See clearly.
Treat optimally.
- ImagingSee Clearly. Evaluate vascular morphology in blood vessels
Visions PV .014 Rx
Designed for the evaluation of PAD lesions, the Visions PV.014 Rx digital IVUS is 55% stiffer than Eagle Eye Platinum Coronary IVUS12, and features a 20mm field of view in a 5F compatible catheter.
Visions PV .018
The Visions PV.018 digital IVUS features a 24mm field of view in a 6F compatible catheter to evaluate vessel architecture and pathology and may aid in the determination of treatment algorithms and lead to improved endovascular outcomes.13
Visions PV .035
The Visions PV .035 digital IVUS catheter with 60mm imaging diameter evaluates vascular morphology in blood vessels and provides cross-sectional imaging of these vessels.
Reconnaissance PV .018
The Reconnaissance PV018 OTW digital IVUS catheter is the new addition to Philips PV IVUS family. Reconnaissance is the only 5F 018 over-the-wire IVUS platform, featuring enhanced deliverability, improved workflow and sharper images. - CrossingCross your toughest lesions
Quick-Cross catheter
The support you need to handle any lesion.
Pioneer Plus catheter
The Pioneer Plus IVUS-guided re-entry catheter is designed to identify true lumen with speed for the most challenging CTOs. With the unique offering of IVUS and a dual-wire system in one device, the Pioneer Plus catheter provides clinicians with IVUS-guided clarity to true lumen re-entry for their patients. - Vessel prepPrepare multiple lesion morphologies, locations and characteristics
Phoenix atherectomy system
Front-cutting mechanical atherectomy for treating mixed morphologies with low risk of embolization.3
AngioSculpt scoring balloon
Reduces risk of flow limiting dissections including in calcified lesions.4 - Definitive treatmentTreat lesions with leaving minimal metal behind
Tack Endovascular
Tack Endovascular System is a unique, purpose-built focal stent implant that effectively repairs ATK- and BTK-dissections following balloon angioplasty15,16 thereby preserving vessel integrity.
- Intravascular systemsMulti-modality approach with diverse capabilities for precise and accurate guidance every time
Intrasight
The IntraSight applications platform is where imaging, physiology, and software all come together to clearly identify coronary and peripheral artery disease, and allow for more optimized treatment plans.
IntraSight Mobile
IntraSight Mobile is an easy-to-use, small footprint, IVUS imaging and physiology system, designed for coronary and peripheral vascular procedures, operable directly from the sterile field.
Philips Laser System
The Philips Laser System allows customers to utilize the proven technology of 308 nm UV light with the large variety of Philips laser catheters for coronary, peripheral vascular and heart rhythm management procedures, in a slimmer, more maneuverable and user-friendly design that is ready at the turn of a key to treat patients as the physicians see fit.
IVUS in Endovascular Procedures
A practical overview highlighting the value of IVUS in venous, aortic and PAD procedures.
Angiography alone is
not enough
Angiography provides information on luminal characteristics of peripheral arteries, but severely underestimates the extent of atherosclerosis in patients with PAD, even in “normal appearing” vessels.1
Visualize the best path forward with IVUS eyes
Philips IVUS provides the visualization needed to gain deeper insights into the lesion and choose the best procedural path forward.
Lumen
Eccentric fibrotic plaque with deep calcium nodule
Accoustic shadowing
Vessel size
Guides device sizing to ensure precise wall apposition, drug delivery, and placement
Plaque morphology
Understand plaque type and severity to help guide proper device selection
Plaque geometry
Visualize plaque burden location for precise treatment
Guidewire position
Confirm true lumen or sub-intimal guidewire location
Take the IVUS Challenge
Treat optimally with versatility
The Philips portfolio of therapeutic devices offers the versatility needed to treat the majority of PAD cases, including complex lesions.
IVUS image interpretation for PAD intervention
Dr Michael Lichtenberg and Dr Konstantinos Stavroulakis discuss the basics of IVUS image interpretation for PAD intervention. Using case- based examples, they demonstrate the added value of IVUS to assess the architecture and pathology of diseased arteries and how this additional information may influence treatment strategy and improve patient outcomes
Dr Lichtenberg and Dr Stavroulakis discuss the IVUS technical characteristics and the rationale for using IVUS to complement angiography in PAD intervention
Using case based examples, Dr Stavroulakis discusses the four pillars of IVUS, a framework that demonstrates the added value IVUS brings to angiography
Dr Stavroulakis demonstrates the use of IVUS to understand calcium geometry and morphology and how this may influence treatment strategy.
Dr Lichtenberg demonstrates the ability of IVUS to reveal the depth, circumference and free lumen area resulting from dissection and how this may impact treatment strategy.
Dr Stavroulakis discusses how angiography can often underestimate severity of PAD, and how IVUS can accurately measure and quantify percent stenosis and plaque burden.
Dr Lichtenberg demonstrates the sensitivity of IVUS to detect and differentiate between chronic and acute thrombus, and how this information informs treatment strategy.
Tack Endovascular system
The Tack endovascular system is an adjunct therapy to balloon angioplasty, purpose-built for precision dissection repair to promote healing, improve outcomes and preserve limbs.
