Search for: "catheter" - 461 articles found

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Ultrasound

Acuson P500 Ultrasound System

Highlights• Innovative technologies that automatically ­detect and prevent motion artifacts, reduce noise, and simultaneously enhance color• 15" infrared touch screen improves gesturing accuracy• Increase patient throughput with mobile quick scanning and boot-up times of less than 30 seconds• The IntraCardiac Echocardiography (ICE) Edition integrates the imaging…

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Accessories / Complementary Systems

Advanced Edge Enhancement

HighlightsEnhanced visibility of catheters, fine structures and bonesBetter visualization of foreign structures in the imageEnhanced display of fine structuresBetter definition of the structures in soft tissue and low dose area’sObtain enhanced images suitable for measurement or other applicationsCatheter, small structure and bone settings depending on the specific applicationImproved…

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Sponsored • Optimization for CT

An update for contrast agent injection

The Accutron CT-D Vision is the next generation of the leading contrast agent injector for computed tomography from Medtron AG. Focusing on the needs of the user, the latest development stage of the Accutron CT-D improves the usability of the CT double-piston contrast agent injector and optimizes its integration into the radiological environment.

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Article • Appeal to healthcare providers and medical device vendors

ECRI reports top 10 health technology hazards for 2023

ECRI’s annual top ten technology hazard list alerts hospitals and healthcare providers of situations, products, and procedures they need to diligently monitor and/or take steps to improve. This non-profit technology Pennsylvania research firm has worked for over 50 years to make healthcare safer. The list reflects the organization’s collective judgment about the health technology risks that…

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Article • Benefits of multimodality imaging

Stroke: The importance of workflow

When a patient suffers a stroke, speed in treatment can mean the difference between successful recovery, permanent disability, or death. For Christopher Hess, success in stroke diagnosis is a question of workflow and efficient care delivery.

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Article • A potentially devastating impact

Covid-19 alters antibiotic use

The long-term impact of the coronavirus pandemic on antimicrobial resistance remains difficult to predict. Infectious diseases consultant Professor Alison Holmes reflects on Covid-19's effect on antibiotic use in hospitals and beyond.

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Article • Healthcare among the stars

Taking French interventional radiology to space

French interventional radiologists are pushing the frontier by looking at opportunities to perform minimally invasive procedures in manned space flights. A new strategy explored by the French Society of Radiology (SFR) is to equip astronauts with an interventional kit when flying outside of the earth’s orbit, a leading interventional radiologist explained ahead of the JFR, the SFR’s annual…

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News • Cardiology research

Transcatheter aortic valve replacement: new insights on life expectancy

Researchers at Karolinska Institutet have examined long-term outcomes in patients who received pacemaker implantations after transcatheter aortic valve replacement (TAVR) through their groin. The result showed no significant difference in mortality for the patients with pacemakers compared to those without. The study is published in the journal JACC: Cardiovascular Interventions.

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News • Transient implant

A pacemaker that dissolves when it's no longer needed

Researchers at Northwestern and George Washington (GW) universities have developed the first-ever transient pacemaker — a wireless, battery-free, fully implantable pacing device that disappears after it’s no longer needed. The thin, flexible, lightweight device could be used in patients who need temporary pacing after cardiac surgery or while waiting for a permanent pacemaker. All components…

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News • Digital patients, promising results

Are 'virtual' trials the future of research?

A study involving virtual rather than real patients was as effective in evaluating a medical device used  to treat brain aneurysms, according to new research. The findings are proof of concept for what are called in-silico trials, where instead of recruiting people to a real-life clinical trial, researchers build digital simulations of patient groups, loosely akin to the way virtual…

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Sponsored • Greater comfort, safer use

CT injection progresses with Accutron CT-D Vision

‘Accutron CT-D Vision is the latest evolution of Medtron`s flagship CT injector. Designed to enhance operability, the updated user interface is displayed on larger touch screens and provides a simplified programming and more comprehensive follow-up of each injection step,’ the company reports. ‘The new IDS (Injection Data Sharing) option enables injection data to be shared through RIS/PACS…

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News • New cardiology approach

Super saturated oxygen therapy reduces consequences of heart attack

In Germany, more than 200,000 people suffer a heart attack every year. Despite good medical care, many are left with reduced cardiac output. This is particularly true for patients with severe heart attacks: more than 30 percent of those affected develop heart failure, and almost half of them die within the next five years. Experts at the Department of Cardiology and Angiology at Hannover Medical…

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News • AI in cardiology

Machine learning accurately predicts cardiac arrest risk

A branch of artificial intelligence (AI), called machine learning, can accurately predict the risk of an out of hospital cardiac arrest--when the heart suddenly stops beating--using a combination of timing and weather data, finds research published online in the journal Heart. Machine learning is the study of computer algorithms, and based on the idea that systems can learn from data and identify…

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News • Merging modalities

AI combines ECG and X-ray to diagnose arrhythmic disorders

Kobe University Hospital’s Dr. Makoto Nishimori and Project Assistant Professor Kunihiko Kiuchi et al. (of the Division of Cardiovascular Medicine, Department of Internal Medicine) have developed an AI that uses multiple kinds of test data to predict the location of surplus pathways in the heart called ‘accessory pathways’, which cause the heart to beat irregularly. In this study, the…

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Interview • Interventional Radiology

Endovascular simulator – your coach for complex interventions

With interventional procedures becoming more and more complex the demands on the interventionalists are also increasing. Endovascular simulators allow practical angiography training. In December 2020, the University Hospital Essen, Germany, was the first European facility to install Mentice’s VIST G7+. Professor Dr Jens Theysohn, senior physician at the Institute of Diagnostic and…

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Video • Evaluation of contact-free interaction model

Talking to a 'robotic doc'? Most patients wouldn't mind

In the era of social distancing, using robots for some health care interactions is a promising way to reduce in-person contact between health care workers and sick patients. However, a key question that needs to be answered is how patients will react to a robot entering the exam room. Researchers from MIT and Brigham and Women’s Hospital recently set out to answer that question. In a study…

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Video • Wearable for blood pressure, heart rate, glucose and more

New patch monitors multiple markers at once

Engineers at the University of California San Diego have developed a soft, stretchy skin patch that can be worn on the neck to continuously track blood pressure and heart rate while measuring the wearer’s levels of glucose as well as lactate, alcohol or caffeine. It is the first wearable device that monitors cardiovascular signals and multiple biochemical levels in the human body at the same…

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News • Atrial fibrillation treatment

Gold-tipped, force sensing ablation catheter approved for CE-market

Electrophysiologists in Europe will now have access to state-of-the-art, gold-tipped force sensing ablation catheters following the Biotronik announcement that AlCath Force is CE-market approved. With the release of the unique catheter, a full suite of specialized tools for a complete solution in the treatment of complex atrial fibrillation (AF) cases is available to physicians.

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Article • A technique evolves

Cardiac CT: a diagnostic jack-of-all-trades

According to Professor Fabian Bamberg, Medical Director at the Clinic for Diagnostic and Interventional Radiology at University Hospital Freiburg, Germany, ‘In recent years, cardiac CT has seen a mindboggling technological evolution.’ It is, he believes, a very robust procedure that allows the routine acquisition of high-resolution images with very few side effects.

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News • Expanding image-guided therapy devices portfolio

Philips to acquire Intact Vascular

Royal Philips announced that it has signed an agreement to acquire Intact Vascular, Inc., a U.S.-based developer of medical devices for minimally-invasive peripheral vascular procedures. Intact Vascular will enhance Philips’ image-guided therapy portfolio, combining Philips’ interventional imaging platform and diagnostic and therapeutic devices with Intact Vascular’s unique, specialized…

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News • Atrial fibrillation ablation

Superfast procedure to treat heart arrhythmia

A new procedure to correct atrial fibrillation (AF) has been performed for the first time in the UK last week at Leicester's Hospitals. AF affects 1-2% of the general population, which amounts to more than 1 million people in the UK, and increases the risk of stroke by five times. Treating the condition with medicine is often ineffective, with many patients continuing to suffer from…

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News • 'Ancientbiotics'

Medieval medicine against antibiotic resistance

Antibiotic resistance is an increasing battle for scientists to overcome, as more antimicrobials are urgently needed to treat biofilm-associated infections. However, scientists from the School of Life Sciences at the University of Warwick say research into natural antimicrobials could provide candidates to fill the antibiotic discovery gap.

