Aortic Valve The tool for pre-op assessment of TAVI procedures Quick, easy and reliable measurements and planning of transcatheter Aortic valve implantations. 3mensio providing dedicated modules for multi-phase Aortic Root analysis and approach route planning. Including virtual valve, calcification assessment and simulated Angio. Volume rendering of Aortic Root Aortic Root measurements Aortic annulus Center lumen line LVOT measurement Coronary height measurement Automatic segmentation The intuitive workflow makes it possible to automatically segment the ascending Aorta. Besides that it is also possible to perform manual adjustments and custom measurements. Measurements Measurements can be performed in the form of diameter, area, perimeter and length measurements such as: • Annulus • LVOT • Coronary heights • STJ and SOV • Ascending Aorta Aortic Root assessment The simulated Angio The simulated Angio can be used to find the optimal projections for implantation, which can help save time during the procedure. Calcification The shape and position of the calcium can visually be assessed in multiple views. The amount of calcium can be quantified and an Agatston score can be calculated. Simulated Angio view Calcium quantification Agatston scoring

Aortic Valve Virtual valve A virtual valve can be placed into the patient’s anatomy to allow better assessment of implant depth and angle. It is also possible to import a valve using an STL-file or create your own custom valve in the workflow. Virtual valve in hockey puck view Virtual valve in Angio view Approach routes Dedicated workflows are available to examine a Femoral, Subclavian, Carotid, direct Aortic or transapical approach route. DA Calcification View DA Heart and Bone View The workflows allow you to visualize structures like ribs, skin and vessels with their relative diameters, calcifications...

The pre-op assessment tool for LAA occlusion 3mensio LAA is a dedicated tool for the pre-op assessment of LAA closures on CT. Using the software you can assess the 3D anatomy of the patient, measure the ostium and landing zone and determine an optimal projection angle. Plan the approach route with the septal crossing or pericardial access module. It is possible to place a virtual device to represent your closing device and to visualize a virtual TEE Intracardiac view Volume rendering heart Septal crossing Anatomy Assessment With a single click, the software creates a 3D volume rendering of the...

LAA LAA Assessment Optimal projection angles can be selected using the simulated Angio view. Such an optimal projection can help to save time during the procedure. Intra and extra cardiac views can be used to assess the relationship with the Pulmonary vein, Pulmonary ridge, and Mitral valve. Simulated Angio view Extracardiac view Intracardiac view Septal crossing catheterpath Volume render with biplane TEE viewing angles Septal crossing By defining the interatrial septum, choosing a puncture point and the IVC and SVC a catheter path can be planned. Prepare echo guidance The virtual TEE and ICE...

Mitral Valve Pre-operative planning for Mitral valve repair and replacement Determine the anatomy and dimensions of the patient’s Mitral valve with this dedicated workflow. The 3D shape and dimensions of the annulus can easily be defined as well as the relationship with surrounding structures. Assess different approach routes to get a complete overview of the patient’s anatomy. The heart with a defined Mitral annulus and a virtual valve Mitral annulus anatomy Mitral annulus Saddle shape and D-shape Annulus annotation A single click brings you into the Mitral space. Choose for automatic tracing...

Mitral Valve Virtual valve and automatic Neo-LVOT on CT A virtual valve can be placed by means of importing an STL file or creating a custom valve. After a virtual valve is placed the LVOT obstruction can be measured automatically for the entire LVOT. The native LVOT and Neo-LVOT will be plotted together in a graph. The smallest aliss Neo-LVOT can be saved to the report both in end-systole and end-diastole. Virtual valve inside anatomy Short axis view on the LVOT Auto Neo-LVOT graph Approach route assessment Septal Crossing Septal Crossing: This workflow can be used to plan and visualize the...

Pulmonary valve The tool for pre-op planning of pulmonary valve replacement and stenting Quick, easy, and reliable measurements and planning of transcatheter Pulmonary valve implantations. 3mensio provides a dedicated module for the analysis of the Pulmonary Trunk in both ED and ES and the left and right Pulmonary Artery. Including virtual valve, virtual stent, and simulated Angio. Volume rendering of Pulmonary trunk Pulmonary measurements Three centerlines Automatic centerline Diameter measurement Automatic measurement Pulmonary Trunk measurement Polygon graph tool Automatic segmentation The...

Pulmonary valve Virtual valve and stent A virtual valve can be placed into the anatomy to allow better assessment of position and angle. Use the implemented custom valve or import an STL-file. The virtual stent will automatically be aligned with the Pulmonary trunk using the centerline to allow assessment of the needed size and position of the stent. Virtual valve in-stent Virtual stent positioning Anatomic assessment Dedicated views are available to assess the anatomy. A view inside the vessel is possible using the curved sculpt tool. Curved sculpt Coronary distance Coronary tracing The automated...

Tricuspid Valve Pre-operative planning for tricuspid valve repair, replacement and transcaval intervention. Based on CT-data the 3D shape of the Tricuspid valve and surrounding structures can be visualized and analyzed. A Virtual valve or anchor device can be placed. The distances towards the RCA can be easily assessed and detailed analysis of the inferior and superior Vena Cava dimensions can be performed. The heart with a defined Tricuspid annulus Tricuspid Annulus Measurements Tricuspid annulus Surgical view Automatic Annulus Annotation Automatic tracing of the tricsupid annulus over the full...