Image-guided therapy
Ischemic stroke treatment
Be ready to take on new challenges in ischemic stroke treatment with these innovative approaches
We see a strong increase in thrombectomy interventions as a first-line treatment for patients with ischemic stroke.[1] There is also a shift from time-based to image-based selection in this area. Our neurovascular suite has been developed to help address these trends. It can support high levels of procedural efficiency and redefine outcomes for your stroke patients as you decide, guide, treat and confirm.
SmartCT in stroke
The next leap in simplifying and advancing 3D imaging
Perform differential stroke diagnosis right in the neuro suite with step-by-step user guided set-up of cone-beam CT, fast high-quality CBCT protocols and full control of 3D volume at table side.
Demonstrated results in ischemic stroke treatment
Workflow innovations to help on-call staff work efficiently and easily, maintaining a patient focus
There are two important drivers for successful stroke treatment: time to treatment and image quality during treatment. Philips is innovating in both areas to support clinicians in obtaining the best patient outcomes. Direct to Angio suite workflows allow for comprehensive stroke diagnosis - with advanced 3D imaging - to be performed directly in the neuro angio suite. This provides valuable timesaving support for critical patients in acute need of mechanical thrombectomy therapy.[1]
Comprehensive diagnosis and treatment for ischemic stroke
- See more during neurovascular interventions and elevate treatment confidence with excellent visibility at very low X-ray dose levels
- Integrated biplane systems put you in firm control from a single touchscreen at tableside to enhance decision-making and run an entire case without breaking sterility
- Provides simplified advanced 3D visualization and measurements at tableside to help improve treatment outcomes
- Creates the ideal treatment environment with specific tools and workflows for multiple clinical specialties in one room
Improved flexibility and speed in treating ischemic stroke
- SmartCT Soft Tissue Helical* improves neuro CBCT imaging to identify soft tissue changes
- SmartCT Dual Phase Cerebral* for acquisition of two consecutive contrast-enhanced CBCT scans
- SmartCT Dual Viewer* to simultaneously visualize two 3D datasets of different sizes, acquired at different times during the procedure
- SmartCT Vaso to check clot length and location
- 2D DSA with ClarityIQ maintains sharp images
- Roadmap Pro offers enhanced visualization of vasculature
Image gallery
- Assess ischemic stroke with SmartCT Soft Tissue Helical
- SmartCT Soft Tissue Helical automatically compensated for the motion of a restless ischemic stroke patient who had moved during acquisition
- The first-phase image (L) shows an occlusion (highlighted in red) of the M1 segment of the right middle cerebral artery, and the second delayed-phase image (R) shows eventual collateral vessels
- SmartCT Dual Phase Cerebral acquisition in overlay mode using SmartCT Dual Viewer, with image of the early phase CBCT-A shown in blue and late phase CBCT-A in red, clearly distinguishing which vessels are filling later.
- Enhance visualization of vasculature with Roadmap Pro-Use this advanced double-contrast roadmap to help enhance visualization of overlapping vessels, while balancing radiation exposure
- Check location and length of a clot with SmartCT Vaso-Allow visualization beyond the clot with peri-procedural imaging of the distal vessel aspects in ischemic stroke
- See sharp images with 2D DSA with ClarityIQ technology-Help maintain sharp images of the vessels with automatic motion compensation during real-time DSA
- Support precise 3D navigation with the anatomical references of SmartCT Roadmap-Use anatomical references to support precise navigation of guidewire, catheter and device to the clot
- Confirm treatment success with high-quality DSA visualization-Assess if the complete clot has been retrieved and if pieces of the clot have been dispersed distally in the brain
Featured solutions for ischemic stroke treatment
Azurion 7 B20/15 Image Guided Therapy System Biplane
High-quality neuro-specific lateral detector can be positioned close to the patient’s head while providing full brain coverage. Secure, fast lateral gantry parking allows seamless switch between 2D and 3D image acquisition. The frontal arc 135° position enables optimal head-end access to the patient.
SmartCT Soft Tissue Helical*
Improves neuro CT-like cone beam CT images (CBCT) to identify soft tissue changes in the Angio suite. An advanced protocol with dual-axis acquisition trajectory and improved reconstruction software results in improved image appearance, compared to conventional CBCT acquisition techniques.
SmartCT Dual Phase Cerebral*
Offers acquisition of two consecutive contrast-enhanced CBCT scans of the brain, allowing identification of the vessel occlusion in the first phase and the presence of collateral vessels in the second phase.
I always say to the young doctors: If you don’t see, then you don’t understand, and if you don’t understand, you cannot treat. And 3D is the key tool.
Professor. Laurent Spelle
Chef de Service
NEURI Bicêtre, Paris, France
Related procedures
Documentation
Footnotes
- www.mdedge.com/neurology/article/107506/stroke/stroke-centers-increase-and-refine-use-thrombectomy
- 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.
- Market Research Group reports ‘16-’17.
Disclaimer
*SmartCT R3.0 is subject to regulatory clearance and may not be available in all markets. Contact your sales representative for more details.