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Sponsored • Product of the month

VeinViewer® - Innovation in visualization

The VeinViewer® uses harmless near-infrared (NIR) light which is directed towards the patient’s skin. Haemoglobin in the blood absorbs the NIR and the surrounding tissue reflects it back to the VeinViewer® device, where the data is processed into an image, colour is added and the image sent back to the skin to provide a real time visualization of the blood vessels and patterns up to 10mm…

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News • Irregular heartbeat treatment

Holograms help physicians during cardiac procedures

Bringing a little bit of science fiction into an operating room, a team of engineers and physicians at Washington University in St. Louis has shown for the first time that using a holographic display improves physician accuracy when performing a procedure to treat irregular heartbeat. Jennifer N. Avari Silva, MD, associate professor of pediatrics at the School of Medicine, and Jonathan Silva,…

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News • Angiology

Introducing a thinner, stronger, more flexible iliac stent

Medical device company Biotronik is proud to announce the availability of its next-generation balloon-expandable cobalt chromium iliac stent system, Dynetic-35. When compared to leading competitors, the new peripheral stent has up to 14 times greater flexibility and up to 23% higher radial strength. It is indicated for the treatment of de novo or restenotic atherosclerotic lesions in the iliac…

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News • Weaning from respiration

COVID-19: novel Diaphragm Therapy shows promise

Department B for Internal Medicine of the University Medical Center Greifswald successfully used, within an international multi-center trial, a special diaphragmatic stimulation therapy to treat a COVID-19 patient as the first clinical site in Europe. "The first patient treated in this trial happened to be a woman who survived COVID-19, but was not able to be weaned from mechanical…

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Interview • Abbott cardiovascular

An increasingly dynamic cardiovascular presence

In the world of laboratory diagnostics, ‘Abbott’ is a household name. Few people however are aware of the fact that the company, headquartered in Illinois, USA, is also leading in other fields. A number of innovations in cardiac and vascular diagnostics and therapy might soon put Abbott in the limelight. Dr Angela Germer, Regional Director DACH, and Volker Keller, Head of Marketing DACH,…

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Article • Magnetic pull on catheters

Fringe Field Navigation transforms endovascular surgery

A new technique could enable vascular surgeons to reach even the more difficult body regions. Instead of pushing catheters into minute veins, the system, devised in Canada by Professor Sylvain Martel and team at the Polytechnique Montréal Nanorobotics Laboratory, uses magnetic forces to pull a guidewire, or catheter, into remote physical locations, guiding medical instruments into narrow and…

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Article • More power for interventionists

Combining image-guided diagnosis and robot-assisted treatment

Siemens Healthineers AG took a big step last October. To incorporate treatment along an entire clinical path, the firm acquired Corindus Vascular Robotics, Inc., to combine image-guided diagnosis with robot-assisted surgery. A couple of months later, the Corindus endovascular robotic system CorPath GRX was used to implant a vascular stent into an obstructed coronary artery – the first use of…

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Article • Corona consequences in Spain

COVID-19 fears put interventional cardiology on lockdown

The number of primary angioplasties – the main treatment for heart attack – has dropped by 40% in Spain since the beginning of the coronavirus lockdown. Other key diagnostic and therapeutic procedures have also considerably diminished. Spanish cardiologists are urging the population to call the emergency medical systems whenever symptoms of myocardial infarction occur, in spite of fears…

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News • Automated helper

Robot uses AI and imaging to draw blood

Engineers at Rutgers University have created a tabletop device that combines a robot, artificial intelligence and near-infrared and ultrasound imaging to draw blood or insert catheters to deliver fluids and drugs. Their most recent research results, published in the journal Nature Machine Intelligence, suggest that autonomous systems like the image-guided robotic device could outperform people on…

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Sponsored • Customer story

Ultrasound improves renal care at St Helier Hospital

St Helier Hospital in the London Borough of Sutton – part of the Epsom and St Helier University Hospitals NHS Trust – has one of the largest renal medicine departments in the UK, and relies on Fujifilm SonoSite point-of-care ultrasound (POCUS) systems to improve care and patient safety. Dr Pritpal Virdee, a senior registrar in the department, explained: “We have a very busy renal department…

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News • Hyperventilation vs cardiac arrhythmia

Hold your breath – save your heart?

A technique that enables patients suffering from heart conditions to hold their breath safely for over 5 minutes could have potential as part of a new treatment for cardiac arrhythmias, say researchers at the University of Birmingham. In a new study, published in Frontiers in Physiology, researchers initially proposed the technique as a new means for earlier diagnosis of ischaemic heart disease.…

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Sponsored • Percutaneous coronary intervention (PCI)

Robotic angioplasty: The future of endovascular interventions

An exciting development from an innovative French company is poised for a major breakthrough in European markets. As is now well-known, coronary angioplasty is a procedure that widens and/or unblocks the arteries to the heart by the insertion and inflation of a balloon and/or stent into the vessel lumen. In modern practice, a stent is normally left in place to ensure the blood flow remains…

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Article • Today’s improved lower leg treatments

Peripheral vascular therapies

Interventional radiotherapy for tibial arteries has increased in recent years. Why? People are getting older and better techniques and materials now permit treatment even of very thin vessels. Professor Dierk Vorwerk, Director of the Institute for Radiology at Ingolstadt Hospital, where almost a third of all interventions in his department are performed on the lower leg, described the most…

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Sponsored • Lab medicine

Four perspectives on preanalytics and patient safety

BD participated in the 5th European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) conference on preanalytical phase in Zagreb, Croatia 22–23 March 2019. At the conference, we met Mr Steve McManus, Prof Ana-Maria Simundic, EFLM conference chair, Prof Mario Plebani and Dr Alexander von Meyer, member of the EFLM conference scientific committee. Prof Simundic and Dr von Meyer…

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News • Meta-analysis

Benefit and risk: drug-coated balloon angioplasty

Scientists of Jena University Hospital, Germany, conducted a meta-analysis to evaluate benefit and risk of paclitaxel-coated balloon angioplasty compared to conventional balloon angioplasty as therapy of intermittent claudication. The study confirms an increased all-cause mortality, which has formerly been stated, and found a broad heterogeneity in the effectivity of the procedure depending on…

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News • Catheter ablation support

Software lets surgeon see real-time 3D map of heart

Innovative software that allows a surgeon to view inside a patient’s heart in real time while applying treatment has been used for the first time in the UK in operations at the National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC). University of Leicester Professor and Leicester’s Hospitals Cardiologist Andre Ng used the new technique in operations on two…

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Article • Highlights from the 30th TCT Meeting

Advancing transcatheter cardiovascular therapies

A remarkable number of studies and innovations were presented at the 30th anniversary of Transcatheter Cardiovascular Therapeutics (TCT) meeting in San Diego, California. TCT 2019 will take place in San Francisco, CA between 25-29-Sep-2019. On the clinical side, the long-expected results from COAPT trial studying MitraClip device in patients with secondary mitral regurgitation and heart failure…

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News • Interventional radiology

Safe, cheap embolisation for emerging countries

Vincent Vidal (Marseille, France) and colleagues have demonstrated the in vivo feasibility of arterial embolization with permanent and absorbable suture fragments, leading them to propose what they have termed the “FAIR-Embo” concept to the wider interventional radiology (IR) community. Writing in Cardiovascular and Interventional Radiology (CVIR), they conclude: “Embolization by absorbable…

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News • "Bless you!"

Common cold virus could revolutionise bladder cancer treatment

A strain of the common cold virus has been found to potentially target, infect and destroy cancer cells in patients with bladder cancer. No trace of the cancer was found in one patient following treatment with the virus. The researchers published their findings in the medical journal Clinical Cancer Research. Researchers from the University of Surrey and Royal Surrey County Hospital investigated…

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News • GBO customer magazine

bioLOGICAL: Safety when it matters

The latest issue of Greiner Bio-One's (GBO) customer magazine bioLOGICAL is out now. The third edition of the magazine contains exciting articles about arterial and venous catheter as well as the General Data Protection Regulation in health care section. On a trip to Helsingborg, GBO introduces Vigmed and its products. The Swedish company was taken over by Greiner Bio-One in 2017.

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News • Brachytherapy

Single dose of targeted radiotherapy: safe and effective for prostate cancer

A single high dose of radiation that can be delivered directly to the tumour within a few minutes is a safe and effective technique for treating men with low risk prostate cancer, according to a study presented at the ESTRO 38 conference. Radiotherapy traditionally involves a series of lower dose treatments that take place over several days or week. The new treatment is called high dose-rate…

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Article • Differentiate and select

Myths and truths about antibiotics, antiseptics and vaccination

Sixty-two percent of Germans fear antibiotic resistance, according to a survey recently conducted by the German Federal Institute for Risk Assessment. ‘Patients colonised by multi-resistant pathogens are particularly scared. But many of these fears are rooted in misunderstandings,’ explained Professor Mathias Pletz at the Congress for Infectious Diseases and Tropical Medicine (KIT).

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News • Simplified catheter ablation

“Back to basics” atrial fibrillation procedure could cut waiting lists

A day case catheter ablation procedure which includes only the bare essentials and delivers the same outcomes could slash waiting lists for atrial fibrillation patients, according to late-breaking results from the AVATAR-AF trial presented today at EHRA 2019, a European Society of Cardiology (ESC) congress. With the simplified protocol, 30% more patients could receive catheter ablation for the…

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News • Angiography configuration

Canon debuts Alphenix 4D CT at ECR 2019

Canon Medical Systems Europe B.V. introduces a new angiography configuration featuring its Alphenix Sky+ C-arm and Hybrid Catheterization Tilt/Cradle Table for interventional procedures with its Aquilion One Genesis CT system. The new pairing, called the Alphenix 4D CT, allows clinicians to efficiently plan, treat and verify in a single clinical setting. “The all new Alphenix 4D CT was designed…

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News • Precision medicine

Europe looks to cells for a healthier future

How can we detect the first signs of disease as early as possible? Could closer investigation at the cellular level help to quickly prevent disease progression through appropriate treatment? The European Union is now investing a million euros over a one-year period to devise the plan for a fundamentally new approach to understanding the constant changes within cells and their relationships to one…

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News • Brain health after surgery

Post-operative cognitive decline: mostly a myth, says study

Patients who undergo heart surgery do not experience major memory changes—either better or worse—when compared with those who have a much less invasive, catheter-based procedure, according to a study published online in The Annals of Thoracic Surgery. “It was comforting to see that the differences in cognitive decline between the two heart procedures are small, even though one involves…

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Article • Medica 2018

The Czech med-tech market is thriving

The Czech Republic has a long tradition of ground-breaking medical innovations. At Medica 2018, the presence of Czech companies and traders underlined that medical devices and technologies from this country have continuing strength and value. Having recorded steady growth over the past few years, the Czech medical technology sector now produces a volume of around €870 million. 13,400 people…

