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SHD suite

Confidence and Efficiency in Structural Heart Interventions

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    Philips at PCR Valves e-Course 2020

    November 22-24

    Workflow innovation image
    The replay is now available

    Concomitant Aortic Stenosis & Mitral Regurgitation interventions - a case-based discussion


    Dr Lionel Leroux, MD PhD

    Chief of Interventional Cardiology,

    CHU de Bordeaux


    Ralph Stephan von Bardeleben

    Head of the Heart Valve Center

    Mainz University Medical Center

    Prof. Rebecca Hahn

    Director of interventional echocardiography, New York Presbyterian/Columbia University Medical Center, NYC

    Tricuspid Valve TriClip with Echo simulator

    The replay is now available


    Tricuspid Valve TriClip with Echo simulator


    Discover how human grade simulators can assist in learning both advanced imaging with the new EPIQ CVxi 7.0 and device manipulations for tricuspid regurgitation procedures.

    Performed by: Prof. Michel Zuber and Prof. Francesco Maisano from Zurich

    Minimally invasive structural cardiac interventions are changing the therapeutic landscape, from valvular disease procedures such as transcatheter aortic valve replacement (TAVR) and edge-to-edge mitral repair, to stroke prevention alternatives such as patent foramen ovale closure (PFO) and left atrial appendage occlusion (LAAO). The SHD suite is designed to enable heart teams to grow their program and drive upcoming transcatheter innovations through workflow flexibility and multimodal imaging integration. The SHD suite enhances communication, enables efficiency, and provides confidence in anatomical guidance, device navigation, and accurate device placement.

    Workflow innovation that optimizes lab performance while focusing on the patient

    The demands of transcatheter valvular and other structural heart procedures require a future-proof, fully integrated environment providing the right image and the right information at the right time.

    The Azurion SHD suite was designed to adapt to your workflow needs, letting the system work seamlessly around you so that you may focus on your patient. In fact, the Philips Azurion platform boasts a reduction of procedure time by 17% 1(in an independently verified study for interventional radiology).

    Philips Azurion FlexArm getting controlroom

    See how the Azurion FlexArm supports subclavian access workflow                  

    Subclavian access workflow

    See how the Azurion FlexArm supports patient access in SHD

    Patient access in SHD

    ClarityIQ technology – clinically proven

    ClarityIQ image
    In routine coronary procedures2, the system with ClarityIQ technology may reduce patient radiation dose (as total dose-area product) by 67%3 for the total procedure without affecting the procedural performance (fluoroscopy time and number of exposure images) as compared to equivalent procedures on an Allura Xper system, as demonstrated in one single-center study.4

    FlexVision Pro

    FlexVision Pro
    With FlexVision Pro, you can intuitively control all available applications at tableside via seamless mouse over to streamline your workflow. You can configure unlimited screen layouts - even during the procedure – on the high-resolution 58-inch LCD screen. This can increase efficiency and reduce the need to leave the sterile field during interventional cases.

    Touch Screen Module Pro

    Touch Screen Module Pro
    Now you can easily control the X-ray image, as well as all system settings and applications from Philips and other vendors at tableside. All without leaving the sterile field. Touch Screen Module Pro works just like a tablet for fast and easy handling.


    FlexSpot image
    Gives you seamless access to all applications at one compact, customizable workplace to significantly reduce clutter and simplify workflow. Team members can perform different tasks separately, without interrupting each other, to reduce gaps between cases.

    Zero Dose Positioning

    Zero Dose Positioning
    This feature helps you manage 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.

    Instant parallel working

    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 heart patients. For example, while fluoroscopy/exposure is taking place, a technologist in the control room can instantly review previous images from the same patient, prepare the next exam or finish reporting on another patient.

    Clinical solutions for treating Structural Heart Diseases

    SHD desktop-mobile images
    Using ProcedureCards, controlling the room at your fingertips with unlimited flexibility, and generating live fusion of critical imaging data in real time improves lab efficiency and enhances confidence at each step of treatment. At the center of our suite, the unique EchoNavigator solution is the flagship example of Philips' commitment to multimodality and workflow integration, by bringing the best of both worlds from the industry leader in both interventional X-ray and Ultrasound cardiac solutions.
    HearthNavigator image


    Insightful planning and guidance for SHD procedures.

    The HeartNavigator is a structural heart CT planning and live guidance solution using automatic heart model segmentation of anatomy to improve ease of use, speed, and reproducibility of planning tasks, and adding the ability to overlay planned targets, landing zones, and anatomical boundaries onto live fluoroscopy.
    EchoNavigator image


    Unparalleled visualization of anatomy and devices. Together.

    EchoNavigator reorients and combines ultrasound and X-ray information into a single augmented visualization for guidance and device-tissue relationship


    EchoNavigator enables

    • Importing ultrasound targets or critical structures as fluoroscopic annotations

    • Live-on-live fusion of both modalities including 2D, 3D, and color flow

    • ECG-gated dynamic segmentation of cardiac structures for view optimization and orientation

    • Flexible workspots at both tableside and on the EPIQ CVxi console

    EPIQ CVxi

    EPIQ CVxi

    Innovating premium ultrasound for cardiac care.

    Philips xMATRIX performance becomes even more powerful with the X8-2t Live 3D transesophageal transducer. Its acoustic design provides higher frequencies and width, providing increased resolution and tissue filling in 2D and Live 3D. MultiVue allows one-click cropping of a Live 3D image during interventional procedures, and one-click alignment of the catheter within cardiac anatomy.
    TrueVue photorealistic 3D rendering is designed for better visualization of interventional devices. The lighting of TrueVue can make it simpler to visualize the location of catheters and devices relative to anatomy during interventional procedures.

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      Interventional Hemodynamic system Improving workflow in the interventional lab

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    1. Results are specific to the institution where they were obtained and may not reflect the results achievable at other institutions.

    2. Routine coronary interventions comprise of fluoroscopy and exposure usage.

    3. (95% CI of 53%, 77% for all diagnostic and interventional coronary procedures). 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 cardiologist assisted by a physicist as necessary has to determine the appropriate settings for each specific clinical task.

    4. Results based on total dose area product from a single center prospective controlled randomized study (University Hospital Gent, Belgium) on 122 patients (42 for Allura Xper and 80 for AlluraClarity) undergoing coronary procedures. Of the 122 patients, 102 (83.6%) had a diagnostic procedure without intervention and 51 (41.8%) resulted in a diagnosis of no coronary disease. Patient radiation exposure was quantified using cumulative dose area product as collected from Radiation


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