tachycardias enter the field of interventional cardiology, medical

Designing and installing a hybrid cath lab spe-

institutions are increasingly exploring the

cifically customized to your needs – current and

possibility of installing a hybrid catheterization

future – requires a dedicated team of experts.

lab. By fulfilling the requirements of advanced

Siemens has extensive cardiology expertise and

imaging and an operating room, next-generation

experience. With its forward-oriented Artis zee

cath labs are ideally suited for performing new

family of imaging systems and advanced applica-

therapeutic procedures. They also help to improve

tions, it also possesses one of the most progressive

the quality and cost-effectiveness of patient

cath lab solution portfolios on the market today.

The optimal environment for TAVI should be spacious and sterile, and feature high-quality imaging equipment. A hybrid suite is ideal as it fulfills the role of both an operating room and a catheterization laboratory. However, most institutions do not have a hybrid room available, thus the organizational and financial implications of acquiring one, which is highly desirable, cannot be overlooked. A. Vahanian et al., “Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC),” Eur J Cardiothorac Surg (2008), doi:10.1016/j.ejcts.2008.04.039

3

Aortic valve implants with enhanced guidance Although 2D fluoroscopy continues to be the gold standard in interventional cardiology, it has limitations. Advanced 3D imaging tools can significantly enhance planning and guidance during valve deployment.

syngo DynaCT Cardiac After a 5-second rotational angiography run with a maximum of 25 ml contrast agent the special syngo DynaCT Cardiac reconstruction algorithms create CT-like images of the aortic root and its surrounding structures. The anatomical information provided by the 3D visualization of the aortic root and the ascending aorta can assist physicians in planning the valve implantation.

syngo DynaCT Cardiac image of the aortic root

syngo Aortic ValveGuide*

Segmentation of the aortic root, including anatomical landmarks

Starting with syngo DynaCT Cardiac images as the basis, syngo Aortic ValveGuide achieves a whole new level of valve positioning convenience. The software provides a segmentation of the aortic root that indicates the ideal perpendicular projection for valve deployment, along with landmarks – completely automatically, in less than 10 seconds. The C-arm projection can be synchronized with the 3D view, thereby saving time and dose as compared to fluoroscopy guidance alone.

syngo iPilot By simultaneously displaying the live fluoro image and matching syngo Aortic ValveGuide segmentation result, syngo iPilot creates a 2D/3D overlay to facilitate valve positioning before inflation. Accurate and precise positioning of the valve can be confirmed with a new 3D image and overlay.

3D guidance during valve deployment with syngo iPilot

4

* Work in progress. The information about this product is preliminary. The product is under development and not commercially available in the U.S., and its future availability cannot be ensured.

Imaging Excellence

Cardiac resynchronization therapy with less contrast media Biventricular lead placements are regarded as challenging interventions. Angiographic coronary sinus (CS) visualizations generally require lots of contrast media and fluoroscopy. 3D visualizations of the coronary sinus can facilitate lead placements as well as decrease procedure time.

syngo DynaCT Cardiac This application uses a syngo DynaCT Cardiac run and less than 30 ml contrast agent to create a 3D reconstruction of the coronary veins – during the procedure. An inflated balloon is used to occlude the coronary sinus. The high-resolution imaging of syngo DynaCT Cardiac can also assist with critical decisions, for example, whether interventional treatment or open-heart surgery is the best option. Rotational angiography of the coronary veins with syngo DynaCT Cardiac

syngo InSpace 3D Anatomical characteristics are clearly revealed through the segmentation of the coronary sinus with syngo InSpace 3D. By synchronizing the C-arm angulation and rotation with the 3D segmentation, the application helps to find the optimal projection – without the need for additional contrast media and fluoroscopy. Segmented coronary sinus with blue C-arm in upper right hand corner showing actual projection

syngo iPilot Integrating a 3D reconstruction with the real-time fluoroscopy image, syngo iPilot supports very efficient guidance during the implantation of the transvenous pacing leads into the target vein. No additional contrast injections are needed to visualize the CS. During the procedure, projection changes are dynamically adapted. 2D/3D overlay of the live fluoroscopy and segmented coronary sinus to guide the lead implantation

For more information, visit us at www.siemens.com/hybrid-cathlab 5

Artis zee Cockpit Featuring a 30’’ medical-grade monitor, the Artis zee Cockpit can display up to six sources on one screen – simultaneously. Screen layouts can be changed with a simple mouse click. The unique drag & drop functionality lets you easily rearrange image scans to display clinical data the way you like it.

Artis zeego – dedicated imaging for hybrid procedures A floor-mounted imaging system such as Artis zeego offers clear advantages in meeting a hybrid room’s high sterility standards. The ceiling over the sterile OR field is kept free from system components, which could interfere with surgical lights or laminar airflow. The system enables highly flexible positioning around the patient. In the park position, the C-arm is completely out of the way for easy patient access. • Unique positioning capabilities • Ergonomic design with flexible working height and variable isocenter • Integrated table with tilt, cradle and synchronized tracking • Innovative 3D imaging capabilities with syngo DynaCT Cardiac • Ideally suited for institutions interested in conducting new interventional treatments • Innovative 3D imaging capabilities with syngo DynaCT Cardiac

6

Hybrid starts with high-end imaging Equipped with advanced imaging technology, a hybrid cath lab can provide exceptional flexibility and support for a wide range of cardiovascular procedures, structural heart diseases as well as cardiac resynchronization therapy. Artis zee solutions for hybrid cathlabs are designed to make your workflow smart, easy and efficient.