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Article • Cut device-related pressure ulcers

Biomedical designers must increase safety

Whilst acknowledging that state-of-the-art bioengineering approaches are being applied in preventing Medical Device Related Pressure Ulcers (MDRPUs), Professor Amit Gefen, from the Department of Biomedical Engineering at Tel Aviv University, believes there are gaps in knowledge and technology in this area and therefore more must be done to improve patient care and avoid additional healthcare…

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Sponsored • Point-of-care

Improving the safety and quality of pediatric emergency care with POC ultrasound

Point-of-care ultrasound (POCUS) has become an important adjunct to clinical diagnosis and procedural guidance in the Pediatric Emergency Department (PED), supported by literature demonstrating that its use can improve patient safety and expedite life-saving care. POCUS further helps to reduce costs and children’s exposure to ionizing radiation. Not only is POCUS ideally suited for…

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News • ANESTHESIOLOGY 2018

Virtual reality reduces children’s anxiety and pain

Innovative virtual reality (VR) technologies hold promise in reducing children’s anxiety and pain before and after medical procedures and surgery, suggest two studies that were presented at the Anesthesiology 2018 annual meeting. The first study found virtual reality hypnosis (VRH) reduced anxiety, total postoperative opioid consumption and vomiting in children after scoliosis surgery.…

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Sponsored • Fungal testing

One test winning over a run of 10 New β-Glucan test delivers rapid results

Fungal testing plays a critical role in patient care. However, the turnaround for results can be lengthy because the existing tests need 10 samples in a run. Professor Maurizio Sanguinetti, Professor of Microbiology at the Catholic University of the Sacred Heart (Università Cattolica del S. Cuore), in Rome, Italy, is comparing the results of a new test with those from existing tests. Created by…

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Interview • Cardiac imaging on ICE

The benefits of Intracardiac echocardiography

Intracardiac echocardiography (ICE) is an increasingly important guiding tool for structural heart disease interventions – without general anaesthesia. José Ribeiro, who works in the thorax and circulation unit at Gaia Hospital Centre, Portugal, who has worked with this technology for the past two years, explained its benefits and limitations.

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Article • Cardiology & the sexes

Why heart attacks are different for women

MRI has a central role in picking up myocardial infarction with non-obstructive coronary disease, a condition that particularly affects women but is often left untreated, with potentially fatal outcome. Heart attack in women presents differently than in men and requires a different approach when it comes to detection and prevention, according to cardiologist Allison Hays.

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Article • 3D & CHD

The changing face of imaging in cardiology

While the question is still debated as to whether MRI is the better CT, along comes a potential game changer – a new data based 3-D reconstruction method of heart anatomy and function that aims to replace diagnostic coronary angiography. In the near future not only adult patients with coronary heart disease could benefit from this new technique but also children with complex congenital heart…

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Article • Cardiology congress

ESC 2018: At the heart of research

When delegates from around 150 countries converge on Munich for ESC Congress 2018 they will no doubt reflect on what they themselves eat. Yes, nutrition is up for debate, questioning, for example, whether weight loss therapies can also prevent heart attacks and strokes. Results from the CAMELLIA-TIMI 61 trial of 12,000 overweight individuals with established cardiovascular disease or diabetes…

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News • After a stroke

‘Hole in the heart’: Experts recommend catheter based closure

A catheter based procedure to close a type of ‘hole in the heart’ followed by antiplatelet drugs (e.g. aspirin) should be recommended for patients under 60 years old, who have also had a stroke, say a panel of experts in The BMJ today. The procedure involves slowly moving a catheter into the heart to close the hole. Most guidelines currently advise against the closure procedure and instead…

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News • vFFR calculation

New software facilitates angiographiy analysis

A new software to calculate the pressure drop and vFFR value (vessel Fractional Flow Reserve) in the coronary artery non-invasively was presented to interventional cardiovascular experts at EuroPCR 2018 in Paris. The software called CAAS vFFR (Cardiovascular Angiographic Analysis Systems for vessel Fractional Flow Reserve) was developed by Pie Medical Imaging (Esaote Group). The vFFR calculation…

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Sponsored • Radiation garment

Zero-Gravity suspended radiation protection

In today’s operating rooms, increasing fluoroscopic procedures keep interventionists at work longer, wearing the hugely heavy lead aprons necessary for protection against radiation. Chronic back pain is often accepted as something that simply comes with the job. Relief has arrived at last in the form of Zero-Gravity, a suspended radiation protection system designed to increase radiation…

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Article • Joining strengths

Vaccination and infection control: Two pillars of prevention

Synchronised efforts between preventive medicine and immunology enable powerful vaccination strategies in a Spanish seniors hub. Efficient prevention also comes with proper infection control and regulating antibiotics use in primary care, local expert in preventive medicine explained in an exclusive interview with EH. Working in a small structure has its perks, one of which is that departments…

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Sponsored • World-class technologies

New cutting-edge products and clinical applications

“With Your Stories – lifetime healthcare support” is the ­future-driven approach combining the best of two worlds by using our insight and expertise in medical imaging systems and laboratory instrumentation to benefit patients through even better prevention, diagnosis, treatment and follow-up and thus help them in the pursuit of a healthy life.

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Video • TCAR (Transcarotid artery revascularization)

Reversing blood flow reduces stroke risk during carotid artery procedure

Loyola Medicine is the first academic medical center in Illinois to use the TCAR system, which reduces stroke risk during carotid artery procedures by temporarily reversing blood flow. Carotid arteries on each side of the neck supply blood to the brain. In patients with carotid artery disease, a build-up of plaque can cause blockages. A common method to open the artery involves a balloon…

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News • Ventricular tachycardia

Deadly heart rhythm halted by noninvasive radiation therapy

Radiation therapy often is used to treat cancer patients. Now, doctors at Washington University School of Medicine in St. Louis have shown that radiation therapy — aimed directly at the heart — can be used to treat patients with a life-threatening heart rhythm. They treated five patients who had irregular heart rhythms, called ventricular tachycardia, at the School of Medicine. The patients…

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News • Prognosis and diagnosis

Deep insight into the heart

By no means are only elderly people at risk from heart diseases. Physically active individuals can also be affected, for example if a seemingly harmless flu bug spreads to the heart muscle. Should this remain undetected and if, for example, a builder continues with his strenuous job or an athlete carries on training, this can lead to chronic inflammation and in the worst case even to sudden…

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News • De-fragmenting efforts

Coordinated emergency care improves heart attack survival

Coordinating the response to heart attacks among emergency responders and hospitals reduces the time to treatment and saves lives - even on a large, regional scale, according to a study led by the Duke Clinical Research Institute with support from the American Heart Association. In the largest demonstration of the coordinated approach - 132 hospitals and 946 EMS agencies in 12 U.S. regions -…

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Article • Bubble business

A transducer halts abdominal bleeding

Stopping abdominal wall bleeding with contrast-enhanced ultrasound was just one of the exciting developments in CEUS presented at the Bubble Conference 2017 in Chicago. When you cut your finger you apply pressure to the wound until the bleeding stops. Professor Dirk-André Clevert from the Institute for Clinical Radiology at the Ludwig Maximilian University Hospital, Munich, Germany, remembered…

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Sponsored • Point-of-care ultrasound

Gambian trip offers dialysis hope

Point-of-care ultrasound is a valuable tool for successful dialysis fistula surgery, allowing pre-operative mapping to find a suitable site and post-operative fistula scanning to check for stenosis and adequate blood flow. Anna Jerram, a clinical vascular scientist at the Manchester Royal Infirmary, discusses the role POC ultrasound played during a recent trip to the Gambia to provide critical…

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News • Recommendations

First European advice on deep vein thrombosis

The first comprehensive European advice on deep vein thrombosis is published in the current issue of European Heart Journal. The recommendations were produced by the European Society of Cardiology (ESC) Working Group on Aorta and Peripheral Vascular Diseases and Working Group on Pulmonary Circulation and Right Ventricular Function.

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Article • ESC Congress 2017

Entering the future of cardiology

With 4,500 accepted abstracts, 600 sessions and 30,000 expected attendees, ESC Congress 2017 is undoubtedly the world’s largest cardiovascular event. On healthcare-in-europe.com, Dr Stephan Achenbach, Congress Program Committee Chairperson, gives an overview of issues and events unfolding in Barcelona from August 26-30.

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Sponsored • Point-of-care

The TUBE approach to perioperative point-of-care ultrasound

Anaesthetists working in perioperative medicine have increasingly taken a whole body approach to patient evaluation known as TUBE – Total Ultrasound Body Examination – thanks to the development of point-of-care ultrasound. Dr Christophe Aveline, Consultant Anaesthetist in critical care and surgery at the Sévigné Private hospital in Rennes, is an advocate of TUBE and works closely on its…

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News • Microdevices

A miniscule robot could assist in minimally invasive surgeries

A tiny robot that gets into the human body through the simple medical injection and, passing healthy organs, finds and treats directly the goal – a non-operable tumor… Doesn’t it sound at least like science-fiction? To make it real, a growing number of researchers are now working towards this direction with the prospect of transforming many aspects of healthcare and bioengineering in the…

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News • Coronary Artery Disease

Benefits of instant wave-free ratio (iFR) compared to fractional flow reserve (FFR)

Royal Philips today announced that the results from two large clinical trials comparing patient outcomes using instant wave-free ratio (iFR) and fractional flow reserve (FFR) in the diagnosis and treatment of heart disease have been published in the New England Journal of Medicine. First released in 2013, iFR is an innovative pressure-derived index unique to Philips, a global leader in…

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News • Happy Birthday!

