To deliver therapeutic material to tumors during trans-arterial chemoembolization therapy, it is essential to identify the liver vessels accurately. But the liver’s complex vasculature can make precise identification of tumor-feeding vessels in 2D and 3D images a challenge, often requiring significant time, radiation, and contrast media.
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Plan
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Guide
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Assess
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FlightPlan for Liver helps you plan your liver embolization procedure. It automatically highlights vessels traveling from the catheter tip to the vicinity of a liver hypervascular lesion.
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Once ready, you can send the FlightPlan for Liver 3D model to Innova Vision with a single click and use it as a 3D roadmap to guide catheters across tortuous vessels and bifurcations, helping you perform the embolization with confidence.
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A post-operative Innova CT helps you determine the success of the
embolization.
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Needle procedures
Performing needle procedures in the interventional suite frees up your CT system and provides better access to the patient. However, under fluoroscopic guidance, it may be challenging and time-consuming to find the right entry point and advance the needle while avoiding critical structures.
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Plan
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Guide
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Assess
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With Volume Viewer and Trajectory Planning, you can plan the procedure using
outstanding 3D information and determine the optimal skin entry points and needle paths.
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With Innova TrackVision, you can guide
your needle along the trajectory that will follow the C-arm angulation and table movement. Plus, a dedicated algorithm overlays the bone anatomy and helps you correct for even small patient motion,
helping to facilitate accurate needle trajectory registration at any time during your procedure.
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At the end of the procedure, when the
cement has been injected, an Innova CT
acquisition will help you see the cement
implantation in 3D and thus confirm
procedure completion.
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Portal Vein Embolization
The objective is to embolize only the branches that correspond to the part of the liver that will be resected. The portal vein has numerous anatomical variations, with many different branches that can be difficult to distinguish one from another on 2D fluoroscopic images. To do this with confidence, you must understand the exact position of the catheter in the anatomy and control the embolization phase in real time.
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Plan
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Guide
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Assess
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With Innova 3D, you can depict the full liver portal system and select the branches to
be embolized without being bothered with
vessel tortuosity and superimposition
issues.
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Using Innova Vision, you can fuse the 3D information on live fluoroscopy in the lab
with real-time adjustment of the C-arm angulations and table position, offering
virtual support to navigate in the anatomy and control the embolic agent material injection.
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After the procedure, you can use an
Innova Subtracted 3D acquisition to
visualize embolic material uptake in the
branches embolized allowing you to determine whether the patient needs
additional branches embolized.
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