A new generation biplane angio suite –an all-rounder from head to toe

D.Vorwerk

Ingolstadt

• 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.

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

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

Monoplane use

Position for radial

access

Headside position

(Neuro) Leftside position

(Peripheral work)

Abdominal

position (TACE)

Rightside position

(Head free for

anaesthesia)

Parking position

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

Positioning in peripheral interventions

Left lateral position

Left and right dialysis fistula work

TIPS

Image quality

Stroke management

1592 uGym2

Abdominal coiling

TACE

Before 6 weeks after

3672 uGym2

TIPS

Cross-over stenting

6070 uGym2

Flat panel Dyna CT

261 uGym2

Peripheral angioplasty

Variable and dedicated screenarrangements

Personalized workflow

Workflow

• Standardization

• Tailored configuration:

Image parameters,

C-arm position,

table position,

zoom factor, collimation,

display layout

• Personalization

• Menu guided work-up

Is there a potential for biplane usein general I.R. ?

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 )

Double BV rotationFuture abilities

• TACE

short rotation

• Coverage of large volumes (e.g. aorta)

Simultaneous BV rotation side by side