In the second part of the study, we report our initial experience with the DT protocol. In January 2020, we implemented a new algorithm for care of stroke patients treated in our comprehensive stroke centre. Patients who presented within 4.5 h of symptom onset and had severe neurological deficits [National Institutes of Health Stroke Scale (NIHSS) score ≥10] consistent with anterior circulation symptomatology were transferred directly to an angio-suite equipped with FD-CT (Philips Azurion 7 C20, Koninklijke Philips, Amsterdam, Netherlands). Flat-detector computed tomography scans were obtained, and if there were no signs of intracranial haemorrhage or large established ischaemia, invasive selective angiography of the supposedly occluded vessel was performed. If the angiography confirmed LVO, mechanical thrombectomy was performed.
Azurion 7 c20
Manufactured by Philips
The Azurion 7 C20 is a medical imaging system designed for interventional procedures. It provides high-quality imaging capabilities to support clinicians in their diagnostic and treatment decision-making processes.
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3 protocols using azurion 7 c20
1
Improved Stroke Care with DT Protocol
2
Angiographic Imaging of Cadavers
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The cadavers were moved to the angiography suite and sterilely draped. Under continuous perfusion, a working sheath was inserted using the Seldinger technique and afterwards transfemoral antegrade fluoroscopic series were acquired in posterior-anterior orientation after manual injection of diluted contrast medium (50:50 mixture of Imeron® 350 mg/ml iodine and 0.9% sodium chloride solution). DSA was performed using a commercially available flat detector unit (Azurion 7 C20, Philips Healthcare, Best, The Netherlands) with vendor-recommended settings for low-dose examinations and a frame rate of 1–2 images/second.
3
Fluoroscopic Angiography of Leg Arteries
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DSA examinations and interventions were performed using a commercially available flat detector unit (Azurion 7 C20, Philips Healthcare, Best, The Netherlands) with vendor-recommended settings for low-dose examinations of the upper leg arteries. We acquired transfemoral antegrade fluoroscopic series in posterior-anterior and 20° left/right anterior-oblique orientations with a frame rate of 1–2 images/second using the stepping-table technique after manual injection of diluted contrast medium.
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