a new generation biplane angio suite an all-rounder from head to … · 2019. 10. 2. · a new...
TRANSCRIPT
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A new generation biplane angio suite –an all-rounder from head to toe
D.Vorwerk
Ingolstadt
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• CUT Site for the Icono biplane system since April 2019
• Since then, 450 + studies performed
• 3rd of 4 CUT-Sites worldwide
(Berne, Essen, Ingolstadt, Vienna)
• First dedicated unit for combined uset for both neuro-and general I.R.
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Patient and procedure volumes and diversity are amongthe biggest challenges for vascular interventional radiology
• Source: AT procedure data collection
• PAE: Prostate artery embolization; TACE: Transarterial chemoembolization; BPH: Benign prostate hyperplasia;PCS: Pelvic congestion syndrome; PTA: Percutaneous transluminal angioplasty
Vascular IR procedures (World estimate 2016)
1.561.644Fempop PTA stenting
792.319Iliac PTA and stenting
445.165Aortic Repair
394.907Infrapop PTA and stenting
357.897Cancer
174.886RenalPTA and stenting
177.533Carotid PTAand stenting
91.096Hemorr-hage
90.840UterineFibrids
71.699Aneurisms/Endoleaks
58.784Vascular abnor-malities 3
5.8
73
Var
ico
cele
Stroke therapyHemodialysis shuntsTransradial accessCombined unitsas back-up
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Use as a full-body unit
• Neurointerventions: Stroke, Coiling and AVM
• Iliac PTA and cross-over access
• Antegrade PTA (femoropopliteal and below theknee)
• TIPS and TIPS revision
• Left and right shunt interventions, all positions
• Abdominal Coiling
• TACE, UFE, PAE
• Pelvic congestion syndrome, varicocele
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Monoplane use
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Position for radial
access
Headside position
(Neuro) Leftside position
(Peripheral work)
Abdominal
position (TACE)
Rightside position
(Head free for
anaesthesia)
Parking position
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Flexibility for vascular proceduresPeripheral coverage at its best
Patient coverage• Patient coverage of 2.10 m x 1.90m for 2D imaging• Peripheral imaging to image large patients with
head first position
Patient coverage of 2.10 m for 2D imaging
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Positioning in peripheral interventions
Left lateral position
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Left and right dialysis fistula work
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TIPS
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Image quality
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Stroke management
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1592 uGym2
Abdominal coiling
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TACE
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Before 6 weeks after
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3672 uGym2
TIPS
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Cross-over stenting
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6070 uGym2
Flat panel Dyna CT
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261 uGym2
Peripheral angioplasty
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Variable and dedicated screenarrangements
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Personalized workflow
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Workflow
• Standardization
• Tailored configuration:
Image parameters,
C-arm position,
table position,
zoom factor, collimation,
display layout
• Personalization
• Menu guided work-up
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Is there a potential for biplane usein general I.R. ?
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Potential fields
• Stenting or coiling of visceral arteries
• Complex Cross-over or Long-DistanceInterventions
e.g brachiofemoral Pull-Through without
change of panel position
• Complex abdominal or thoracic embolizationprocedures
• Covering long areas ( aortic aneuryms )
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Double BV rotationFuture abilities
• TACE
short rotation
• Coverage of large volumes (e.g. aorta)
Simultaneous BV rotation side by side