The Clinical Pathway - Angiography

Coronary Artery Disease

Solutions to support you in your routine and advanced procedures for coronary artery diseases. For diagnosis and treatment of coronary artery disease, you demand crystal-clear images of the moving heart and of challenging cardiac anatomies in any angulation. To add to the challenge, dose has to be kept to a minimum even during complex procedures. Our Artis systems deliver images in excellent quality and at low dose, displayed the way you like them best with CLEARchoice. A wide variety of software tools supports the tough percutaneous coronary interventions.

CLEARstent: Enhance stent visibility even under difficult conditions.
Stent fracture

Taking Stent Enhancement to the Next Level
Stent visualization tool enhancing stent visibility even under difficult conditions. One-click operation processes scenes no matter if pre-acquired or acquired during the 5s acquisition program. In addition to automated fade-in/fade-out of the processed image, ClearStent offers scene-like behavior, PACS compatibility for review on any DICOM viewer and live fluoro overlay of the processed image.

ClearStent Live

Real-time Stent Enhancement Software
Ostial lesions or bifurcational stentings mark a transition towards increasingly complex coronary interventions. Those require precise stent or scaffold positioning before balloon inflation. With Artis with PURE®, ClearStent Live is now available for all Siemens Healthineers Artis systems. This real-time stent enhancement functionality gives a clear display of the undeployed stent in relation to previously deployed stents or cardiac anatomy – with a significant potential to speed up procedures and to save contrast.

Automatic segmentation of coronary CTAs
Segmentation of the CTA with COROwave

Treating Chronic Total Occlusions (CTOs) is one of the most challenging procedures in interventional cardiology. Incomplete crossing of the lesion is a high risk. syngo CTO Guidance enables better planning with automatic segmentation of coronary CTAs. Furthermore, it provides guidance during the procedure with color-coded COROwave to avoid foreshortening. This enables more physicians to treat complex CTO cases and helps to expand the hospital’s procedure mix.

See occluded lesions from differnt angulations
All diagnostic angulations in a single sweep

Speed Up Diagnostic Coronary Examinations and Save Contrast Agent
Patients with comorbidities such as renal failure or impaired liver function are particularly sensitive to contrast media. HeartSweep allows you to see occluded lesions from different angulations with only one contrast injection and a single acquisition run.

Flexible measurement of the fractional flow reserve
Integrated measurement of fractional flow reserve (FFR)

Accurately measure pressure differences across a stenosis, confidently assess its hemodynamic significance, and make confident decisions for your patients. From catheter-based Fractional Flow Reserve (FFR) assessment to image-based Angio-FFR3 and noninvasive CT FFR: Our portfolio has the right solution for every patient with coronary artery disease.

Sensis Vibe1 enables flexible measurement of the fractional flow reserve (FFR), integrating devices from Abbott Medical, Boston Scientific, and ACIST. Angio-derived FFR is a less invasive option: A software algorithm calculates the Fractional Flow Reserve (FFR) value based on images delivered by our angio systems. A gentle alternative is CT-FFR: Using high-quality images from our Dual Source CT scanners, a software creates an arterial 3D model to simulate the blood flow.

Structural Heart Disease

We add 3D guidance to your structural heart disease therapy efficiently. syngo DynaCT Cardiac, syngo Aortic Valve Guidance, syngo TrueFusion as well as the ACUSON SC2000 PRIME Ultrasound System with True Volume TEE provide support through a high level of automation.

3mensio planning landmarks facilitating device navigation in LAAC

Adding CT defined landmarks 

Pre-procedural planning based on CT becomes more and more the standard of care in structural heart disease. Why not making use of the planning results to guide the intervention? syngo Fusion package allows to co-register CT and angiography. With this CT images including planning landmarks can be fused with live fluoroscopy.

TEE landmarks guide transseptal puncture and device orientation at landing zone

Easy Access to Fusion Imaging
When treating structural heart disease, advanced real-time 3D TEE and True Volume color Doppler imaging are required to visualize form, function, and flow in one volume view. With TrueFusion2, add the relevant anatomical and functional landmarks easily to your live fluoroscopy.

Automated workflow and enhanced accuracy for valve implantation
Overlay of anatomical landmarks onto fluoro

Automated Workflow and Enhanced Accuracy for Aortic Valve Procedures
syngo Aortic Valve Guidance supports the interventional cardiologists and surgeons perform valve implantations. It provides fast and precise 3D information on the aortic root anatomy – making it an excellent basis for valve implantation planning.

syngo DynaCT Cardiac: CT-like imaging in the cath lab
Segmentation of the left atrium

CT-like Imaging in the Cath Lab
Enhance your diagnostic and therapeutic capabilities by visualizing cardiac structures like the aortic root, the left atrium and LAA or pulmonary veins in 3D, in the cath lab. Based on rotational angiography and advanced 3D reconstruction, syngo DynaCT provides CT-like images at the time of your intervention. For optimal and reproducible results the 3D wizard intuitively guides you through the acquisition.

