Royal Philips has introduced a new feature that links preoperative CT scans with real-time C-arm movement in the cath lab, marking what it calls an industry first in interventional cardiology workflow integration.

Unveiled at the 2025 Transcatheter Cardiovascular Therapeutics (TCT) conference, the new capability integrates the company’s Advanced Visualization Workspace with its Azurion image-guided therapy platform. The core feature, called “Follow C-arm,” enables CT images to rotate automatically in sync with the angulation of the Azurion C-arm, providing a dynamic 3D anatomical view during procedures without requiring manual image manipulation.

The innovation is intended to support more informed decision-making during percutaneous coronary intervention (PCI) procedures by combining the detailed anatomical data of coronary CT angiography (CCTA) with live X-ray imaging. Philips said the update reflects growing clinical interest in leveraging CT not only for diagnosis and pre-procedural planning, but also as a guiding tool during interventions.
“By bringing preoperative 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 of image-guided therapy systems at Philips.

Global guidelines have increasingly endorsed CCTA as a first-line diagnostic tool for coronary artery disease, and more patients are arriving at cath labs with prior CT imaging. Philips aims to reduce redundancy and improve workflow by integrating these images directly into the interventional suite.

The Amsterdam-based company says the update builds on the broader success of its Azurion platform, which has been in use since 2017 and is currently deployed in more than 80 countries. According to Philips, the system supports more than 6 million patient procedures annually.

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