Vascular surgery is increasingly shifting toward minimally invasive techniques, now used in around 80% of abdominal aortic aneurysm treatments in Germany1. In the Hybrid OR, our fixed C-arms with procedural intelligence streamline workflows and bring precision to both routine and complex aortic repairs. Our mobile C-arms deliver flexible, high-quality imaging, ensuring reliable performance in everyday endovascular procedures.
syngo EVAR Guidance supports the planning and guidance of your endovascular procedures. It automatically detects the vessel wall of the aorta and its main branches, calculates precise centerlines, and visualizes ostia rings for branched vessels. Additionally, it suggests optimal landing zones for stent positioning. For each landing zone and branching vessel, the system determines the right C-arm angulation, which can be stored and selected directly in the OR—ensuring precise and efficient stent deployment.
The use of EVAR Guidance unlocks additional benefits for you and your patients.
Shorter procedures
Complex procedures without image guidance are lengthy. Fusion imaging provides continuous 3D guidance throughout the whole procedure. In a single center study, the procedure time was reduced by 30% using EVAR Guidance.2,3
Less iodine contrast media
Renal insufficiency due to high contrast media use creates limitations for treating patients with comorbidities. Fusion imaging provides continuous guidance without additional contrast media and can reduce its use significantly. In a single center study, contrast media was reduced around 57% by using fusion during FEVAR.2,3
The syngo EVAR Guidance software transforms the planning and execution of endovascular procedures. It automatically detects the vessel wall of the aorta and its main branches, calculates precise centerlines, and visualizes ostia rings for branched vessels. Additionally, it suggests optimal landing zones for stent positioning. For each landing zone and branching vessel, the system determines the ideal C-arm angulation, which can be stored and selected directly in the OR—ensuring precise and efficient stent deployment.
„syngo EVAR Guidance is fantastic, especially for complex EVAR procedures, fenestrated and branched procedures also for dissections.”
Achieving ultra-low dose levels requires a holistic approach that combines advanced technological features, standardized clinical workflows, and comprehensive education.
How can ultra-low dose levels be achieved?
Prof. Maani Hakimi, MD, from Lucerne Cantonal Hospital in Switzerland, utilizes ultra-low dose protocols to minimize radiation exposure to both patients and the operating room team, without compromising on precision.
Lowest reported dose area product of 2.4 Gy∗cm2 for ultra-low-dose endovascular aortic aneurysm repair of a standard infrarenal aortic aneurysm
Alina Reeg, MD; Yvonne Braun, MD; Dirk Sunderbrink; Maani Hakimi, MD
Society of Vascular Surgery, 2024
“The combination of OPTIQ low dose protocol and the Lucerne EVAR Milestone Approach (LEMA)6, is leading us to ultra-low dose values. With the right technology, standardization, and education we were able to reach dose values, as low as 2.39 Gy*cm2 for standard EVAR.”
„Our ARTIS icono floor has led to better daily patient care in many ways, because multiple, complex steps are now fully integrated.”
Discover the future of intraoperative imaging with CIARTIC Move, the first robotic C-arm system, that bridges the gap between traditional mobile C-arms and fixed hybrid room systems. Nikolaos Tsilimparis, MD, (Ludwig Maximilian University Hospital, Munich, Germany) shares his recent experiences with the system and highlights the unique features of CIARTIC Move in a conversation with Michele Antonello, MD, (University of Padua, Italy). Discover the enhanced autonomy, efficiency, and image precision of CIARTIC Move.
Read the interview with Tara Mastracci, MD, and Jason Constantinou, MD, Royal Free London, UK, 2024.
“Cios Alpha’s wide variety of applications has meant that we’ve been able to expand our practice in a way that both keeps us and our patients safe because of the lower radiation dose at no costs for image quality.“
Experience precision and control with the AVVIGO +—a high-definition IVUS Guidance System. Seamlessly compatible with the ARTIS display ceiling suspension, AVVIGO + integrates effortlessly into your workflow. Its intuitive touchscreen tablet allows tableside operation within the sterile field