Bracco celebrates its 90th anniversary with "Bracco Fellowships"

Bracco Imaging S.p.A., a leading global company in the diagnostic imaging business, today announced at the European Congress of Radiology (ECR) the launch of the "Bracco Fellowships", a new, unique initiative to promote excellence among European radiologists in partnership with the European Society of Radiology (ESR).

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Article • Surgery 4.0

Robots will not see off human specialists

Big Data, automation, and artificial intelligence – no doubt, all these developments will have an impact on surgery. During our interview, Professor Hubertus Feußner, Head of the interdisciplinary research group ‘Minimally invasive interdisciplinary therapy intervention’ at the Technical University Munich, Germany, and Professor Christoph Thümmler, Professor for eHealth at Edinburgh…

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Sponsored • Experience

25 years of point-of-care ultrasound in anaesthesia

Dr. Thomas Grau, Head of Anaesthesia, Surgery, Intensive Care, Emergency Medicine and Pain at the Gütersloh Clinic, first studied ultrasound for a PhD on spinal imaging at Heidelberg University Hospital in the 1990s. 25 years on, he reflects on the role point-of-care ultrasound now plays in anaesthesia.

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News • BMJ study

CT reduces cardiac catheterisations

Over 3.5 million cardiac catheterisations are performed in Europe each year. A study jointly conducted by radiologists and cardiologists at Charité – Universitätsmedizin Berlin and published in the latest issue of The BMJ compares CT with cardiac catheterisation in patients with atypical chest pain and suspected coronary artery disease (CAD). Please find below a few details regarding the…

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Article • Guidelines

Reprocessing - staff qualifications are vital

The reprocessing of medical devices in Europe is very inconsistent, according to a European Commission survey that was carried out in the 27 EU member states among politicians, medical device manufacturers and reprocessing companies, as well as doctors, hospitals and related professional parties

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Article • Mobility

Hitachi puts punch in portablility

When Ferdinando Draghi, M.D. speaks, the world of ultrasound listens carefully. The Editor-in-Chief of the Journal of Ultrasound, the author of 90 publications that have been cited in other peer-reviewed publications hundreds of times, Dr. Draghi is widely known for his authoritative knowledge in diseases affecting the musculoskeletal (MSK) system.

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Article • Stroke

Imaging in intra-arterial interventions

Stroke patients will first undergo a CT scan as they enter the hospital. Before any further imaging scan is carried out, the medical team must decide whether they need to intervene intra or extra cranially. ‘Imaging enables you to see which pathology you are dealing with and helps you select patients for either recanalisation or revascularisation or, in some cases, occlusion by embolisation,’…

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Article • Research

Device trial could benefit stroke patients

In the fast-evolving field of left atrial appendage closure a new study has delivered data that could benefit thousands of patients at risk of stroke. Led by Professor Martin Bergmann, head of Interventional Cardiology at Cardiologicum Hamburg in Germany, the EWOLUTION study was conducted to evaluate the Watchman Left Atrial Appendage (LAA) closure device from manufacturer Boston Scientific.

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Article • Predicting plaques

Exposing the secrets of the heart

Coronary interventions often rely more on art than science as the decision to treat a patient tends to be based on what clinicians can see, a subjective interpretation of cardiac imaging. Two new techniques have emerged for cardiovascular diagnostics that are enabling software to help surgeons and cardiologists measure, and thereby better manage cardiac disease.

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Article • Controversy

TAVI is approved for lower risk patients

The Medtronic CoreValve Evolut R System received its CE Mark of approval this August to treat aortic stenosis in patients with an intermediate risk for undergoing conventional surgery for a valve replacement. This is a controversial indication for transcatheter aortic valve implantations (TAVI) – one that has been eagerly sought by some clinicians but resisted by others. Younger patients will…

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Article • Data management

Cardiac IT made simple

When Michael Ziller, Head of IT at the Bethanien Hospital in Moers, Germany, was looking for a provider of cardiac IT applications that not only offered standard applications for ECGs as well as long-term ECGs and long-term blood pressure measurements, he realised there was not much on the market. ‘We had an additional challenge for this project in that we wanted all data to run via just one…

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Article • Intervention

Hybrid ORs: not equally beneficial for all facilities

The hybrid operating room is one of the most innovative developments in the surgical sector. The combination of interventional and minimally invasive surgical procedures is exciting for many clinical disciplines. The room design, intraoperative imaging techniques as well as interdisciplinary collaboration play a pivotal role in this.

News • Staphylococcus aureus

Women more likely to die within 30-days from bacterial blood infection

Clinicians around the world have long suspected that bacteraemia due to Staphylococcus aureus has a worse outcome in women compared to men, but direct evidence has been elusive. A study just published confirms that significantly more women than men diagnosed with Staphylococcus aureus bacteraemia (SAB) – a blood infection of the common bacteria – die within 30 days.

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News • Micra TPS

The world’s smallest pacemaker

Jersey Shore University Medical Center, part of Meridian CardioVascular Network, is the first hospital in New Jersey to implant the Micra® Transcatheter Pacing System (TPS) – the world’s smallest pacemaker – since the device gained U.S. Food and Drug Administration (FDA) approval in April 2016.

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Article • Obesity

Bariatric arterial embolisation

Radiology is going beyond assessing body fat, bringing a notable contribution in weight loss therapy. Clifford Weiss from Johns Hopkins University is one of the pioneers of a new procedure, bariatric arterial embolisation, details of which he will unveil at the ECR 2016.

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Article • CSI

3-D printed hearts

The CSI Congress (Congenital, Structural and Valvular Interventions) is one of the major fixtures for catheter therapy of congenital and structural heart defects. Key moments in this high profile event are live broadcasts and the audience can not only to listen to but also interact with the teams in the cath labs involved.

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News • Biogel

Intelligent gel attacks cancer

A new injectable “biogel” is effective in delivering anti-cancer agents directly into cancerous tumours and killing them. This technology, developed by researchers at the University of Montreal Hospital Research Centre (CRCHUM), has already been successfully tested in the laboratory. If it works in patients, the therapy could one day revolutionize treatment for many forms of cancer.

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News • Hygiene

Care, human dignity and the management of excreta

It's a topic which is frequently marginalised and tacitly accepted – care recipients are given a nappy even though they're continent simply because it's awkward and time-consuming for them to get to the toilet. The medical service of the German Central Federal Association of Health Insurance Funds and the National Association of Statutory Health Insurance Funds highlighted this problem in their…

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Article • Procurement

Good money for good products?

Whether they are wireless pacemakers or catheter-guided heart valve implants, new, really innovative products must reach patients – somehow. Thus manufacturers need to ensure that the hospitals that buy their products will be reimbursed. New diagnostic and treatment methods are not captured by a system based on the analysis of older methods. Holger Zorn spoke with Nicole Eisenmenger, Director…

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News • Trinias MiX-Package

Shorter treatment times and less contrast media

In the year of its 140th anniversary, Shimadzu has released the new Trinias MiX package (Minimally invasive eXperience) to support less invasive treatments through a variety of applications. The Trinias MiX package is an exten¬sion of the Trinias angiography system, which facilitates high-level interventions through proprietary image processing technology. Shimadzu provides functional…

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News • Simulation

Treating aortic aneurysms through virtual reality

Virtual models can be created in the angiography room thanks to an approach developed by researchers at the University of Montreal Hospital Research Centre (CRCHUM) and the university’s departments of radiology, radiation oncology, and nuclear medicine. The latest advances were presented by Dr. Gilles Soulez at the Cardiovascular and Interventional Radiology Society of Europe (CIRSE) conference…

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News • DISCHARGE

Less unnecessary cardiac catheterisations in the future

Cardiac catheterisation is the gold standard for diagnosing coronary artery disease (CAD), the main cause of death worldwide. More than 3.5 million invasive coronary angiographies (ICAs) are performed in the European Union each year, tendency rising. Nearly 60 percent of these minimal invasive examinations do not result in further treatment, since the patients do not have obstructive epicardial…

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Article • Thrombectomy

Stroke is a surgical disease!

They did it for heart attacks. Can cardiologists now lead an effort to speed up the emergency medical response for stroke? Over the past five years, the Stent for Life initiative organised by interventional cardiologists has pushed majors medical centres to assure 24/7 coverage and reduce the time to treatment for patients showing up with severe chest pain.

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Radial artery catheter failure

2.5 million radial arterial catheters (RAC) are used annually in Europe (USA: 8 million), commonly to monitor arterial blood pressure and take blood samples in surgical, A&E and ICU units. They can fail. For a study of mechanisms that might lie behind premature RAC failure and complications related to RAC in clinical use*, at team at the Radiology/Ultrasound and Anaesthesiology Department,…

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News • Technology

Diabetes: Smart insulin patch could replace painful injections

Painful insulin injections could become a thing of the past for the millions of Americans who suffer from diabetes, thanks to a new invention from researchers at the University of North Carolina and NC State, who have created a “smart insulin patch” that can detect increases in blood sugar levels and secrete doses of insulin into the bloodstream whenever needed.

