For the very first time, three full-scale sterile hybrid operating suites from GE Healthcare, Philips and Siemens were on display at CX. The importance of quality imaging as a prerequisite for improved clinical outcomes was emphasised in every section of the main programme. This went hand in hand with calls from physicians for high-quality image availability in the intraoperative setting.
Imaging is certainly at the heart of endovascular intervention, and it is now widely accepted that using the best available imaging can have a direct impact on achieving the best clinical results. With the blurring of boundaries between specialties in the endovascular arena, there was a clear need expressed by clinicians at CX for improved imaging at the intraoperative stage. Delegates at CX35 are split in nearly equal proportions along the disciplines of vascular surgery, interventional radiology and interventional cardiology.
Georg Nollert, director, Global Marketing, Siemens, told CX Daily News: “I am very happy that the focus on imaging is increasing. In the past, vascular surgeons were satisfied with inferior image quality and other interventionalists such as radiologists and cardiologists benefited from using the best available imaging. I believe that surgeons ought to have the same image quality in order to get the best results.”
In the preoperative and postoperative setting, ultrasound and other sophisticated imaging modalities such as CT or MRI are widely available. Nollert said: “Intraoperatively, however, imaging was limited to the use of C-arms (2D fluoroscopy) in the past. Therefore, one available solution was to enable the superimposition of the preoperative images with the intraoperative images. Using preoperative CT or MRI, this then creates the 3D road map that interventionalists could use for very sophisticated interventions.
“Another possibility was just to use intraoperative cone beam CT, and we are getting close to conventional CT quality with this. The elegance of this solution is that the images are automatically registered to the patient and there is, on the other hand, the actual anatomy of the patient on the table that is probably not the anatomy that you have on the