The multitalented ARCADIS Avantic™ (right picture) examines more than just hearts and kidneys. The mobile 33-centimeter image intensifier opens up innovative opportunities for gastroenterologists. For gastroenterological examinations, this mobile C-arm means new opportunities, in part thanks to a large field of view. This is especially advantageous in endoscopic retrograde cholangiopancreatography (ERCP), the most frequent interventional procedure. ARCADIS Avantic allows physicians to simultaneously view all anatomical structures of interest. Because the duct system for the duodenum, liver, gallbladder, and pancreas are all located apart from each other, they were not able to visualize the pathways. The large field of view of ARCADIS Avantic makes this possible.
Matthias Maier, MD, Head of Internal Medicine at Knappschaft Hospital in Püttlingen, Germany, (left picture) is impressed with the versatility of the system, "Exact imaging is extremely helpful in determining the smallest irregularities. I consider ARCADIS Avantic to be an extremely precise system." According to Maier, the improved image quality enables more precise handling for more difficult cases, for example an adipose patient with gallstones. Here, fluoroscopy is especially important in order to see every detail, explains Maier.
Another challenge for gastroenterologists is the very thin wires in fluoroscopic instruments. They used to be 0.09 centimeters and today they are as tiny as 0.05 centimeters. For this reason, problems arise with average-sized patients as well according to Maier. These wires are detected with the ARCADIS Avantic. The system also allows him to see more when evaluating the disease pattern of sclerosing cholangitis compared to conventional systems. The narrowing of the biliary tract may occur with chronically inflamed intestinal disease and is easily visible with the Siemens C-arm.