Full MRI session at PICS Boston 2020

So excited that for the first time in PICS history, a full session was dedicated today (september 13th) on interventional MRI in cardiac interventions. Great talks by @ Toby Rogers, @Robert Lederman, @Alan Nugent and @Aimee Armstrong on recent development and a 20 year look forward from now on this topic. Earlier today @Suren Reddy showed a taped case from Dallas Childrens. It was Toby Rogers from Washington Childrens showing a nice review of recent studies in CMR and good to see that two major centres in London (dr Dan Knight) and Dallas (dr Suren Reddy) using our EmeryGlide have now become reference centers for training, economics of MRI interventions and moving this to the next decade. As Alan Nugent said in his closing remarks: “it is simply too important and too relevant” no to do this..

 

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Dallas interventional work in complex CHD now in JCMR

It takes time to publish during clinical routine, but finally the groundbreaking work of the team by drs Reddy, Hussain and Greil at Dallas Children’s/UTSW is now published in JCMR. The study describes interventional CMR procedures successfully performed to completion in 31/34 (91%) subjects between August 1st 2017 to December 13th, 2018. Median age and weight of mostly (n=21) single ventricle patients was 7.7 years and 25.2 kg (range: 3 months – 33 years and 8 –80 kg). Most exciting is the first description of Fontan fenestration test occlusion iCMR procedures in  pediatric subjects with complex CHD  with the aid of our EmeryGlide MR conditional guidewire.

 

 

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Live case using EmeryGlide at SCMR (February 14th)

SCMR 2020 is approaching, and interventional MRI live cases are becoming routine in this meeting. On February 14th 2020 the Dallas Children’s team headed by dr Suren Reddy and dr Tarique Hussain will perform an intervention, which will be broadcasted and commented in Orlando by a panel of interventional specialists headed by prof. Gerald Greil. Nano4Imaging and NuMed for children are co-sponsoring this event, and we will also offer live broadcast to Europe for our clients. If you are interested to participate this (late-night: 9:45-10:40 pm CET) webinar please send a mail to paul.borm@nano4imaging.com, clinical director.

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Looking back and forward

At the end of each year it is always good to look back and appreciate the milestones reached, new clients, new procedures and thank all the people and partners who have helped to come us all this way. It is also a tradition to do this graphically and illustrate our achievements and pathways in a postcard, designed by GrabaWeb. Our Horizon 2020 is to extend market use of interventional MRI (join also new LinkedIn group) and bring our hemin MRI contrast agent to the next level. On behalf of the entire N4I team:

Xmas card 2019

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CMR as routine diagnostic for PH

A recent paper in JCMR  (Knight et al, 2019) put online on september 9th shows the feasibility of CMR in routine screening for pulmonary hypertension. Fifty patients were investigated for suspected  or known PH underwent right heart cath in the CMR. Durations of separate procedural components were recorded, including time taken to pass the catheter from the femoral vein to a stable wedge position (procedure time) and total time the patient spent in the CMR department (department time). The study shows that after initial learning and optimization,total department time per patient was under 60 min, and 3-4 patients can be completed in one afternoon. Therefore the procedure is now routine making the extra visit to the cathlab redundant. A win-win for patient and hospital.

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Breakfast workshop PICS shows iCMR is stepping up

 

On September 6th during the annual PICS symposium Nano4Imaging LLC, BBraun Interventional Systems and pfm medical ag  organized a 2nd breakfast workshop on iCMR in congenital heart disease. The meeting was attended by about 25 clinicians and again showed the strong drive among pediatric centers to move interventional procedures into the MRI. During the workshop drs Reddy (Dallas Children’s) and Ratnayaka (Rady’s Children’s San Diego) shared their experience with MRI guidance. The exchange following their presentations showed that many centers want to move into these procedures, but run into practical and logistic problems with platform suppliers or internal IRB applications. The workshop was also the product launch of the EmeryGlide guidewire by BBraun, and follow-up of last years discussion on clinical indications and medical devices needed to extend the current arena of iCMR.

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Workshop at CSI Frankfurt-June 27th

PFM Medical and Nano4Imaging organize a next workshop on MRI procedures in pediatric cardiology at CSI Frankfurt. This meeting always describes and shows the newest trends in interventional cardiology. We are proud that some of our top clinical centers will share their expertise first hand with thos interested to get started in this field. Prof. Ewert from German Heart Centre Munich and dr Tarique Hussain (UT Soutwestern,/Dallas Children’s) will present their experience with the EmeryGlide guidewire in performing diagnostic interventions.

