Philips introduced an industry-first innovation that integrates preoperative CT data directly into the cath lab workflow at this week’s Transcatheter Cardiovascular Therapeutics (TCT 2025) meeting.

The new capability is available via integration of Philips’ Advanced Visualization Workspace (AVW) with the Azurion image-guided therapy system. According to the company, it marks an initial step toward CT-guided percutaneous coronary intervention (PCI), a minimally invasive procedure to open narrowed coronary arteries and restore blood flow to the heart.

The Follow C-arm capability automatically synchronizes 3D coronary artery reconstruction with the Azurion C-arm’s movement. As C-arm angulation changes, the CT volume rotates in real time to match, providing the 3D anatomical view without manual interaction. This connection helps merge CT imaging’s detailed insights with the flexibility of live X-ray guidance in the cath lab.

Combining AVW and Azurion hopes to offer enhanced anatomical insights to guide complex PCI procedures. Publications have demonstrated that leveraging coronary computed tomography angiography (CCTA) can reduce contrast medium use and radiation dose during interventions.

CCTA is increasingly used in global clinical guidelines as first-line tool to diagnose and plan coronary artery disease. More patients are arriving at the cath lab with prior CT scans so physicians are looking for ways to incorporate the info into their interventional workflows. Philips hopes to help expand use of CT beyond diagnosis and planning, supporting a future where CT-guided PCI becomes standard practice.

“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,” said Mark Stoffels, business leader Image-Guided Therapy Systems at Philips. “This seamless integration is a significant step towards CT-guided PCI, aligning with our commitment to improving workflow efficiency and advancing patient care in interventional cardiology.”