Siemens’ Artis zee® angiography system has recently integrated the navigation technology MediGuide1 from St. Jude Medical headquartered in St. Paul, Minnesota, U.S., for cardiac intervention purposes. Through magnetic targeting, MediGuide locates the catheter during cardiac interventions and projects its precise position in real-time on a previously acquired fluoroscopy image of the patient. MediGuide Technology highlights the radiation dose reduction potential since the position of the catheter can be tracked without using X-ray repeatedly during the procedure.
St. Jude Medical develops medical technology and services that focus on putting more control into the hands of those who treat cardiac, neurological and chronic pain patients worldwide; but it was the Heart Center in Leipzig, Germany, that performed the first interventions with Artis zee and the MediGuide Technology. The results thus far provide a signal as to where the future of electrophysiology is headed. “The low-radiation, precise localization of the catheter tip onto the pre-recorded fluoroscopy image is a most impressive function, because the system is able to compensate the motion from heart beat and breathing,” said Professor Dr. Gerhard Hindricks, Director of the Rhythmology Department. “For my team and me, this is clearly the future in electrophysiology.”
Dr. Christopher Piorkowski, MediGuide Project Team Leader at the Heart Center Leipzig: “Our clinical experience now includes more than 50 patients. The technology will have a significant impact in the field of catheter ablation, but also for the placement of left ventricular leads for cardiac resynchronization.”
Navigation with the MediGuide Technology from St. Jude Medical utilizes a unique electromagnetic tracking procedure to determine the position of medical devices during minimally-invasive interventions. During such interventions, a miniaturized sensor integrated into the catheter can be located by receiving electromagnetic positioning signals from the MediGuide transmitters, which are incorporated into the detector housing of the Artis zee system. The MediGuide Technology then calculates the respective position and orientation of the catheter and displays it in real-time on fluoroscopic images of the patient that were recorded earlier. The technology also compensates for patient movement caused by respiration and heart motion.
The MediGuide Technology may provide significant benefits especially during longer interventions or examinations in the cath lab. The cardiologist no longer has to take fluoroscopic images of the patient each time the catheter is re-positioned, as is the case with the current technology. As a result, less radiation and less contrast agent use is expected.
___________________
1The products mentioned here are not commercially available in all countries. Due to regulatory reasons the future availability in any country cannot be guaranteed.