3 VALIDATED & PUBLISHED ALGORITHMS FOR DIFFERENT CLINICAL INDICATIONS
#1.SOLID & ARTEFACT (TIA&Stroke)
#2.GASEOUS & ARTEF (PFO&PVI)
MONITORING AND VERIFICATION GUI
EDS is exclusively distributed in Europe on Delica TCD systems
ARTIFICIAL INTELLIGENCE ALLOWS
RAPID DIAGNOSIS OF
LONGTERM TCD TIMESERIES
ALLOWS EXPORT OF AUDIOFILES, MES & ARTEFACT VALUES FOR
SCIENTIFICALLY BACKED UP
EDS Support Centre
This website supports EDS customers and other physicans to optimize embolus detection by
Explaining the Art of Embolus Detection by
powerpoint lectures, articles and manuals.
Giving you the possibility for uploading your own TCD audio-files
for review and feedback.
Showing you TCD teaching files with different types of
solid & gaseous emboli and artifacts in the bloodstream.
Provide you lectures on stroke prevention by implementation
of TCD and TCD embolus detection in daily clinical practice
The EDS is a premium CE certified software for detecting solid and gaseous emboli in the bloodstream. The EDS has been developed and validated by Dr. RWM Keunen, a Dutch neurologist working at the Haga Teaching Hosipitals, The Hague, The Netherlands.
Embolus detection is a unique diagnostic tool to identify patients with an increased stroke risk.
EDS is applied in the management of (a)symptomatic carotid artery stenosis, peri-operative monitoring of patients scheduled for carotid, cardiac, TAVI and PVI procedures
Additional TCD Stroke Prevention Initiatives
developed by R.W.M. Keunen MD PhD
The Haga Braincare Strategy
The Haga Braincare Stragey has been developed to reduce the burden of focal and global ischemia related to cardiac surgery. It is a dual strategy in which patients with cerebral flow states are identified prior to surgery by TCD Ultrasound and in which patients are monitored per--operatively by non-invasive NIRS cerebral oximetry. In a retrospective follow-up study we noticed a the Haga Teaching Hospital an extinction of postoperative hemodynamic strokes and a > 50 % reduction of the post operative delirium...
Prevention of Malignant Cerebral Hyperfusion after Carotid Surgery or Angioplasthy
Cerebral hyperperfusion syndromes are reperfusion syndromes that may occur in the run off MCA territory after stenting or surgery of high grade ipsilateral carotid artery stenosis. Most of these hyperperfusion syndromes are transient phenomena with no residual brain lesions. However some of them result in a devastating hemorrhagic stroke. The main risk factors of such a devastating stroke is when systemic hypertension and failed cerebral auto regulation interact with each other. Implementing intelligent TCD and RR management in these patients may prevent such devastating strokes...
Inspirators of the EDS development
Merrill Spencer Rune Aaslid Rob Ackerstaff Run
EDS Delica Distributors
Cardio Solutions BV
Landsmeer The Netherlands
for the Benelux countries
SMT Medical GmbH&Co. KG
for the DACH countries
DHS Hungary Ltd.
Disclosures Dr. Keunen
Dr. Keunen was vascular neurologist at the Haga Hospital from 1990-2020. Since 2021 Dr. Keunen is research neurologist at the department of cardiosurgery at the Haga Hospitals the Hague The Netherlands and owner of EDS Medical Softeware BV.
Dr. Keunen is medical advisor of Medtronic Trading NL BV The Netherlands. Delica China, SMT Medical Germany, Cardio Solutions The Netherlands and DHS Hungary.
Semmelweis Budapest Hungary
Debrecen University Debrecen Hungary
Rostock University RostockGermany
Inselspital Bern Switzerland
Erasmus Rotterdam The Netherlands
UMCU Utrecht The Netherlands
UMC Groningen The Netherlands
UMC Maastricht The Netherlands
University of Kaunas Letland
Umea University Hospital Sweden
University of Wurzburg, Germany
HagaZiekenhuis Den Haag, The Netherlands
Antonius Nieuwegein, The Netherlands
Elisabeth Tilburg, The Netherlands
Isala Klinieken, Zwolle. The Netherlands
Ziekenhuis Deventer, The Netherlands
Franciscus Rotterdam, The Netherlands
Catharina Eindhoven, The Netherlands
Dijklander Hoorn, The Netherlands
Marien Hospital Bottrop, Germany
Klinikum Esslingen, Germany
Klinikum Schaumburg, Germany
Kaposvár Hospital, Hungary