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Coronary Artery Disease

Coronary Artery Disease
Make confident diagnostic decisions on coronary artery diseases – fast

Coronary artery disease (CAD) is the most common type of heart disease.¹ While age can be a risk factor, coronary artery disease does not only affect old people. Younger people can also have a heart attack. Frank, an athletic 50-year-old man, went for a cardio checkup at the request of a friend. Learn how his friend saved him from a heart attack.

Read the full patient story

Our testing, multimodality imaging, and therapy solutions can help prevent unnecessary invasive procedures along the CAD pathway. And innovations at the point of care expand opportunities to improve precision for patients. The digital competence of our portfolio helps interdisciplinary teams make faster care management decisions that can lead to improved clinical outcomes.

of diagnostic angiographies show no relevant coronary lesions²

Customer experience

Listen to our customers in our online webinars series or watch our customer stories and learn from the expert how we at Siemens Healthineers can support you in your daily routine.

Discover the latest online webinars on demand

Novel insights into MINOCA and INOCA: Resolving diagnostic dilemmas
The complexities of diagnosing MINOCA and INOCA remain challenging. The CVC online webinar will highlight the added value of CMR, CT, and angio imaging in both acute and chronic ischemia without obstructive coronary arteries. Learn from experts Chiara Bucciarelli-Ducci, MD, and Colin Berry, MD, about the potential of diagnostic imaging for risk assessment and prognosis in MINOCA and INOCA patients.

Successfully implementing high-sensitivity cardiac troponin
Join Professor Fred Apple and Nicholas Mills as they explain the diagnostic strategies for using a high-sensitivity cardiac troponin assay and review evidence-based literature that supports implementation of high-sensitivity troponin testing in clinical practice. Profsessor Apple and Mills will also discuss the latest ESC and NICE guidelines and how these recommendations impact their interpretation perspectives.

Acute chest pain management for NSTE-ACS patients
The recently released 2021 US guidelines for evaluation and diagnosis of chest pain recommend high-sensitivity cardiac troponins as the preferred standard for diagnosis of acute myocardial infarction. Furthermore, coronary CTA is recommended as a frontline testing strategy in the evaluation of patients with stable and acute chest pain who have no known coronary artery disease. In this context, we are offering an online webinar on "the role of CCTA in triage patients with acute chest pain in the era of high-sensitivity troponin." Join our ESC satellite online webinar with James Januzzi, MD, Koen Nieman, MD, and Markus Scherer, MD.

The present and future of vFFR
This online webinar was all about the present and future of vFFR, introducing clinical validation, live cases, and future outlook. Experts Joost Daemen, MD, Professor Eric van Belle, MD, and Kaneshka Masdjedi, MD, discussed the role of angiography-derived physiology CAAS vFFR, how it works, and how you can implement vFFR in your cath lab. Join a live case and experience how pre- and post-PCI vFFR measurement can help in clinical practice. Get more insights into the FAST study validation series and the outcomes of the recently published FAST II multicenter study.

Physiological assessment of lesions after PCI: The new routine?
In the second installment of our Cardiovascular Care online webinar series, a lineup of experts in the field of coronary physiology discussed how the use of post-PCI physiology can improve patient outcomes. Chairman Bernard De Bruyne, MD, was joined by Joost Daemen, MD and Simone Biscaglia, MD, to debate why, despite unequivocal evidence supporting its use, adoption of post-PCI physiology assessment into routine practice is still limited.

Watch different coronary artery cases and learn from your peers

Non-invasive testing can help prevent unnecessary invasive procedures for CAD patients
Karolina Dorniak, MD, and Katarzyna Sienkiewicz, MD, from the Medical University of Gdańsk discuss the latest trends in noninvasive imaging. Many of their CAD patients are diagnosed using noninvasive cardiac CT and MRI scans.

What is the role of cardiac MRI in diagnosing myocardial injury in long COVID-19 syndrome?
Myocardial injury has been observed as a complication of the COVID-19 disease and is associated with a poorer prognosis. Cardiac MRI (CMR) is the preferred imaging modality for the noninvasive evaluation of acute myocarditis. Watch the video of Professor Puntmann, MD, to learn more about the value of CMR in evaluating post-COVID-19 patients with cardiac disease.

How a point-of-care high-sensitivity troponin test could change myocardial infarction detection
Imagine if there was a point-of-care solution for high-sensitivity cardiac troponin assays. In this interview, Professor Louise Cullen, an emergency physician in a major metropolitan teaching hospital in Brisbane, Australia, shares her thoughts on how such a technology could change patient care for those with suspected acute myocardial infarction, and the potential benefits it could bring to emergency department efficiency.

Rapid diagnostic algorithm for faster diagnosis of acute coronary syndromes
Rick Body, MD, describes the development and implementation of a rapid diagnostic algorithm for acute coronary syndromes, the Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision aid, and how it is helping to reduce unnecessary hospitalization of low-risk patients. Hear how high-sensitivity troponin assays play a vital role in the method, enabling medical professionals to make faster decisions about patient care.

