Philips is launching Follow C-arm, a new capability to automatically integrate pre-operative CT scan data into cath lab workflows.

The new capability integrates Philips’ Advanced Visualisation Workspace (AVW) with its Azurion C-arm, an image-guided therapy system that uses X-ray technology to provide real-time imaging during medical procedures. The introduction represents an industry-first in bringing CT-guided percutaneous coronary intervention (PCI) into the cath lab, according to the Dutch company.

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Philips unveiled the new capability at the 2025 Transcatheter Cardiovascular Therapeutics (TCT) meeting, taking place in San Francisco between 25-28 October.

Follow C-arm automatically synchronises the 3D reconstruction of coronary arteries with the movement of the Azurion C-arm. As the C-arm’s angle changes, the CT volume rotates in real time, Philips said, providing interventionalists with a 3D anatomical view and removing the need for manual interaction.

According to Philips, the connection simplifies the process for clinicians to combine CT imaging insights with the flexibility of live X-ray guidance within the cath lab.

One of the principle aims of Philips’ new integration is to provide enhanced anatomical insights to guide complex PCI procedures. More broadly, by integrating CT data directly into Azurion, Philips shared that its aim is to provide interventionalists with options for using CT beyond diagnosis and planning, towards supporting a future in CT-guided PCI becomes the standard practice in cath labs. Research indicates that using CCTA during PCI serves to reduce the use of contrast medium and radiation dose requirements during procedures.

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Mark Stoffels, business leader for image-guided therapy systems at Philips, highlighted that the integration represented a “significant step” towards CT-guided PCI, aligning with the company’s focus on improving workflow efficiency and patient care protocols in interventional cardiology.

“By bringing pre-operative CT into the cath lab and linking it directly to the movement of the C-arm, Philips is delivering an industry-first that helps interventionalists prepare for and execute PCI procedures with greater confidence,” Stoffels said.

Coronary computed tomography angiography (CCTA) is increasingly used in global clinical guidelines as a first-line tool for the diagnosis and planning of coronary artery disease (CAD) procedures, a condition that affects around 18 million adults in the US.

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