ARTIS one - HeartSweep Job Aid

SIEMENS Healthineers HeartSweep Job Aid ARTIS one VA1x Template Effective Date: 10 Aug 2021 | HILS 2223 Job Aid Effective Date 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Table of Contents Introduction 3 Preparation: Positioning for HeartSweep 4 Preparation: Preparing Contrast Injection 7 Workflow: Performing a HeartSweep Acquisition 8 - 2 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Introduction HeartSweep can be used to visualize the coronary arteries in different views by one acquisition run using a single contrast injection. SIEMENS SIEMENS SIEMENS HeartSweep is a rotational angiography acquisition mode that involves a pre- SIEMENS set rotation of the C-arm around the patient. Artis Artis one The system moves the C-arm along a path containing multiple positions and rtis one Artis one images are acquired with a CARD acquisition mode. Artis 3 Effective Date: 01 APR 2022 | HOOD05162003265211 3 Unrestricted © Siemens Healthineers, 2022 Restricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Preparation: Positioning for HeartSweep Trajectory Isocenter The HeartSweep acquisition path is defined by a With rotational angiography, the volume to be imaged trajectory with up to 15 points that can be defined by should always be positioned in the isocenter of the C- Siemens Healthineers Service. arm. Otherwise, it may move out of the image area in The trajectory must start at an Anatomical Position. some projections. The isocenter assistant helps you to position the region ASSIST Anatomical Positions of interest in the isocenter. HeartSweep Right Preview O HeartSweep Left Isocenter Key [ .................................... ] O L ................ .......... ] Please note: Page [ .............. 5/5 If you have already positioned your patient, press the [ .............. Isocenter key in order to skip the isocenter assistant L ................... messages. Navigate Select ................................ ] ............................ 4 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Preparation: Positioning for HeartSweep Collisions Patient Movements The effect of a collision depends on the state of the rotational If the patient moves during a rotational angiography angiography examination in which the collision occurs. acquisition, there is a risk of collision, and the acquired scenes may not be suitable for the intended purpose. If a collision occurs: • Before the first run is started, the system returns to the Instruct the patient not to move or immobilize the test phase and does not deselect the acquisition patient if necessary. • While there is no rotational movement, the system displays a message and does not deselect the acquisition, Pay attention to patient movements during a rotational for example, during the acquisition in the injection phase angiography acquisition and stop the or during the X-ray delay from the injector acquisition/movement if necessary. • During the movement (collision sensor), then the movement stops. • The acquisition and the injection are stopped • The acquisition program is deselected by it • The acquisition cannot be continued 5 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Preparation: Positioning for HeartSweep Exposure Release System Position In principle, the handswitch or footswitch can be HeartSweep can only be carried out in the Head Side used for exposure release. However, to facilitate system position. the examination sequence we recommend using the footswitch. 6 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Preparation: Preparing Contrast Injection Injection Mode If the injector is not set to Armed: The injection occurs just before the start of the fill run. • The system assumes that a manual injection is The contrast medium can either be applied with the help performed with no contrast medium applied and of an automatic injector or manually. starts the injection phase immediately. In general, injection with the injector produces better • For manual injection, it is recommended to set an X- results as the flow of the contrast medium can be kept ray delay of 0 s. constant over the total duration of the injection. Please note: If the injector is set to Armed, an injection will be The message Injector disabled, manual injection triggered. indicates that the injector has not been set to Armed, • It is recommended to set a delay time (X-ray delay) of and a manual injection must be performed. 0.5 to 1 s on the injector. With it, an optimum contrast medium filling is already achieved with the first projection. • The X-ray delay that is programmed at the injector is used to delay the beginning of the injection phase. During this delay time, there is no image acquisition. 7 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Workflow: Performing a HeartSweep Acquisition (1/2) 1. Prepare the patient, stand, C-arm and table. 3. Position the heart in the isocenter. Check the injector, if used. 2. Select a HeartSweep acquisition program. If the LED on the Isocenter key is lit, you can start immediately. ASSIST Anatomical Positions HeartSweep Right Preview If the LED on the Isocenter key is flashing, HeartSweep Left follow the isocenter assistant. [ .............................................. ] Page L .......... 1 5/5 > L ............... ......... ] ............................. L ............ ......... ] Navigate Select ................................ ] 8 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Workflow: Performing a HeartSweep Acquisition (2/2) 4. The message HeartSweep Start Position: Activate 5. Perform the HeartSweep test run to make sure that stand movement is displayed. To move the C-arm to no collision will occur. Press the stand/C-arm joystick the start position, press the stand/C-arm joystick down and deflect it away from you until the C-arm down and deflect it away from you until the C-arm position has been reached. position has been reached. Or – – Press the hands-free foot pedal. The message Test Phase: Start Fluoro to complete Test Phase is displayed. Please note: The test phase can be interrupted at any Deflecting the joystick time by releasing the stand joystick or hands-free foot Depending on the type of injection, one of the pedal. following messages is shown: • If you deflect the joystick or press the foot pedal • HeartSweep Test Phase: Auto, Activate stand again within movement with automatic control 20 s, the system will proceed with the test run • HeartSweep Test Phase: Manual, Activate stand • After more than 20 s, the test phase must be movement with manual control repeated 9 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 HeartSweep SIEMENS Healthineers Workflow: Performing a HeartSweep Acquisition continued 6. Perform a brief fluoroscopy for automatic setting of If Manual is programmed: acquisition parameters. Start acquisition, then start rotational run-in time. O Press the fluoro pedal of the footswitch. Press the multifunctional button of the Ready for HeartSweep: #s Acquisition Time is handswitch. displayed. 7. Automatic or manual injection, if contrast medium is 9. When the rotational run is complete, stop the used. exposure release. Start injector, if manual injection is used. (Acquisition is stopped automatically.) 8. Press the exposure release button or pedal and keep it HeartSweep: Completed is displayed. pressed until the end of the acquisition. 10. View the rotational series. Do If Auto is programmed: Playback: The acquisition series can be played back To start acquisition, press the exposure release button directly after the acquisition according to the or pedal and keep it pressed. Rotational run will start settings in the acquisition program. automatically. Injection will also be performed automatically if the injector is set to Armed. 10 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 11 Effective Date: 01 APR 2022 | HOOD05162003265211 Unrestricted © Siemens Healthineers, 2022