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Article • Stroke treatment

Six international studies endorse thrombectomy

Results from six international randomised controlled studies conclusively and uniformly confirm, for the very first time, the effectiveness of thrombectomy in patients with acute, severe ischaemic strokes caused by a blood clot in one of the proximal cerebral arteries. The endovascular procedure is an add-on to conventional thrombolysis. EH reports from a German Stroke Society (DSG) press…

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Article • Infectious diseases

Carrying home a nosocomial infection

About 6-8% of Spanish patients will develop an infection during or after a hospital stay. Can these infections be avoided? How is Spain facing up to the challenge? Dr Juan Pablo Horcajada, Head of the Department of Infectious Diseases at Hospital del Mar, Barcelona, and spokesperson of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), assessed the situation and…

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Endurance athletes should be tested for fatal heart condition

Some athletes who take part in endurance exercise such as marathon running, endurance triathlons or alpine cycling can develop irregularities in their heartbeats that can, occasionally, lead to their sudden death. Evidence published in the European Heart Journal by Professor La Gerche and colleagues has shown that doctors who try to detect these arrhythmias by focusing on the left ventricle of…

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Who benefits from a catheter - and who does not?

A new detailed guide gives doctors and nurses information to help decide which hospital patients may benefit from a urinary catheter - and which ones do not. That should help spare patients the pain, embarrassment, and potentially serious side effects that can come with having a catheter placed - which may bring more risk than benefit to the patient.

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Sponsored • First hand experience

Improving point-of-care ultrasound training in intensive care medicine

Dr Sven Ballnus is Director of the Department of Intensive Care Medicine at the Hospital Centre Biel/Bienne, Switzerland, and an active member of the European Society of Intensive Care Medicine. Formerly a chief consultant in intensive care medicine at Westküstenkliniken in Heide, Schleswig-Holstein, Germany, he oversaw the development of an ultrasound course focusing on the specific needs of…

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Article • Cardiology III

Restrictive ruling on cardiac procedure

In the future, TAVIs can only be carried out in German hospitals with cardiac surgery departments and cardiac wards, as decided by the German Government’s Expert Panel on Health (G-BA) last January. An interim arrangement in force until 2016 is anticipated for Heart Centres that currently carry out the TAVI procedure without cardiac surgery departments on site. The Federal Ministry of Health is…

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Article • Paediatric imaging

MRI in paediatric cardiology

'In paediatric cardiology, echocardiography is the method of choice for preoperative diagnostic purposes,' explains Professor Dr Emanuela Valsangiacomo-Büchel, senior cardiologist and director of cardiovascular imaging at the University Children’s Hospital Zurich, Switzerland. Report: Axel Viola

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Liquid biopsy

It sounds amazingly simple: a structured medical Seldinger guidewire is inserted via a peripheral venous catheter to ‘fish’ for circulating tumour cells (CTC) in the blood of cancer patients. Report: Bettina Döbereiner

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Seeking congenital cardiac defects

Congenital heart defects are the most common congenital disorders found in newborns – around one in a hundred babies are affected. This type of heart defect can be reliably diagnosed with ultrasound, usually during the detailed foetal scan carried out halfway through the pregnancy. Report: Brigitte Dinkloh

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Zero percent and other illusions

Professor Tobias Welte MD, President of the 24th International Congress of the European Respiratory Society, gave EH some personal views on the symposium ‘New perspectives in the management of nosocomial pneumonia’. Interview: Ralf Mateblowski

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It’s cool, Man!

Evidence is scant on the cooling of comatose patients who have suffered cardiac arrest, stroke or traumatic brain injuries; nevertheless, new methods for cooling patients are continuously being developed.

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NICE sets new guidelines

Pointing out that it is unacceptable that some 300,000 people become adversely infected while being in the care of the UK’s National Health Service every year, the National Institute for Health and Care Excellence (NICE), which provides national guidance and advice to improve health and social care, has launched a new set of quality standards.

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The fall and rise of cardiac surgery innovations

Grandly announced, the da Vinci became the must-have of any self-respecting cardiac surgeon, only to sink into obscurity as quickly as it had risen to stardom. Once the wunderkind of robotic surgery, today this surgical system is merely collecting dust on many a hospital cupboard. A whole slew of methods and technologies were launched with varied fanfares over the past ten years. European…

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The first wireless ultrasound transducer

This spring, when Siemens Healthcare launched the world’s first wireless ultrasound transducer, the Erlangen-based company ushered in a development that might make mobile scanning in, say, 20 years’ time, as commonly used as mobile phones are today.

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Endoscopic Hemostat stems bleeding

A few years ago the American forces succeeded in dramatically lowering the mortality of soldiers from gunshot wounds with the help of a new, haemostatic powder. These silicate crystals, which attach to a wound, not only stem external bleeding but also internal bleeding resulting from stomach or duodenal ulcers, tumours or rare types of vascular deformities.

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Art meets science

The future will be aesthetic or, put another way, Art meets Science. With this motto, the 43rd Congress of the German Society for Endoscopy and Imaging Procedures e.V., jointly held in Munich with six other specialist associations, demonstrated that aesthetic means the brilliance of images generated by the latest generation of X-ray, CT, MRI and ultrasound equipment.

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Article • cTCA vs. cardiovascular diseases

CT coronary angiography

Cardiovascular diseases, the most common cause of death in the West, includes diseases for which early detection is an important objective in cardiac imaging – particularly for coronary artery stenosis. Diagnosis is often made in the cardiac catheter laboratory. Now, however, CT scanning advances provide a lower impact alternative to that invasive exam. PD Dr Thomas Schlosser, Consultant at the…

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CT angiography best for low-risk patients

Incorporating coronary CT angiography (CCTA) into the initial evaluation of low-risk patients coming to hospital emergency departments (EDs) with chest pain appears to reduce the time patients spend in the hospital without incurring additional costs or exposing patients to significant risks. The report of a study conducted at nine U.S. hospitals appears in the New England Journal of Medicine.

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Predicting the future of neuroradiological imaging

As this decade ends we’ll be watching the brain think. Although anticipating very important technical developments, Professor Olav Jansen MD (right), President of the German Society for Neuroradiology (DGNR) and Director of the Institute for Neuroradiology at Schlewwig-Hostein University Hospital in Kiel, Germany, foresees even more important crucial advances in stroke therapy

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Sepsis

Along with a call for earlier identification and intervention in sepsis cases, intensive care consultant Dr Ron Daniels also stressed that timely intervention is cost-effective for health systems as it leads to fewer sepsis patients needing treatment in intensive care units (ICU).

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Diabetes and CAD

Anja Behringer reports on a neglected risk factor. With an aging population multimorbidity is increasingly a major challenge for hospital care. Diabetes is one of the medical conditions frequently encountered in multimorbid patients since cardiac and vascular diseases are often accompanied by dysfunctions of the blood sugar metabolism.

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IROS 2012

Controversies were certainly aired when 800 radiologists gathered in Salzburg for The Interventional Radiological Olbert Symposium - a meeting of the German, Austrian and Swiss Societies for Interventional Radiology (DEGIR ÖGIR and SGCVIR) – and certainly some striking new interventions were presented. Michael Krassnitzer reports

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Siemens Presents Premium Ultrasound System

High-performance system makes exceptional image quality and advanced clinical applications accessible to a broader base of customers and patients. At the European Congress of Radiology (ECR) in Vienna, Austria, Siemens Healthcare showcases its latest premium ultrasound platform, the Acuson S1000 ultrasound system.

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MRI will improve the treatment of wake-up strokes

Neurointensivists need to act quickly and carefully – as well as consider later complications or the psychological impact on stroke victims. This potentially debilitating disease was a central discussion among 1,400 participants from 10 countries during the three-day 29th Annual Conference of Neurointensive Medicine (ANIM), an event hosted in January by The German Society for Neuro-Intensive…

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Post-operative care

The list of post-operative complications is long. Most common are fever, chest infection, pneumonia, wound infection, bleeding or deep vein thrombosis. As these post-surgical complications can range from minor, self-limiting problems to major life-threatening events, their definition and severity staging can be challenging.

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Better safe than sorry

Five recommendations to prevent central venous catheter-related infections. Catheter-related bloodstream infections are the third frequent infection in the intensive care unit (ICU) after pneumonia and peritonitis worldwide. The incidence of CVC infections lies between 1-4 for 1,000 catheterdays. This means for the USA, as an example, that more than five million patients annually need a central…

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Successful PACS integration in Mauritius

Cardiovascular surgeon Dr Miodrag Todorovic explains how an island hospital – which is a medical centre of excellence and regional reference centre – is further improving medical care for patients there and in six neighbouring states with the help of a new picture archiving system from Visus

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New technique successfully dissolves blood clots in the brain and lowers risk of brain damage after stroke

Johns Hopkins neurologists report success with a new means of getting rid of potentially lethal blood clots in the brain safely without cutting through easily damaged brain tissue or removing large pieces of skull. The minimally invasive treatment, they report, increased the number of patients with intracerebral hemorrhage (ICH) who could function independently by 10 to 15 percent six months…

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The BRANSIST alexa

The multipurpose BRANSIST alexa, which aims to provide total support for advanced catheterisation procedures, features a 12 x 12-inch flat panel detector (FPD) – an ideal size, the manufacturer Shimadzu points out, for covering interventions from head-to-toe, from brain blood vessels, cardiac and abdomen to peripheral blood vessels in the upper and lower extremities.

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MitraClip Therapy Demonstrates Benefits

Results of an observational study presented at the European Society of Cardiology (ESC) meeting in Paris demonstrate that the percutaneous catheter-based MitraClip treatment improves symptoms and promotes reverse left ventricular (LV) remodeling in patients with mitral regurgitation (MR), who do not respond to cardiac resynchronization therapy (CRT).

