Structural Heart
Structural Heart Planning, Decided Before the Lab
The outcome of a structural heart procedure is set long before the patient reaches the cath lab. cvi42 brings automation to TAVR, TMVR and LAAC planning — annulus detection, calcium quantification, device simulation and access routing — from a single cardiac CT. One dataset. One reproducible plan your heart team can trust.
TAVR Planning: Win the Case at the Annulus
In TAVR, the procedure is won or lost before the patient reaches the lab. The annulus measurement drives everything — device selection, sizing, deployment strategy. Under-size and you risk paravalvular leak. Over-size and you risk annular rupture.
cvi42 automates the entire planning workflow:
What cvi42 automates for TAVR
- Assisted annulus detection with automated cusp points and contour placement
- Automatic ostia heights, ST junction and Sinus of Valsalva measurements
- Leaflet calcium volume quantification
- Semi-automated femoral access planning with a reporting schematic
One CT delivers a complete, reproducible TAVR plan your heart team can trust.
TMVR Planning: Answer the Neo-LVOT Question First
TMVR is the fastest-growing segment in structural heart — and the hardest to plan. The neo-LVOT question decides candidacy: what happens to the outflow tract when the device lands? Get it wrong and the consequences are severe.
cvi42 answers it before the lab:
What cvi42 automates for TMVR
- Automated mitral annulus contouring and landmark detection
- LVOT assessment with virtual device visualization
- Mitral annular calcification (MAC) assessment
- Trans-septal planning with fluoroscopy simulation
- Apical access planning
Predict, plan and visualize the mitral valve with confidence.
LAAC Planning: Rehearse the Case with TruPlan
What if you could rehearse an entire LAAC procedure from a single cardiac CT? TruPlan — built with Boston Scientific for WATCHMAN procedures — simulates the views you'll actually use in the lab.
What TruPlan simulates
- Fluoro simulation with WATCHMAN sizing tables and device overlay
- Full TEE simulation: 0–45–90–135, bicaval, Ao short axis
- ICE view simulation
- Automated LAA landing zone definition and thrombus assessment
Predict, plan and visualize the mitral valve with confidence.
Proven lab efficiency
Published data shows CT-based planning reduced LAAC procedure times by 29% — a 50% improvement in lab efficiency.
Follow-up in the same workflow
When the procedure is done, follow-up lives in one place: peri-device leak measurement, contrast patency and dedicated reporting.
One Platform for Cardiac Imaging
How many applications does your team open for a single cardiac patient? Between CT analysis, MR, structural heart planning and follow-up, most departments juggle separate tools — each with its own license, training curve, validation cycle and support contract.
Consolidating on cvi42 changes the math:
Why teams consolidate on cvi42
- One interface for CT, MR and interventional planning
- One reporting workflow across modalities
- One vendor to validate, train on and manage
- Automated workflows that return time to patient care
That's why 1,700+ hospitals in 90+ countries run on Circle.
Frequently Asked Questions
Can cvi42 plan TAVR, TMVR and LAAC from one CT?
Yes. cvi42 supports TAVR, TMVR and LAAC planning from a single cardiac CT dataset, including annulus detection, calcium quantification, device simulation and access planning within one reporting workflow.
Does cvi42 assess neo-LVOT obstruction for TMVR?
Yes. cvi42 provides automated LVOT assessment with virtual device visualization, so teams can predict neo-LVOT obstruction risk before the procedure.
What is TruPlan?
TruPlan is cvi42's LAAC planning tool, built with Boston Scientific for WATCHMAN procedures. It simulates fluoro, TEE and ICE views with device sizing and overlay from a single cardiac CT.
How many hospitals use cvi42?
cvi42 is used across 1,700+ hospitals in 90+ countries.
See cvi42 Structural Heart in Action
Bring automation to TAVR, TMVR and LAAC planning — from one CT to a plan your heart team trusts.
Our Technology Enables Informed Decisions for Fast and Accurate Diagnoses
Automated Workflows Increase Time for Patient Care
Unmatched User Experience & Support You Can Count On