Mark: June 27th 2019; Start at 1:30 pm  at Room Conclusion 2. Please send registration by mail to pbo@nano4imaging.com.

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Cooperation to enable new MRI procedures in cardiology

pfm medical ag and Nano4Imaging GmbH are proud to announce that pfm medical has become the exclusive distributor for the EmeryGlide guidewire starting with the CE region and later on worldwide excluding the USA. The innovative EmeryGlide of Nano4Imaging GmbH enables cardiologists to perform invasive MRI diagnostics leading to new interventional treatments in cardiology.

During this year’s symposium of European society of pediatric cardiology (AEPC 2019) in Sevilla, pfm medical and Nano4Imaging GmbH organized a lunch symposium entitled “Expert guidance for MRI procedures in pediatric cardiology“. During the symposium both companies announced that pfm medical has become the exclusive distributor of Nano4Imaging’s EmeryGlide guide wire. The symposium enabled new EmeryGlide users to get guidance from experts in starting up their procedures in the MRI suite. For this purpose, the cardiologist team from Dallas Children’s/UT Southwestern joined the workshop to present a brief history and perspective of MRI guidance (Gerhard Greil), show the most recent advances in single ventricle patients (Suren Reddy) and share some recently taped cases.

Over the past two decades, the field of iCMR has been limited to predominantly diagnostic procedures. The availability of EmeryGlide guidewire, a MRI compatible guide wire, is a major step forward to put the real ‘i’ in iCMR procedures”, says Dr. Suren Reddy from UT Southwestern/Children’s Medical Center, Dallas. “The EmeryGlide guidewire has enabled me and my colleagues to advance catheters to places that was previously not possible thereby pushing the boundaries of diagnostic procedures in MRI. I look forward to pave the way towards real interventions in the MRI suite in the near future. Partnerships within device industry and academia on the other hand is critical to develop more tools needed for iCMR procedures. I am glad that pfm medical and Nano4Imaging are combining forces to move things ahead.”

About pfm medical ag
pfm medical is one of the leading German providers of special solutions in the healthcare sector. The Cologne-based family company was founded in 1971, and has nearly 550 employees at twelve international locations. In 2017, pfm medical realized an EBIT (earnings before interest and taxes) of 2.1 million euros from 104.8 million euros in sales. The medical product supplier has over 300 issued patent rights in over 80 patent families worldwide and with nearly 3,000 products spread across a broad portfolio distributed in over 100 markets. Its products extend to the following four key medical areas: Infusion (e.g. infusion pumps and implantable port catheters), surgery (e.g. drainage systems and mesh implants), histotechnology (e.g. blades and laboratory equipment) and cardiovascular technology (e.g. implantable occluders and special catheters). pfm medical integrates products and services into a comprehensive solution package. For instance, the company provides training and advice to users such as medical practitioners, nursing staff, patients and their families to support optimal therapy outcomes in both inpatient and outpatient healthcare. In the development of innovative solutions in close cooperation with leading medical practitioners and specialist partners, pfm medical invariably focuses on improvements in the quality of work and the quality of life of both users and patients.

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N4I and PFM in Sevilla

This year symposium of pediatric cardiology is taking place in Sevilla (Spain) the capital of Flamengo and pediatric CMR (at least this year). At AEPC 2018 we met with pfm medical in Athens, and now we are proud to announce that pfm has become our exclusive distributor of the EmeryGlide in Europe and Middle-East. Nano4Imaging and pfm are now co-organizing a lunch symposium entitled “Expert guidance for MRI procedures in pediatric cardiology. The symposium will enable new users to get guidance from experts in starting up MRI guidance and we hope to build bridges between existing and new clinical users. In this respect we are proud that the team from Dallas Children’s is coming over to the workshop to present a brief history and perspective of MRI guidance (Gerhard Greil), show the most recent advances in single ventricle patients (Suren Reddy) and share some taped cases from the last couple of months. Finally we will have a Q & A session for new users and we will present data of a  world-wide survey on interventional MRI that was completed by 182 labs all over the world. Hope to see you all at FIBES- Palacia de Congresos, Room Praga: 12:30-14:00 hrs, May 17th.

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