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The PRODIGY study

However, the PROlonging Dual antiplatelet treatment after Grading stent-induced Intimal hyperplasia studY (PRODIGY) also found a consistently greater risk of haemorrhage in the 24-month dual therapy group according to all prespecified bleeding definitions, including the recently proposed Bleeding Academic Research Consortium classification. The need for transfusion was also increased in the…

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Transcatheter aortic valve implants

Although transcatheter aortic valve implantation (TAVI) is increasingly the most used surgical procedure in Germany, only two products have been approved for routine use. Although this has prompted other medical device manufacturers to go into action, according to Professor Justus Strauch, head of cardiac surgery at the Klinikum Bergmannsheil, Bochum, no one has yet taken the lead in this…

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A time to tackle controversies face-to-face

A hefty debate on controversial issues in cardiology is the definite intent of Congress President Professor Michel Komajda and the ESC 2011 congress organisers. To that end, he plans to open the event with a focus on disagreements among cardiologists over treatment methods. This is not the only promise of a lively meeting for congress participants, as Prof Komajda explained in conversation with…

Investigating treatment options for atrial fibrillation

The first patient has been enrolled for the largest pan-European study to determine whether an early comprehensive rhythm control strategy for the treatment of atrial fibrillation (AF) will benefit patients. Patients with recent-onset AF at risk for stroke or death are eligible for the trial. The researchers plan to enrol more than 3,000 patients from 200 centres in 11 European countries.

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MRI and plaque imaging

Cardiovascular disease is the leading cause of death in industrial nations. More than 50 percent of those deaths are associated with pathologies of the coronary arteries, despite the fact that luminal obstructions that lead to myocardial infarction or ischemia do not occur out of the blue. The initial symptoms are preceded by a whole slew of arteriosclerosis stages and the early detection of…

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Trends in cardiac pacing

‘Sacrilegious meddling with divine providence’ was the charge brought against New York cardiologist Alfred Hyman in the 1930s when, after successful animal experiments, he applied the first cardiac pacemaker – then still a cumbersome external device – in human patients. A quarter of a century later the first cardiac pacemaker, mounted in a shoe polish tin and covered by epoxy resin, was…

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‘Our products are competitive’

In recent years the ultrasound division of Siemens Healthcare appeared to be a Sleeping Beauty slumbering on in the shadow of large slice imaging equipment such as PET/CT and MR/PET, the medical technology giant’s favourite daughters. With many of the world’s wealthy princes, particularly from India, Brazil, China, and so on, knocking on Siemens’ doors, the giant has at last decided to wake…

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Staying on the right side of the law

High flexibility and live conditions contribute towards the high popularity of image-guided interventions, now performed under ultrasound control in 80-90% of cases. However, although minimally-invasive examinations are based on high standards of medical safety, complications can arise that could ultimately lead to litigation. Thus, experienced ultrasound operators would be wise to know the…

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Treatment options for atrial fibrillation to prevent a stroke

Neurocardiology – especially atrial fibrillation (AF) – was the key topic during a press conference held during the 55th Annual Congress of the Germany Society for Clinical Neurophysiology and Functional Imaging (DGKN) this March. For good reason: Worldwide, there are around six million AF sufferers -- and it is one of the most common causes of stroke because this cardiac irregularity can…

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When the heart gives up

This April the 77th Annual Meeting of the German Cardiac Society (DGK) presented over 300 events with 1,800 speakers, covering the entire spectrum of cardiovascular diseases, from fundamental research to clinical routine. Professor Gerd Hasenfuss, Director of the Department of Cardiology and Pulmonology and Chair of the Heart Research Centre in Gottingen, particularly requested a focus on …

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Catheter-based valve surgery

Transcatheter valve implants (TAVI) have encouraged a new group of patients. Previously inoperable, they may now receive adequate treatment. Some centres report a success rate close to the conventional open surgical procedure. Naturally, the long-term outcome is still unclear. Holger Zorn reports.

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POCT brings values

Bedside testing of parameters has been introduced in clinical practice much earlier than laboratory testing: In past centuries, not only were temperature or pulse rate taken at the point of care (POC), but also qualitative blood or urine analysis were performed right next to a patient’s bed

Transcatheter aortic valve implants bear risks

Every year thousands of patients with less than one year to live are denied a heart valve replacement because they are too frail to undergo surgery. These patients tend to be over 75 years of age and suffering from multiple health problems, such as respiratory conditions that preclude general anaesthesia, end-stage failure of liver or kidneys, or a history of coronary surgery. Two years ago they…

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Hybrid operating theatres

In technical terms ‘hybrid’ is a system that connects two technologies so they may benefit from each other. This also applies to the newest generation of operating theatre*: hybrid OTs combine diagnostic and surgical facilities that are usually found in separate locations. Thus procedures can be carried out in less time and involve less discomfort and risk for the patient.

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MPR 3-D echocardiography

A cardiologist at a UK hospital has become the first in the world to develop a technique to ‘slice’ 3-D images of the heart into intricate sections using computer software. The method, devised by consultant congenital cardiologist Dr Joseph Vettukattil at Southampton General Hospital, is known as multiplane review (MPR) 3-D echocardiography. This allows cardiologists to identify heart defects…

Agfa at RSNA 2010

Agfa HealthCare is focused on providing excellent imaging solutions to support clinical confidence and improve delivery of health outcomes. At RSNA 2010, the company will demonstrate its engineered solutions that optimize the radiology workflow all along the imaging chain. By bringing the power of IT to radiology, we deliver tools that promote strong collaboration between healthcare providers and…

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Fighting acute coronary syndrome

Today in most countries of the world almost 50 % of patients in hospital for a cardiac condition began their treatment as emergency cases: chest pain at home . . . a cardiac arrest in the street. Thus, according to Dr Peter Clemmensen, of the 22 million hospital admissions in Europe each year for acute cardiac events, more than 10 million of them would have begun as an emergency and without…

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Aortic valve replacement in the third dimension

No white lab coats anywhere; instead men in hard hats, equipped with hammers and drills. The Düsseldorf University Hospital’s Cardiology Pneumology and Angiology Clinic is a construction site, but once the workmen have packed up their tools and removed the scaffolding the view to the human heart will be unobstructed and clearer than ever before. Here, innovative patient care and a highly…

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New perspectives in coronary plaque imaging using dual source CT

Ongoing technical developments in computed tomography (CT) such as dual source CT have established coronary CT angiography (cCTA) as a robust non-invasive imaging test for the assessment of coronary artery disease. The most important advantage of cCTA over conventional catheter-based coronary angiography is that not only the coronary lumen but also the entire coronary artery wall is visualized…

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Arteries seen in a new light

New imaging technologies are opening a new chapter in interventional cardiology by offering something this widely practiced procedure has been missing -- vivid clinical evidence to assess effectiveness. Interventional cardiology has moved rapidly from opening blocked arteries by crushing plaque with inflatable balloons to reinforcing the walls of the re-opened arteries with flexible metal stents…

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Getting to the heart of things

Not only is heart failure one of the single biggest causes of morbidity and mortality in man, but the incidence of the condition is steadily increasing. Rising to this challenge, innovative medical diagnostic techniques with ever greater performance are constantly being introduced so that early, unambiguous detection of the underlying condition is now possible, enabling the prompt initiation of…

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Digital diagnostics in the catheter lab

The VISUS system integrates cardiology modalities from all major manufacturers. Due to the company’s long experience with the communication standard DICOM, which is the corner stone of the integration of images in the PACS, images which are not available in DICOM format are digitalised with the help of a frame grabber, basically an analogue-digital converter.

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Meiko Innovation:Top Cut B

Avoiding and reducing waste in the clinical environment not only has highly scalable effects in economic terms, but also marks a key milestone on the path towards a ‘green hospital’. The latest innovation from the company MEIKO makes a major contribution towards reducing waste while simultaneously making nursing staff’s work both safer and easier.

What´s hot in cardiology?

Hot topics to be covered during the EuroPCR Forum sessions are the challenging implementation of the best standard of care for STEMI patients throughout Europe (with the timely use of stents), the introduction of transcatheter aortic valve implantation (TAVI) in clinical practice and the challenges related to bifurcation treatment options.

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EuroPCR 2010

The cardiovascular community gathers in Paris May 25th-28th for EuroPCR. EuroPCR is the leading course in interventional cardiology. It is also the official congress of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). More than 12,000 participants will learn about the latest developments in the field and engage in discussions and constructive debate about the best…

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Hybrid operating theatres

Basically, a hybrid operating theatre (OT) is a combined operating room containing large imaging equipment, such as MRT and CT, which enables intra-operative diagnostics. If provided for in the hygiene and theatre concept, the hybrid OT can also be used purely as a diagnostics room, or as a classic operating room.

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Re-inventing mammography

The overall success of MRI in diagnosing breast cancer and the exploding demand for breast MRI, in particular, have caused a scanner shortage in much of Europe. Dr Jean-Pierre Pruvo, Chairman of the French Society of Radiology, recently raised the alarm: ‘We have hundreds of thousands of women in France at risk for breast cancer, yet we do not have the means to provide a breast examination by…

Heart Rhythm Disorders: Better outcome with catheter ablation

According to data appeared on January, 26th, 2010 in JAMA (Journal of American Medical Association), patients with a common heart rhythm disorder, called Atrial Fibrillation, who were treated with catheter ablation* demonstrated significantly better outcomes at one year compared to those receiving drug therapy. In addition, the patients treated with catheter ablation reported markedly fewer…

Imaging and computing power leading to breakthroughs for cardiac surgery

Two members of the Heart Center at the University of Leipzig teamed up during Medica for a tour de force presentation on Future Trends in Cardiac Surgery. "The aim of the game is opening the chest through little keyholes to operate in the most minimally invasive way possible and avoid sternotomy," said Prof. Friedrich Mohr, Program Director at the Leipzig Heart Center, who review new surgical…

Unfavourable findings on U.S. hospitals

The Leapfrog Group is a U.S. organisation of member companies that pay for healthcare services, e.g. corporations, health insurers and local, state and federal government agencies. Established in 2000, its philosophy is that big 'leaps' in healthcare safety, quality and value to patients will be recognised and rewarded. The organisation mobilises purchasing power of its members, representing over…

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Enjoying childhood - despite being a type 1 diabetic

Type 1 diabetes is a life-long autoimmune disease with onset in early childhood. The diagnosis will initially turn the everyday life of children and their families topsy-turvy due to blood glucose testing, insulin injections, thorough calculation of meals, etc. It takes time before all these new and often frightening procedures become part of the daily routine of small diabetics.