7

Intraprocedural 3D imaging

Tableside control

Complex interventions such as valvular disease therapies can benefit from additional anatomical information provided by advanced 3D imaging. Artis zee systems incorporate enhanced syngo imaging applications such as reconstruction, segmentation and landmarks of 3D structures acquired during the intervention.

Artis zee systems feature a new user interface with a compact design as well as easy-to-read syngo icons for quick task card selection. Customized workflow setups and integrated mouse control offer additional operating convenience.

Artis zee Large Display Featuring a 56-inch medical-grade screen and 8-megapixel image resolution, the Artis zee Large Display provides customized clinical images and information on one screen – with up to 21 video source inputs. It can also be used to monitor other rooms and to support telemedicine, endoscopy and ultrasound applications.

Integrated interventional table with OR capabilities Interventional cardiologists and surgeons have different table requirements. Siemens has developed an integrated OR table that supports high-end imaging applications. The table features motorized vertical and lateral tilt movements for invasive interventions as well as a four way floating tabletop. 8

Artis zee floor-mounted system – the compact solution • With its extra small footprint, this system fits into virtually any cath lab • System movements do not interfere with the laminar flow or pass over the sterile field • MultispaceF and rotatable integrated OR table enable unique positioning flexibility for a conventional floormounted system • 3D imaging capabilities of syngo DynaCT Cardiac support complex structural interventions • Ideally suited for reducing the risk of contaminationrelated infections in the surgical environment

Artis zee ceiling-mounted system – the flexible all rounder • C-arm and flat detector positioning flexibility allows imaging from all angles around the patient while maintaining the anatomical orientation of the displayed images • InFocus and Isotilt uphold the projection on the region of interest during gantry movements and integrated OR table tilting • syngo DynaCT acquisition from left/right side allows 3D imaging of peripheral regions • Ideally suited for cath labs with high percentage of peripheral cases

Artis zee biplane system – first choice for pediatrics • Second isocentric working position provides full patient coverage from head to toe • Unique left side position gives anesthesiologist generous access to the patient’s head • Ideally suited for treating patients particularly vulnerable to the effects of contrast media, e.g. pediatric patients

9

Enhanced Workflow

Hybrid starts with high-end imaging Equipped with advanced imaging technology, a hybrid cath lab can provide exceptional flexibility and support for a wide range of cardiovascular procedures, structural heart diseases as well as cardiac resynchronization therapy. Artis zee solutions for hybrid cath labs are designed to make your workflow smart, easy and efficient.

Specializing in user-centric cath lab designs At Siemens, hybrid cath lab competence extends far beyond simply installing imaging systems. Our dedicated team of experts will work closely with you in designing a suite customized precisely to your needs – everything from the room planning to the setup and implementation, including the selection of an appropriate imaging system and applications, monitor booms, anesthesia equipment and surgical lighting.

One-stop hybrid expertise – Siemens turnkey hybrid solutions cover: • All construction and/or renovation services of healthcare facilities Control room

• Everything from consulting to planning, implementation and partnership

850 850

• Multi-vendor product compatibility Cath lab

Preparation area

Storage

Equipment

Our planning experts design room layouts to optimally support workflow

10

and coordination

Planning

When designing a hybrid cath lab, two factors are particularly important: space requirements and the intended use of the room. Ideally, the room should offer maximum flexibility for handling a wide range of cardiovascular applications as well as fulfill your therapeutic needs over the long term. It should be

equipped with advanced imaging capabilities that support minimally invasive coronary interventions at low dose as well as create an OR environment that supports cardiac device implants for treating structural heart disease and rhythm disorders.

11

At the forefront of developments in cardiology Compared with a conventional cath lab, the added expenditures for a hybrid room setup appear considerable. However, a hybrid cath lab can position a hospital as an innovative healthcare provider, one that offers a higher level of care. The higher investment is also justified by the potential for new treatment opportunities and additional patients. For example, percutaneous valve implantations offer an alternative for high-risk patients previously considered untreatable. In addition, a hybrid environment allows emergency surgical intervention in the event of complications. As a leading provider of advanced cath lab and surgical suite solutions, Siemens has extensive experience in designing and furnishing customized hybrid rooms.

German Heart Center, Munich, Germany AXIOM Artis dFC Heart Center, Leipzig, Germany AXIOM Artis dTA Cardio-Thoracic Center, Monaco COROSKOP

2007 2004 1990

Investment Confidence

Siemens helped us plan and set it up. An Artis zeego forms the centerpiece of our new hybrid room, which gives us tremendous treatment flexibility. Dr. Bernard De Bruyne, Head of Cardiology, Cardiovascular Centre Aalst, Belgium

Today more than 300 hybrid suites worldwide NewYork - Presbyterian, New York, NY, USA Artis zeego

installed by Siemens.

UCL Saint Luc, Brussels, Belgium Artis zeego

2009

2008

13

On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and are subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States or other countries. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Siemens reserves the right to modify the design, packaging, specifications and options described herein without prior notice. Please contact your local Siemens sales representative for the most current information. Original images always lose a certain amount of detail when reproduced. In the interest of complying with legal requirements concerning the environmental compatibility of our products (protection of natural resources and waste conservation), we recycle certain components. Using the same extensive quality assurance measures as for factory-new components, we guarantee the quality of these recycled components. Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when reproduced. For accessories, go to: www.siemens.com/medical-accessories Not for distribution in the U.S.

Siemens Healthcare Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen Germany Phone: +49 9131 84-0 siemens.com/healthcare

siemens.com/healthcare Order No. A91AX-11004-11C2-7600 | Printed in Germany | CC AX 11101. | © Siemens Healthcare GmbH, 2016