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August 27, 2020
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Updated imaging, mapping system for AF treatment launched

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Philips announced it launched an updated cardiac imaging and mapping system with new imaging and workflow enhancements to treat patients with atrial fibrillation.

Updates to the system (KODEX-EPD) also include enhanced features for cryoablation procedures, according to a press release from the company.

blue heart beat
Source: Adobe Stock.

Advances made with these updates include improvements in point density and mapping functionality, in addition to high-resolution imaging at a faster rate, the company stated in the release, noting a multichambered view is available to assess the positions of nearby chambers, and a glass view provides improved insight into catheter orientation and location.

Marcin Kowalski

“Using the KODEX-EPD imaging system’s ability to provide high-resolution imaging, revealing specific pulmonary vein morphologies, has allowed me to personalize my ablation approach in Medtronic cryoballoon procedures,” Marcin Kowalski, MD, director of electrophysiology at Staten Island University Hospital in New York, said in the release.

Marlou Janssen, general manager of Philips EPD Solutions, told Healio: “Efficient workflows help to keep procedure times short, which is very important for patients, as it is well known from literature that longer procedure times are associated with higher complication rates. The ability for physicians to tailor their ablation approach based on the enhanced anatomical insights provided by KODEX-EPD may help to personalize therapy for optimal patient outcomes. Minimal use of fluoroscopy is important for patients, as it is well known from literature that large amount of X-ray exposure can contribute to increased cancer risk.” 

The system utilizes catheters inside the heart and sensors attached to the body to image properties and anatomy of the heart with dielectric sensing technology. This allows electrophysiologists to produce 3D views in as little as 3 minutes and to locate the target location efficiently without radiation, according to the release.

“Combining the short procedure times of cryoablation with the real-time imaging capabilities of the KODEX-EPD system, we have been able to further improve our efficient lab workflow,” Lukas Dekker, MD, electrophysiologist at Catharina Hospital in Eindhoven, the Netherlands, said in the release. “Moreover, the fluoroless imaging with the KODEX-EPD system may reduce the dependency on fluoroscopy and preprocedural CTs, and thus help to reduce X-ray exposure to patients and staff, which is important to us.”

This imaging and mapping system is commercially available in the United States, according to the release.

Marlou Janssen

“We expect to see four main benefits for the [electrophysiology] clinical practice of using the KODEX-EPD system with the Medtronic cryoballoon for [electrophysiology] procedures: enhanced insight, tailored approach, efficient workflows and minimal fluoroscopy,” Janssen said in an interview.