iFR Co-registration

Angiography alone is not enough to identify lesion location. Only Philips co-registers iFR^1,2,3 values directly onto the angiogram giving you advanced physiologic guidance to help you see precisely which parts of a vessel are causing ischemia and determine your treatment strategy.

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Decide not just whether to treat, but where to treat

With iFR Co-registration there is no need for hyperemic drugs, no need for time consuming pullback devices and no need for guesswork.

Plan your procedure with physiologic guidance
Better discern focal, serial, or diffuse disease
Determine precise lesion severity and location
Make length measurements without a cumbersome pullback device
Estimate the physiologic impact of a virtual stent

Easy workflow

Get advanced physiologic insight in one pullback

Dr. Mathews discusses how iFR Co-registration improves his cath lab’s efficiency

Case example: iFR Co-registration workflow

Quickly review pressure drops and precise ischemia locations so you can plan your treatment strategy more accurately and easily

Automatically co-register values in seconds onto the angiogram to give you a complete picture

Easily assess treatment strategy decisions with virtual stenting to ensure you achieve maximize physiologic gain and reduce guesswork

Why should you use
iFR Co-registration?

Improving PCI with iFR Co-registration

Dr. Justin Davies explains how iFR
Co-registration can identify disease location and the likely impact of PCI before you stent.

Why is iFR Co-registration unique?
Dr. Morton Kern explains how iFR Co-registration helps him better plan his treatment strategy by combining physiology and angiography.

Improving your treatment strategy with iFR Co-registation

Dr. Mathews reviews an ostial LCX case in which he used iFR Co-registration to plan his treatment strategy.

Transforming how we do PCI with
iFR Co-registration

Dr. Allen Jeremias explains the need to understand not just whether there is ischemia, but where it is when planning for PCI.

Transforming how we do PCI with iFR Co-registration

Dr. Allen Jeremias explains the need to understand not just whether there is ischemia, but where it is when planning for PCI.

How are experts using iFR Co-registration in their interventions?

Cases aided by co-registration with Dr. Jeremias

3 vessel disease with Dr. Seto
iFR Co-registration case with Dr. Sen

Distal LM and LAD with Dr. Hernandez
iFR Co-registration case 2 with Dr. Sen

Mutli-vessel disease with Dr. Seto
Diffuse LAD leading to OMT with Dr. Sen

Osital LCX with Dr. Mathews

Quickly and easily understand lesion-specific physiology

iFR Co-registration graphically displays the iFR drop along the angiogram, highlighting which portion of the vessel is ischemic.

Focal disease

Diffuse disease

Make length measurements without a cumbersome pull back device

iFR Co-registration is calibrated for distance, so with a simple manual pullback you can make measurements on the angiogram and trend line.

“Click and drag” length measurements help with procedural planning

iFR and IVUS Tri-registration

Obtain easy length measurements that combine IVUS and iFR information with the angiogram to help determine if a stent will meet the procedural objectives.

Proven outcomes. Superior value.

iFR is the gold standard among resting indices backed by patient outcomes that reduces costs, procedural time and patient discomfort^1,2,4

Learn more about iFR outcomes data

Introducing IntraSight

Smart. Simple. Seamless.

Introducing the all-new Philips IntraSight interventional applications platform where imaging, physiology, co-registration* and software come together to simplify complex interventions, speed routine procedures and provide improved patient care.

Learn more about IntraSight

Resources

iFR Co-registration workflow quick guide (PDF)

SyncVision brochure (PDF)

iFR Co-registration data sheet (PDF)

SyncVision quick guide (PDF)

*Co-registration tools available within IntraSight 7 configuration via SyncVision

1. Davies JE, et al., DEFINE-FLAIR: A Multi- Centre, Prospective, International, Randomized, Blinded Comparison of Clinical Outcomes and Cost Efficiencies of iFR and FFR Decision-Making for Physiological Guided Coronary Revascularization. N Engl J Med, epub March 18, 2017.

2. Gotberg M, et al., Instantaneous Wave-Free Ratio Versus Fractional Flow Reserve Guided Intervention (IFR-SWEDEHEART): A Multicenter, Prospective, Registry-Based Randomized Clinical Trial. N Engl J Med, epub March 18, 2017.

3. Escaned J. ADVISE II: A Prospective, Registry Evaluation of iFR vs. FFR. TCT 2013. Lecture conducted from San Francisco, CA.

4. Patel M. “Cost-effectiveness of instantaneous wave-Free Ratio (iFR) compared with Fractional Flow Reserve (FFR) to guide coronary revascularization decision-making.” Late-breaking Clinical Trial presentation at ACC on March 10, 2018.