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Heart pump with air propulsion

A tiny heart catheter pump which supports the human heart in critical conditions while pumping has been developed at the Vienna University of Technology. The pump may not be larger than five millimetres and no longer than 45 millimetres at a ratio of 1:1. The aim was to avoid the development of heat which is caused by heart pumps that are driven by an electric motor.

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Nosocomial infections

According to ECD statistics for Europe, three million cases of nosocomial infections occur annually, and 50,000 are fatal. Evelina Tacconelli MD PhD (below) is Assistant Professor of Infectious Diseases at the Università Cattolica Sacro Cuore in Rome, Italy. Her scientific focus is on epidemiology, clinical and therapeutic aspects of nosocomial infections and infection control policies aimed to…

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Big disparities in the treatment of arrhythmias across Europe

The latest statistics regarding the use of pacemakers and implantable cardiac devices in Europe was presented at EUROPACE 2009, the meeting of the European Heart Rhythm Association (EHRA)1 which takes place in Berlin, Germany from 21 to 24 June. The data show that there is a disparate coverage of diseases and treatments within the EU and the European Society of Cardiology member countries outside…

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Röntgen Prize for Marc Dewey

Berlin-based radiologist Marc Dewey will be awarded this year's Röntgen Prize for his work on the diagnosis of coronary heart diseases (CHD), one of most common and most dangerous heart conditions in the industrialized countries.

Angioplasty gains new balloon catheter

Voyager NC, a new coronary dilation catheter with a high-pressure capability designed to optimise coronary artery treatment during angioplasty procedure, can be used for both pre-dilatation and post-dilatation procedures, the manufacturer Abbott explains, adding: "Surgeons can use it to navigate tortuous anatomy and open up lesions before a stent is delivered, or expand a stent more precisely…

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Non surgical mitral valve repair: First enrollment in ACCESS-Europe study

Evalve, Inc., the leader in the development of devices for the percutaneous repair of cardiac valves, announced the first enrollment in the ACCESS-Europe study, a post-market observational study of the MitraClip therapy in Europe. The system is the first commercially available treatment option for non-surgical mitral valve repair for patients suffering from the effects of functional and…

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Predicting atrial fibrillation with MRI

University of Utah researchers have found that delayed-enhancement magnetic resonance imaging (DE-MRI) holds promise for predicting treatment outcomes and measuring disease progression for patients with atrial fibrillation (AF), a little known heart rhythm disorder that affects more than 3.5 million Americans and causes more than 66,000 deaths a year. Their latest study on a novel application of…

Hoffnung für Patienten mit Arteriosklerose

Jede Behandlung mit einem Ballonkatheter provoziert die Narbenbildung an der Gefäßinnenwand, weil durch das Dehnen des verstopften Gefäßrohres mikrofeine Verletzungen entstehen. Unangenehme Folge sind erneute Verengungen der Arterien, weitere Gefäßweitungen werden nötig...Radiologen der Berliner Charité entwickelten nun einen Gefäßkatheter, der die Narbenbildung in den Gefäßwänden…

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Open MRI systems

In Europe, when you think of medical imaging technology the obvious names spring to mind: Siemens, GE, Toshiba and Philips. However, Hitachi, already a world leader in permanent magnet MRI, and with a reputation in open MRI systems, has a keen eye on the European market. According to Jan Reijnen, the firm´s Product Manager for MRI/CT in Europe, Hitachi has already installed more than 5,000 open…

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Article • Benign tumours

Uterine fibroids: studies indicate high success rate for radiological treatment

Uterine fibroids are the most common benign tumours in women. Treatment is only necessary if the fibroids cause pain and bleeding due to their size and position. Minimally-invasive fibroid embolisation is a gentle, efficient and long-lasting treatment for their removal, leaving the uterus intact. The first evaluations of several international long-term studies have indicated a high success rate…

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Non-invasive applications in clinics

If a patient is delivered to the clinic with pulmonary complications, the clinic has to decide which type of therapy is suitable. In addition to purely medical aspects other criteria also play an important role such as: the mental and physical stress on the patient due to the treatment, the time it takes to implement a measure and the overall economics of the procedure.

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Plasma vaporisation

Benign prostatic hyperplasia (BPH) is the most common cause of voiding disorders in men. The hyperplastic tissue constricts the urethra and leads to lower urinary tract symptoms (LUTS) that can be differentiated into irritative and obstructive symptoms. These can quite dramatically impact on the quality of life of affected people.

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Lifebridge B2T

Worldwide interest in portable systems for cardiopulmonary support has grown significantly. While some systems are at the brink of market introduction, German company Lifebridge Medizintechnik AG reports that it is 'at the top of this medical technology market', for its smallest, lightest (18kg) system, Lifebridge B2T ('Bridge to Therapy') has been in clinical use since the beginning of 2008.…

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Live 3-D trans-oesophageal echocardiography

In 2007, Professor Andreas Franke, of Aachen University Medical Center, Germany, was the first cardiologist in Europe to perform minimally invasive cardiac catheterisation procedures under live 3-D ultrasound guidance.

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The power of cardiac imaging and the invasive cardiologist

Progress in cardiac imaging diagnostics has made cardiac catheterisation less common. What may sound like 'fishing in foreign territory' is in reality the chance for interventional cardiologists to concentrate on, and specialise in, more innovative invasive procedures.

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Carotid artery stenosis

Patients who have suffered strokes due to stenosis of the carotid artery are at a high risk of suffering further strokes. Many of these second strokes could be avoided if the stenosis was treated in time. This can be done in two ways: Surgical removal of plaque during the endarterectomy, or catheter treatment with a stent being inserted under local anaesthetic, to prevent another stenosis…

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Med-tech industry profits are hit by the global financial crisis

The sector is ‘clearly strained’, says Joachim M. Schmitt, Managing Director and Member of Board of the German Medical Technology Association, BVMed, in Berlin. But, the good news is, employment is up and, he adds ‘We are at the beginning of a medical technology revolution’. ‘Overall, healthcare is certainly more panic-proof than, for example, the automobile industry,’ said Joachim…

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New concepts for dose reduction in the diagnosis of coronary heart disease with CT

Professor Stefan Schönberg of the Institute of Clinical Radiology and Nuclear Medicine (IKRN), University Hospital Mannheim, Medical Faculty of Mannheim, University of Heidelberg, invited colleagues from Mannheim and the Federal Office for Radiation Protection (BFS) in Neuherberg for a round-table discussion on: Non-invasive multidetector coronary CT angiography (CTA) has become an established…

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EVINCI

The European multi-centre, multi-modality cardiac imaging project that could lead to a more intelligent and less costly use of today's technology in cardiac care.

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Research to prolong the retention time in the blood

The University of Urbino and Philips Research will jointly research the encapsulation of magnetic nanoparticle contrast agents inside living blood cells to prolong the retention time of these agents in the blood. Injected as free particles, magnetic nanoparticle contrast agents are quickly excreted from the blood via the patient's liver, which limits their application.

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Article • Stroke prevention

Ultrasound brings many advantages, but trained sonographers are too few

What is the role of vascular ultrasound in stroke prevention? Asked by Karoline Laarmann of European Hospital, Professor Christian Arning MD, Medical Director of the Neurology Department at Asklepios Klinik Wandsbek, Germany, and Deputy Chairman of the German Society of Ultrasound in Medicine (DEGUM), gave an unequivocal answer: crucial - but only if the sonographer is properly qualified.

Foetal surgery

Almost 25 years ago Michael Harrison of the University of California, San Francisco (UCSF) operated on the bladder of an unborn child. Almost eight years later, surgery was carried out on the diaphragm of an unborn child. His approach was controversial: a paediatric surgeon opened the abdomen and uterus of the pregnant woman, lifted out the foetus, performed the surgery and returned the foetus to…

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Always under doctor's control

A pressure sensor that is implanted into the heart works with an electronic monitoring system that wirelessly measures patient's pulmonary artery pressure. It allows physicians to track the patient's pulmonary artery pressure while they remain at home

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Focus: hygiene and nosocomial infections

They are one of the major threats in today's hospital: tiny pathogens that hide out in catheters, in ventilation tubes, on instruments or on the keyboards of medical technological equipment only waiting to attack patients whose immune system is already weakened. This week, EH Online will take a closer look at nosocomial infections, their causes, their effects and the available ways and means to…

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Article • Varicose veins

Promising way of treating male infertility

Varicose veins in testicles are common and harmless in most of the cases. But they can be the reason for unwanted childlessness. Venous embolization, a minimally invasive treatment, offers the opportunity to improve male fertility, as a study from the University of Bonn, Germany, shows.

Nosocomial infections in the USA

As nosocomial, or healthcare-related infections (HAIs), continue to escalate in the US, and protocols to manage this problem remain complex and confusing, surveillance healthcare IT systems offer hope to gain control of the situation. These offer the potential for data to be uniformly collected, quantified, and assessed. How rapidly they will be implemented enough is unknown.

