Cydar EV
Overview
Cydar EV (also known as Cydar Maps) is a cloud-based, AI-driven surgical intelligence and image-guidance platform designed for minimally invasive endovascular surgery. The software assists clinical teams by integrating pre-operative planning, real-time intraoperative navigation, and post-operative analysis into a unified digital workflow.
The platform is primarily utilized by vascular surgeons and interventional specialists within operating rooms, hybrid suites, and endovascular clinics. It supports procedures in the chest, abdomen, and pelvis, such as endovascular aortic aneurysm repairs (EVAR).
Cydar EV integrates into the clinical workflow through three core phases:
- Plan: Clinicians generate 3D surgical maps from pre-operative CT scans, utilizing AI to segment the aorta and lumen, perform vessel measurements, and position virtual guide wires or marker rings.
- Guide: During surgery, the system uses computer vision to overlay the pre-operative 3D map onto live fluoroscopic X-ray images. It automatically adjusts for patient movement and semi-automatically corrects for soft-tissue deformation caused by surgical instruments.
- Analyze: Post-operatively, the system provides an Automated Aortic Volume Assessment tool to estimate aortic volume changes and monitor patient outcomes over time.
The system is hardware-agnostic, allowing it to connect with existing mobile C-arms and fixed imaging systems. It also features remote collaboration capabilities, enabling clinical teams to securely share image data and live surgical views across the Cydar ecosystem.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- AI-driven image guidance
- Cloud-based platform for surgical planning and guidance
- Real-time 3D visualization and augmented reality overlay
- Pre-operative planning with patient-specific 3D maps
- Intra-operative navigation and guidance
- Post-operative review capabilities
- Reduced radiation exposure for patients and staff
- Reduced use of kidney-toxic contrast agents
- Shortened procedure times
- Integration with existing X-ray systems and PACS
Use Cases
- Endovascular Aortic Repair (EVAR)
- Minimally invasive endovascular surgery in the lower thorax, abdomen, and pelvis
- Assisting positioning of guidewires, catheters, and other endovascular devices
- Treatment of complex aortic aneurysms
- Improving predictability and consistency of outcomes in image-guided procedures
- Remote collaboration and support for surgical planning
What Physicians Need to Know
Cydar EV Maps offers real-time 3D augmented reality guidance during endovascular procedures, potentially reducing radiation and contrast exposure while shortening procedure times. Leverage its automated and semi-automated deformation adjustments to maintain overlay accuracy despite patient or device movement. Utilize the pre-operative planning tools to create detailed 3D maps and virtual guidewires. Post-operatively, the Aortic Volume Assessment (AVA) feature can aid in monitoring aneurysm changes. Ensure all users complete the required training for optimal system utilization.
Cydar EV is a cloud-based Software-as-a-Service (SaaS) solution. It integrates with hospital PACS systems via a 'Cydar Gateway' application on a hospital VM, which establishes a secure outbound connection to the Cydar Hospital Vault. The system is designed to be agnostic to existing X-ray imaging hardware, working with any C-arm system. It requires a client PC (Cydar Appliance) with a video frame grabber to capture live fluoroscopy feeds.
Details
| Category | Radiology & Imaging AI, Surgical AI |
| Pricing | Contact for pricing |
| Deployment | Cloud-based (Software-as-a-Service) |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
1 AI-estimated Cydar EV received 510(k) clearance (K160088) on July 7, 2016, for overlaying 3D vessel anatomy from preoperative CT scans onto live fluoroscopic images to assist in positioning guidewires, catheters, and other endovascular devices during procedures in the lower thorax, abdomen, and pelvis. An evolved version, Cydar EV Maps, also has FDA 510(k) clearance (K212442). |
| Integrations | |
| EHR | Not specified |
| Specialties | Cardiology, Interventional Radiology, Vascular Surgery |
What the Web Says
Cydar EV is an AI-driven, cloud-based image guidance system designed for endovascular aortic surgery. It has received FDA clearance and CE mark certification. The technology aims to improve surgical precision, reduce radiation exposure for both patients and staff, decrease the use of kidney-toxic contrast agents, and shorten procedure times. Cydar EV provides real-time 3D augmented reality views of anatomy, integrating diagnostic scans and planning information with live imaging.
Overall: PositiveStrengths
- Significant reduction in X-ray fluoroscopy screening time (mean 35% reduction).
- Reduced amount of iodinated kidney-toxic contrast (41% reduction).
- One-hour reduction in average operating time.
- Reduced patient and operator exposure to radiation.
- Real-time, fully integrated 3D visualization with greater spatial information.
- Compatible with any existing X-ray system.
Limitations
- No specific cons were found in the provided search results from physicians, healthcare IT, tech reviewers, Reddit, G2, or Capterra regarding Cydar EV.
- Some Reddit discussions about other 'EV' devices (like EV-ICD) mention potential for more pain post-op and the need for precise surgical placement, but these are not directly related to Cydar EV.
Based on reviews from: King's College London, YouTube (Dr. J. Heyligers, LINC 2021), Vascular News, DAIC, Cydar Medical, Medtronic, PMC (PubMed Central)
Last updated: 2026-07-18
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Improve endovascular performance: Comparing Cydar EV with Vessel Navigator from Philips.
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