Our product and solutions portfolio

Experience the latest technologies in our coronary artery disease product portfolio

NAEOTOM Alpha allows spectral imaging for cardiac scans

NAEOTOM Alpha
with Quantum Technology

NAEOTOM Alpha® offers high resolution in cardiac imaging to

see small details in coronary CTA;
identify more details in coronary plaque evaluation;
offer high resolution at low dose in all standard CT angiography protocols.

Learn more about NAEOTOM Alpha

Atellica VTLi Patient-side Immunoassay Analyzer

Attelica® VTLi Immunoassay Analyzer represents a vital leap forward in cardiac testing and

improves emergency department throughput;
offers hs-cTnI testing right at the point of care;
can be easily integrated into assessment processes.

Learn more about Atellica VTLi Analyzer

ARTIS icono floor from Siemens Healthineers

ARTIS icono
An icon of innovation

Turn innovation into common practice with

excellent coverage with a small footprint;
the new image chain, OPTIQ, enabling significant dose reductions;
Structure Scout, offering material-specific imaging.

Learn more about the ARTIS icono family

QuantWeb vFFR
Integration of angio-based FFR

Courtesy of University of Tokyo Hospital, Japan

Less invasive angio-based FFR calculation tool vFFR

calculates the pressure drop in the coronary arteries;
is a fast and easy-to-use tool to assess the hemodynamic relevance of stenoses;
shows high correlation with FFR and high inter-observer reproducibility.

Learn more about vFFR

syngo CTO Guidance for automated segmentation of the coronaries

syngo CTO Guidance
Preprocedural planning using CT data

Courtesy of LMU Klinikum Munich, Germany

Expand your procedure mix by treating more CTO patients using syngo CTO Guidance for

automated segmentation of the coronaries, centerline extraction, and color coding of the centerlines to indicate foreshortening;
preprocedural planning of optimal angulations;
reducing fluoroscopy duration and wiring times.

Learn more about syngo CTO Guidance

ClearStent Live from Siemens Healthineers

ClearStent Live
Real-time stent enhancement

Courtesy of Universitätsklinikum Erlangen, Germany

ClearStent Live allowing real-time verification of stent positioning while moving the device

is integrated into the ARTIS systems, without the need of an additional workstation;
supports complex procedures like kissing stents, skirting technique, and adjacent stents;
offers the potential to speed up procedures and save contrast agent.

Learn more about ClearStent Live

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CTO Guidance Options and Upgrades Calculator

CTO Guidance calcutaor
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Frequently Asked Questions

We offer both static and real-time stent enhancement with ClearStent and ClearStent Live, respectively. Both options are available on all our systems without the need of an additional workstation and can also be used via the footswitch. Users of ARTIS icono and ARTIS pheno have the possibility to choose between two ClearStent Live options – one eliminating cardiac movement in the enhanced view and one overlaying the enhanced view on live fluoro. For more information please visit our ClearStent Live website.

Yes, we offer syngo CTO Guidance to support you in performing CTO cases with shorter wiring times and shorter fluorosopy duration. For more information please visit our syngo CTO Guidance website.

The use of syngo CTO Guidance is independent of scanner brand. For more information, please visit our syngo CTO Guidance website.

With Sensis Vibe, hyperemic and nonhyperemic calculation methods are seamlessly integrated into our recording system. The gold standard FFR, resting Pd/Pa and the Boston Scientific algorithm DFR are integrated. Siemens Healthineers also offers angio-based FFR with the standalone CAAS vFFR workstation on all our systems and the integrated QuantWeb vFFR as part of our syngo Application Software on ARTIS icono and ARTIS pheno. For more information, please visit our vFFR website.

Yes, this is possible with the use of CAAS IV-LINQ and is IVUS or OCT vendor independent.

Yes, the MAGNETOM Sola Cardiovascular Edition is a 1.5T MRI scanner configured to meet the demands of cardiologists. The MAGNETOM Sola Cardiovascular Edition offers exams in free breathing for vulnerable cardiac patients and includes tissue characterization applications as well as planning and guidance software tools, such as myExam Cardiac Assist. For more information, please visit our MAGNETOM Sola Cardiovascular Edition website.

For robust cardiac imaging without motion artifacts high temporal resolution is needed. Synergizing the best scanner technology with fast and intelligent workflow applications leads to a complete solution for fast and confident decisions. The unique temporal resolution of Dual Source technology eliminates cardiac and coronary motion at low contrast and radiation dose levels. For more information please, visit our Cardiac CT website.

With the Atellica VTLi® Patient-side Immunoassay Analyzer, Siemens Healthineers offers a simple-to-use tool which delivers accurate, clinically actionable, high-sensitivity troponin I results in under 8 minutes – directly at point of care. For more information, please visit our Atellica VTLi website.

With Sensis Vibe, Siemens Healthineers offers a scalable solution for hemodynamic acquisitions within the cath lab and hospital infrastructure. It is a central point of data handling and the vital core where all events, decisions, measurements, and data from the procedures are captured. Sensis reduces administrative effort and standardizes documentation and reporting across interventional entities. For more information, please visit our Sensis Vibe website.

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¹ https://world-heart-federation.org/what-is-cvd/

² https://www.tctmd.com/news/cardiac-mri-and-spect-reduce-unnecessary-angiograms-vs-guideline-directed-care-suspected-cad

Coronary Artery DiseaseMake confident diagnostic decisions on coronary artery diseases – fast