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Trends in image-guided therapy

For the third in his series of articles for European Hospital, Professor Stefan Schönberg of the Institute of Clinical Radiology and Nuclear Medicine (IKRN), University Hospital Mannheim, Medical Faculty of Mannheim, University of Heidelberg, invited colleagues at the Faculty's Cardiology and Radiology and Nuclear Medicine departments for a round-table discussion on:

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Interventional radiology

Along with paediatric radiology, interventional radiology will have a high profile at the 89th German Radiology Congress and 5th Joint Congress with the Austrian Radiology Society. During a discussion with Meike Lerner of European Hospital congress president Professor Dierk Vorwerk outlined what's on the agenda for the expected 6,900 visitors.

CZECH SURGERY NEWS

Rotational artherectomy - Around 33,000 patients are hospitalised annually due to myocardial infarction, but only five percent actually die, thanks to the various state-of-the-art treatments mastered by Czech physicians.

Further reports from the ACC 57th Scientific Session

A five-year study of 516 participants with coronary artery disease showed that patients who reduced their anxiety levels or kept them steady were 60% less likely to have a heart attack or die compared with those who had increased anxiety levels.

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Quality reporting for the MRI Quality Register

The German MRI Quality Register resulted from cooperation between the Department of Cardiology (headed by Professor Udo Sechtem) at the Robert Bosch Hospital in Stuttgart and the Elisabeth Hospital in Essen (Headed by Professor Georg Sabin).

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German Radiology Congress 2008

Along with paediatric radiology, interventional radiology will have a high profile at the 89th German Radiology Congress and 5th Joint Congress with the Austrian Radiology Society. Congress presidents Professor Dierk Vorwerk and Professor Richard Fotter outlined what's on the agenda for the expected 6,900 visitors. Training, they pointed out, will aim at those preparing to specialise in…

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Simple checklists could save healthcare billions

Intensive care units are associated with the best state-of-the-art technology and round-the-clock treatment from experts. However, patients who enter ICUs risk hospital acquired infections (HAI), which are not only very expensive to treat but also could kill them.

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1st class though 2nd hand

The purchasing and distribution of refurbished equipment was left to specialist retailers for years, until leading manufacturers - for reasons of quality as well as image - established themselves in this business sector. The difference is that these manufacturers not only sell used equipment but also extensively refurbished systems.

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Varicose veins

USA - A next-generation radiofrequency ablation catheter - the VNUS ClosureFASTTM - has been used by surgeon Phillip Levin MD, at Cedars-Sinai, in Los Angeles, California. An expert in VNUS closure procedure, Dr Levin has treated approximately 300 patients since 2003 with the ClosureFASTTM catheter's predecessor.

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At a glance

Where are the most high-tech start-ups? That`s an easy one: Silicon Valley. But who comes in a close second? Surprisingly: Israel. Further: Israel ranks Number 1 in terms of availability of scientists and engineers and Number 2 in quality of higher education. The result of this impressive track record is a wide range of successful enterprises and products, particularly related to the life…

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Modern anesthesia in the MR environment

The newest member of the Fabius family of Dräger Medical AG & Co. KG, was designed especially for the requirements in Magnetic Resonance Imaging (MRI). The system is also suitable for other applications involving magnetic fields such as a cardiac catheterisation laboratory or proton therapy.

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First implantable ventricular assist device for long-term use in development

Every fourth patient suffering from an irreversible heart defect and due for a heart transplant dies while waiting for a donor organ despite the use of extracorporeal blood pumps. A new ventricular assist device (VAD), currently under development at the German Aerospace Center (DLR), promises a new approach to help these patients. The fully implantable heart support device might be an effective…

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Devices dedicated to efficient hand washing

The 134-bed private hospital Dr R Schindlbeck private hospital in Herrsching am Ammersee, Bavaria, which also has a large out-patient department, provides 110 units for use after hand washing by staff, patients and visitors. From the Katrin range by Metsä Tissue, Finnish producer of paper towels and dispensing systems, they consist of paper towel rolls and dispensers.

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Infection source: water

That tap water carries pathogens such as legionella or pseudomonas aeruginosa is well known, writes Heidi Heinhold. However, new research results show that bacteria that were previously considered non-pathogenic, such as coagulase-negative staphylococci (CONS), can be present in hospital water and are transmitted by the water

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Article • Neuropelveology

Forging links between neurology and surgery

Surgery in the lower pelvic region often involves injury to or severing of nerve tissue. As in chronic diseases of the nervous system, the result can be pain, sensory disturbances or loss of function. Up to now the poor view of the nerves, partially formed of fine interwoven networks, has been one of the major problems – exacerbated by the strict division of skills between neurologists and…

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Cardiologists meet to sum up progress

During a meeting of cardiologists in Prague earlier this year to exchange experiences with new methods and treatments to control atrial fibrillation, Dr Josef Kautzner, Head of Cardiology Department at IKEM (Institute of Clinical and Experimental Medicine) pointed out that numbers of patients with AF will more than double during the next 20 years.

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NEW BP-measuring device

A new blood pressure (BP) measuring device that provides, along with all the conventional cardiovascular parameters, the cardiac stroke volume, peripheral resistance and arterial augmentation, has been developed at the Austrian Research Centre (ARC), Vienna-Seibersdorf. The result of seven years' work by researchers, the device, named CardioMon, is now ready for sale.

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Automatic Quantification of Left-ventricular Function

The evaluation of the size and function of the left ventricle in patients with suspected heart disease is a central diagnostic problem. In contrast to other methods of evaluating left-ventricular function (e.g., angiocardiography, right-sided heart catheterization, radionuclide ventriculography or MRI), transthoracic echocardiography is a widespread and readily available procedure that is not…

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Contrast agents in Sonography

Ultrasound contrast agents (USCA) or echo enhancers consist of minute gas containing microbubbles that have a high reflectivity when exposed to an ultrasound field. The history of USCA started in the mid of the 1960s. The cardiologist Joyner performed echo cardiography during the injection of saline solution into the aortic root via a catheter. During the injection he observed bright signals on…

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Everything Echocardiography Offers - at 4 559 Meters Above Sea Level

It has long been known that hypoxia at high altitudes leads to an increase of pulmonaryarterial pressure. For sensitive persons, one crucial factor for the development of HAPE is the overwhelming rise in pressure in the pulmonary circulation. Using right heart catheterization average pulmonary-arterial pressures of 60 mmHg were encountered in earlier studies of HAPE patients. A pressure increase…

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Paediatric radiology

Children are not small adults. As well as special technical requirements, their treatment needs particular handling by the radiology team.

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Carotid stenting suffers a setback

The debate between carotid artery stenting (CAS) and carotid endarterectomy (CEA) - the surgical approach - for treating a narrowing of the carotid artery in the neck to prevent stroke has tipped in favour of the more proven procedure of operation.

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The pulseless life

New pulsatile heart pumps (ventricular assist devices - VAD) can remain in the body as a permanent heart support.

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Patient's brain controls mechanical ventilation

Among ventilation advances demonstrated at this year's European Society of Intensive Care Medicine Congress, held in Barcelona, the combination of the SERVO-i ventilator with Neurally Adjusted Ventilatory Assist (NAVA) provoked considerable interest because the system allows ventilation to be controlled by the patient's own respiratory centre in the brain. During a discussion with Daniela…

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Water jet dissection

Five years ago, surgeons at the Lukas Hospital in Neuss, Germany, used water jet dissection for visceral surgery for the first time. Dr Bernhard Lammers, head of the hospital's General and Visceral Surgery Department, describes subsequent experiences with this procedure and possible future developments

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Article • Freezing cardiology

Cryoablation – a safer therapy for children with arrhythmias

Freezing abnormal electrical pathways in the hearts of young patients may be a safer alternative to zapping them with powerful radiofrequency probes to treat tachycardias and other arrhythmias, according to Dr Fabrizio Drago, of the Bambino Gesù Hospital, Rome. ‘If you have a child with a supraventricular tachycardia due to a re-entry circuit, or a target very close to the atrioventricular…

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Stem Cells

By Professor Gustav Steinhoff MD, director of the Department for Cardiac Surgery, and Christof Stamm MD, co-ordinator of clinical studies, at Rostock University, Germany

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Appendicitis complicated by chickenpox

Surgeons Sergey V Stonogin, specialist in infectious cases, Eugeny V Dvorovenko, Head of Emergency Surgery, and Vladimir A Chaplin, endoscopy specialist - report on results from their study to assess the most effective, safe combination of antibiotics to treat patients with acute appendicitis complicated by chickenpox

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IGS

In our last issue we featured the Future Operating Room Project developed at St Olavs Hospital, University Hospital of Trondheim, Norway, a collaboration between the hospital and the Norwegian University of Science and Technology. There, highly promising research on navigation is being carried out in co-peration with the research foundation Sintef Health Research. Professor of Surgery Hans O…

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Robot navigates catheter to correct atrial fibrillation

Italy - A remotely-controlled catheter device guided by magnetic fields provides a safe and practical method for delivering radio frequency ablation treatment in the hearts of patients with atrial fibrillation, according to a new study (Pub: Journal of the American College of Cardiology. 4/4/06).

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High-tech air rescue

Germany - The Ultrasonic Cardiac Output Monitor (USCOM), a portable system that enables beat-to-beat cardiac output assessment at medical emergency locations, has been tested for use during helicopter patient transportations, and worked effectively, without suffering from or causing interference to helicopter electronics.

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