3mensio Structural Heart
CT-Based Planning of Minimally Invasive Cardiac Interventions
Standardised. Reproducible. For the entire Heart Team.
3mensio Structural Heart guides the Heart Team from the first CT analysis to the final device selection. Six specialised workflows with automated and semi-automated segmentation, Guided Reporting and fully manually adjustable measurements support precise planning of percutaneous valve interventions and LAA occlusions.
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TAVI · Transkatheter Aortic Valvenersatz
Precise Aortic Valve Planning. Automated, Individually Adjustable, Fully Documented.
Aortic Root and Annulus
- Automated segmentation of the ascending aorta with manual adjustment option
- Dimensions of the aortic annulus, LVOT, STJ, SOV and ascending aorta
- Length of the membranous septum and horizontal aortic angle
- Automated detection of nadir points
- Measurement of coronary ostia heights and determination of optimal C-arm angulations using simulated Angio view
- Calcium quantification and Agatston Score
- Virtual valve placement with STL import for manufacturer-specific valves
Access Route Planning
- Dedicated workflows for femoral, subclavian, carotid, direct aortic and transapical access routes
- Visualisation of vessel diameter, calcium assessment and tortuosity of access vessels
- Intercostal space and access angle for direct aortic and transapical access
Reporting and Integration
- Guided Reporting with individually configurable measurements and screenshots
- Interactive iPad report with anatomical views, measurements and angio angulations
- PACS connectivity
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TMVr · TMVR · Mitral Valvenplanung
Mitral Valve Planning from Automated Annulus Detection to Neo-LVOT Analysis
Annulus Analysis and Anatomy
- Automated annulus tracing in saddle and D-shape over the entire cardiac cycle
- Mitral annulus dimensions and dynamic visualisation in systole and diastole
- Calcium assessment in multiple views, vessel centrelines manually or automatically
- Volume measurement of the left atrium and ventricle
- Anatomical relationships between atrial septum, LAA ostium, mitral annulus and vena cava
TMVR Planning
- TMVR screening workflow for patient suitability assessment based on cardiac phase, annulus dimensions and Neo-LVOT
- Virtual valve placement with automated Neo-LVOT calculation
- Aorto-mitral angle and determination of implantation depth
- Multimodality: 3D echo data linkable with CT analysis for combined Neo-LVOT assessment
TMVr Planning
- Distance between annulus and coronary vessels
- Assessment of anchor positions and mitral leaflet length
Access Route and Imaging Planning
- Septal crossing workflow for planning the optimal septal puncture via vena cava and fossa ovalis
- Access Route Planning: femoral, transseptal, transapikal, subklavikular
- Virtual TEE and ICE planning with probe position and angulations in mono and biplane
- Simulated angio view for determination of optimal C-arm projections
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TTVr · TTVR · Tricuspid Valven Intervention
Tricuspid Valve Planning with Automated Annulus Detection and Volume Analysis
Annulus and Valve Analysis
- Automated annulus detection over the entire cardiac cycle with manual adjustment option
- Area, perimeter, diameter, commissures, leaflet length, coaptation length and 3D tenting automatically calculated
- Visualisation of the right coronary artery with automatically calculated distance to the annulus
- Trabeculae automatically segmentable and visualisable in the angio view
- Automated volume and phase determination of the right ventricle and atrium
Virtual Device Placement
- Virtual valve or anchor device via STL import or custom valve
- Assessment of implantation depth, valve selection and anchor positions
- Determination of the optimal C-arm projection angle using simulated angio view
- Virtual TEE and ICE planning with probe position and angulations
Access Route Planning
- Segmentation and measurement of superior and inferior vena cava for femoral access planning or stenting
- Access route assessment: femoral, transapical, superior and inferior vena cava
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PPVI · Perkutaner Pulmonary Valvenersatz
Precise PPVI planning with three automated centrelines and virtual stent
Pulmonary Anatomy and Measurements
- Automated segmentation of three centrelines through the pulmonary trunk, left and right pulmonary artery
- Polygon graph tool for automated diameter overview along the entire pulmonary trunk
- Messung von Pulmonary Valvenhöhe, prä- und postbifurkalen Durchmessern sowie RVOT-Dimensionen
- Analysis in end-diastole and end-systole
- Area, perimeter and length measurements along all centrelines
Virtual Device Placement
- Virtual valve via STL import or custom valve for simulation of position and angle
- Virtual stent for assessment of size and position
- Curved sculpt tool for interior view of the vessel
- Detection of coronary arteries to assess the relationship between coronary arteries and pulmonary trunk
- Simulated angio view for determination of optimal C-arm projections
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LAAO · Left Atrial Appendage Occlusion
Reproducible LAA occlusion planning with automated 3D segmentation and septal crossing
LAA Analysis
- Automated 3D segmentation of the heart with immediate visualisation of the left atrial appendage and all adjacent anatomical structures
- Reliable detection of thrombi in the left atrial appendage
- Precise analysis of LAA size, morphology and orientation in 2D and 3D as the basis for safe device selection
- Anatomische Beziehungen zwischen LAA, Pulmonalvenen, Mitral Valve und interatrialem Septum
Access Route and Projection
- Integrated septal crossing workflow for planning the optimal septal puncture via vena cava and fossa ovalis
- Determination of the optimal C-arm projection
CTA · Coronary Analysis
Automated coronary segmentation with precise stenosis quantification and calcium scoring
Coronary Analysis
- Automated segmentation of the entire coronary artery tree
- Precise stenosis quantification along the vessel course
- Precise lumen measurements in area, perimeter and diameter
- Simulated angio view for identification of optimal C-arm projections
Calcium Scoring
- Quantification of calcium volume, Agatston Score and calcium
- Reproducible assessment of coronary calcifications in multiple views
Valve in Valve · RedoTAV
Specialised workflow for RedoTAV and TAV in SAV. Available as an add on license.
Valve in Valve procedures are continuously increasing for both surgical and transcatheter heart valves. The RedoTAV workflow supports the planning of complex Redo TAV and TAV in SAV procedures with specialised tools for commissural alignment, coronary risk assessment and virtual placement of the second valve.
The Valve in Valve workflow is not part of the standard Aortic workflow and must be purchased separately as a RedoTAV add on to a valid 3mensio Structural Heart Aortic license from version 10.7 onwards.
- Marking of native and index commissures to assess commissural alignment
- Quick diameter measurement of the index valve to assess over- or under-expansion
- Coronary detection including Coronary Risk Plane for coronary obstruction risk assessment
- Placement of a second virtual valve with definition of the Neo Skirt Plane
- Comprehensive risk measurements to assess coronary obstruction and coronary access issues
3mensio Structural Heart
Request a demo or trial license
All 3mensio Structural Heart modules are available as a demo or trial license. Training and technical support are provided directly.
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Request a demo or trial licence
- Personal demo on-site or remote
- Trial licences available for all modules
- Training and support included