Arrhythmias

Innovations in electrophysiology have created a strong demand for highly integrated solutions capable of supporting smooth workflows for increasingly complex procedures. Radiation exposure during electrophysiology procedures remains a concern. Excellent image quality and at lowest reasonably achievable dose are vital requirements for patient and staff. Therefore, Siemens Healthineers has put together one of the most future-oriented portfolios for electrophysiology, truly integrated solutions for enhanced patient care. We cover everything from imaging and recording to 3D guidance and co-registration with the latest mapping and navigation systems. Smart solutions designed to set new standards of care, safety, and efficiency for your electrophysiology laboratory.

syngo DynaCT Cardiac: 3D imaging using rotational angiography
Rotational angiography of the aortic root

3D Imaging Using Rotational Angiography
Siemens Healthineers is improving the workflow for complex cardiac interventions by introducing syngo DynaCT Cardiac, which enables CT-like imaging of the heart during the procedure using angiography. syngo DynaCT Cardiac enhances your diagnostic and therapeutic capabilities by enabling you to visualize cardiac structures like the aortic root, the left atrium and LAA or pulmonary veins in 3D, in the cath lab.

Time savings with 3D performance supporting AFib treatment
Visualization of the LA

Time Savings with 3D Performance Supporting Atrial Fibrillation Treatment
syngo Electrophysiology Guidance optimizes your EP workflow by integrating preprocedural cardiac CT/MR images or intraprocedural syngo DynaCT Cardiac images into your daily routine. While performing ablations syngo Electrophysiology Guidance improves and speeds up your examinations and provides images for planning, therapy, and follow-up of AFib ablation procedures.

The whole picture on one monitor
Artis Large Display

Seeing the Whole Picture on One Monitor

  • Siemens Healthineers algorithm ensures native signal quality in re-sized image windows
  • Customized display settings
  • Fast, intuitive handling; tableside control
  • Integrated emergency backup ensures real-time fluoro information is always available
Cleaning up the control room
Artis Cockpit

Cleaning Up the Control Room

  • Benefit from streamlined setup and workflow
  • Increase efficiency with two operators working simultaneously
  • Customize layouts quickly and easily with drag & drop
Integrating the electrophysiology lab
ComboBox for electrophysiology

Integrating the Electrophysiology Lab
A scalable solution for hemodynamics and electrophysiology, Sensis Vibe1 can be extended into a combined system featuring both hemodynamic and electrophysiology acquisition. The ComboBox is flexibly configurable and offers excellent IECG signal quality. Further advantages: since you need only one system for both hemodynamics and EP, you need less space, have only one interface resulting in less training, have all data in one database, and can minimize your hardware investments. During complex EP procedures, Sensis Vibe serves as the central puzzle piece connecting key therapeutic equipment in the lab: the angio system, stimulators, ablators, and mapping system. Sensis Vibe also grows with your EP lab as it lets you easily add an additional ICEG board to expand your clinical capabilities in EP.

Congenital Heart Disease

Solutions to support you in your routine and advanced procedures for congenital heart disease. Although congenital heart disease is often considered a childhood condition, advances in interventional and surgical treatment have also led to significantly reduced mortality rates and patients now often live well into adulthood. Find out how smart solutions from Siemens Healthineers can support you in your routine and advanced procedures for congenital heart disease.

3D imaging using rotational angiography
3DRA of the right ventricle and pulmonary arteries

3D Imaging Using Rotational Angiography
Siemens Healthineers is improving the workflow for complex cardiac interventions by introducing syngo DynaCT Cardiac, which enables CT-like imaging of the heart during the procedure using angiography. syngo DynaCT Cardiac enhances your diagnostic and therapeutic capabilities by enabling you to visualize cardiac structures like the whole heart and different abnormalities, in the cath lab.

syngo Fusion Package: Multimodality fusion in the cath lab
Overlay of the relevant anatomical landmarks

Multimodality Fusion in the Cath Lab
Enables previous CT, MR or PET CT images to be fused with high-contrast angio 3D or syngo DynaCT datasets. syngo Fusion Package displays relevant diagnostic data at a glance, thereby significantly supporting interventional workflows, and overlays acquired data with live fluoroscopy images using syngo 3D Roadmap.

Angiography Portfolio

Artis Interventional Angiography Systems
With our cardiology portfolio we provide a differentiator for you. Siemens Healthineers offers a complete portfolio for diagnostics and planning, interventional therapy and follow-up.

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Handle procedure administration and documentation along the way
Sensis Vibe

Amplify Productivity
Interventional environments are busy places where many things are happening at once. Even if a procedure is routine, all moves need to be synchronized, and the entire team has to be on the same wavelength. Documenting the procedure must blend into this flow. Imagine a documentation system so anticipative it feels like a member of your team. A system that catches the Vibe and lets you handle administration along the way – without missing a beat. This system is Sensis Vibe1. Sensis Vibe is the vital core where all events, decisions, measurements, and data from your procedures are captured. It reduces administrative effort and standardizes documentation and reporting.

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