Discover Tack
Atherectomy for small arteries*
Phoenix 1.5 atherectomy catheter
A dedicated below the knee solution to comprehensive Phoenix portfolio Small 4F profile for treatment below the ankle* and channel creation in tight calcified lesions often seen in CLI patients. High efficiency with our most advanced cutterhead technology9,10
Phoenix - Safe, simple and effective. 3
Full view treatment planning
The integration of visualization and interventional technologies allows physicians to see the complete picture and create a more informed and individualized procedural approach.
Treatment plan example 1
Treatment plan example 2
Treatment plan example 1
Lumen
Eccentric fibrotic plaque with deep calcium nodule
Acoustic shadowing
Treatment plan example 2
Lumen with fresh thrombus
Micro-calcification
Calcified plaque with acoustic shadowing
See clearly
Vessel size: 5.5 mm diameter Plaque morphology: Fibrotic plaque with intimal and medial calcium Plaque geometry: Eccentric lesion Guidewire position: True lumen
Vessel size: 6 mm diameter Plaque morphology: Mixed, thrombic plaque with medial calcium Plaque geometry: Eccentric lesion Guidewire position: True lumen
Treat optimally
Quick-Cross catheter: Confidently cross challenging morphologies Phoenix deflecting atherectomy: Front facing to cut, capture and clear mixed morphologies, including calcium; deflecting capabilities for larger luminal gain AngioSculpt scoring balloon: Score calcium to reduce dissection4 Stellarex DCB: Designed for performance in calcium
Quick-Cross catheter: Confidently cross challenging morphologies Turbo-Power laser atherectomy: Forward facing directional debulking to clear thrombus; rotation for improved deliverability in calcified lesions AngioSculpt scoring balloon: Safely dilate residual stenosis4 Stellarex DCB: Designed for performance in calcium
1. Kashyap VS. Pavkov ML, Bishop PD, et al. Angiography underestimates peripheral atherosclerosis: lumenography revisited. J Endovasc Ther. 2008;15(1): 117-125. 2. Dippel et al. Randomized controlled study of excimer laser atherectomy for treatment of femoropopliteal in-stent restenosis: initial results from the EXCITE ISR trial (EXCImer Laser Randomized Controlled Study for Treatment of FemoropopliTEal In-Stent Restenosis). JACC Cardiovasc Interv. 2015 Jan;8(1 Pt A):92-101 3. Davis, Thomas et al., Safety and effectiveness of the Phoenix Atherectomy System in lower extremity arteries: Early and midterm outcomes from the prospective multicenter EASE study. Vascular. September 27, 2017, DOI: 10.1177/1708538117712383. 4. Kiesz RS, Scheinert D, Peeters PJ, et al. Results from the international registry of the AngioSculpt Scoring Balloon Catheter. J Am Coll Cardiol. 2008;51:10(suppl B);75. 5. Brodmann M, Sustainable Antirestenosis Effect With a Low-Dose Drug-Coated Balloon The ILLUMENATE European Randomized Clinical Trial 2-Year Results, J Am Coll Cardiol Intv 2018;11:2357–64. Dec 2018 6. Mathews J. NCVH, 2019. Stellarex in the Treatment of the SFA and Popliteal: Late-Breaking 3-Year Data. May 29, 2109 New Orleans, LA. 7. Brodmann M, Final Long-Term Mortality Results of Paclitaxel-Coated DCBs from the ILLUMENATE RCTs: 5-Year Data from EU RCT and Pivotal studies, oral presentation, virtual LINC, Jan 2021 8. Lyden S, Long-Term Safety of Stellarex DCB Across ILLUMENATE RCTs, oral presentation, virtual VIVA 2020, Nov 2020 9. Based on bench tests. Data on file at Philips. 10. Compared to previous generation cutter head Phoenix atherectomy system catheters. Bench test data on file at Philips. Performance in bench tests is not indicative of the behavior in clinical practice. 12. N=15 Data on File at Volcano Corporation. Windchill Report #209-0205.08 13. PliagasG, Saab F, StavroulakisK, et al. Intravascular Ultrasound Imaging Versus Digital Subtraction Angiography in Patients with Peripheral Vascular Disease. J Invasive Cardiol. 2020 Mar;32(3):99-103 14. Gray W, Long-Term Safety of Stellarex DCB Across ILLUMENATE RCTs: 5-year results from a patient-level meta-analysis of the ILLUMENATE RCTs, oral presentation, Charing Cross Virtual Edition, Apr 2021 15. Brodmann M, Wissgott C, Brechtel K, et al. Optimized drug-coated balloon angioplasty of the superficial femoral and proximal popliteal arteries using the Tack Endovascular System: TOBA III 12-month results. J Vasc Surg. 2020;S0741-5214(20)30330-X. 16. Geraghty PJ, Adams GL, Schmidt A, Lichtenberg M, Wissgott C, Armstrong EJ, Hertting K, on behalf of the TOBA II BTK Investigators. Twelve-month results of Tack-optimized balloon angioplasty using the Tack Endovascular System in below-the-knee arteries (TOBA II BTK). Journal of Endovascular Therapy 27.4 (2020): 626-636. Refer to product labeling for complete indications, contraindications, and warnings. Product subject to country availability. Please contact your local sales representative *Minimum vessel size 2.0mm, see IFU. ©2021 Koninklijke Philips N.V. All rights reserved.
11. Gagne PG, TaharaRW, FastabendCP,etal. Venography versus intravascular ultrasound for diagnosing and treating iliofemoral vein obstruction. J VascSurg:Venousand LymDis 2017;5:678-87.
