Treating cerebrovascular diseases in hybrid operating room equipped with a robotic angiographic fluoroscopy system: level of necessity and 5-year experiences

Liao, Chih‐Hsiang; Chen, Wen-Hsien; Lee, Chung-Hsin; Shen, Su‐Chin; Tsuei, Yuang-Seng

doi:10.1007/s00701-018-3769-4

Cited by 17 publications

(11 citation statements)

References 27 publications

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“…To further optimize the use of the hybrid OR and patient care, it is necessary to carefully study whether it is beneficial to perform a procedure in this location. For example, Liao et al concluded that 67.7% -80.2% of the cerebrovascular procedures performed in the hybrid OR could also be performed in the standard OR without any compromise [25]. More comparative studies should therefore be performed to identify which procedures should be carried out in the hybrid OR and which type of patients would benefit most of being treated there.…”

Section: Discussionmentioning

confidence: 99%

Image-guided procedures in the hybrid operating room: A systematic scoping review

et al. 2022

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Background The shift from open to minimally invasive procedures with growing complexity has increased the demand for advanced intraoperative medical technologies. The hybrid operating room (OR) combines the functionality of a standard OR with fixed advanced imaging systems to facilitate minimally invasive image-guided procedures. Objective This systematic scoping review provides an overview of the use of the hybrid OR over the years, and reports on the encountered advantages and challenges. Methods We conducted a systematic search in PubMed, Embase, Web of Science, and Cochrane library databases for studies that described procedures being performed with the aid of 3D imaging in the hybrid OR. Results The search identified 123 studies that described 44 distinct procedures, divided over nine clinical disciplines. The number of studies increased from two in 2010 to 15 in the first five months of 2020. Ninety-nine (80%) of the studies described how 3D imaging was performed in the hybrid OR; 95 (96%) used cone-beam CT; four (4%) used multi-detector CT. Advantages and challenges of the hybrid OR were described in 94 (76%) and 34 (35%) studies, respectively. The most frequently reported advantage of using a hybrid OR is the achievement of more accurate treatment results, whereas elongation of the procedure time is the most important challenge, followed by an increase in radiation dose. Conclusion In conclusion, the growing number of clinical disciplines that uses the hybrid OR shows its wide functionality. To optimize its use, future comparative studies should be conducted to investigate which procedures really benefit from being performed in the hybrid OR.

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Section: Discussionmentioning

confidence: 99%

Image-guided procedures in the hybrid operating room: A systematic scoping review

et al. 2022

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“…Недостатком совмещения этих методик служит необходимость в транспортировке пациента в другую операционную и повторное введение пациента в наркоз [16][17][18][19]. Использование гибридной операционной позволяет выполнять комбинацию ЭХ и МХ без этих недостатков [9,12,13].…”

Section: Discussionunclassified

“…Для совмещения методик целесообразно использовать гибридную операционную, с оснащением, позволяющим выполнять эндоваскулярные и МХ-операции последовательно или одномоментно, не прибегая к транспортировке пациента в другую операционную и пролонгации нар коза [3][4][5][6][7]. Таким образом объединение усилий микро-и эндоваскулярных хирургов в одной операционной, при наиболее сложных вариантах цереброваскулярных заболеваний, минимизирует недостатки каждого из методов, улучшает исходы заболеваний, что подтверждается проведенными исследованиями [8][9][10][11][12][13].…”

Section: Introductionunclassified

Surgical treatment of cerebrovascular diseases in a hybrid operating room

Sergeev

Cherebillo

Савелло

et al. 2022

Nejrohirurgiâ (Mosk.)

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Background. Surgical treatment of complex neurovascular pathology remains an important problem requiring use of a combination of various techniques. Utilization of a hybrid operating room allows to simultaneously or sequentially combine microsurgical and endovascular surgical methods which can improve treatment outcomes.Aim. To improve surgical treatment of patients with cerebrovascular pathology by utilizing the capabilities of a hybrid operating room.Materials and methods. Surgical interventions were performed in a hybrid operating room with a combination of endovascular and microsurgical methods for treating the following cerebrovascular pathologies: complex dural fistulas, complex aneurysms, arteriovenous malformations. The type of surgical intervention – hybrid, combined, staged – was chosen in accordance with the nature of the pathology.Results. In 5 years, 41 patients underwent surgery in the hybrid operating room. Among them, 33 patients had arteriovenous malformations, 6 had complex aneurysms, 2 had complex dural fistulas. Combination interventions were performed in 27 patients, staged – in 12, hybrid – in 2. According to the Modified Rankin Scale (mRS) the following outcomes were observed: no complications in cases of complex aneurysms (6 patients) – mRS 0 (points), as well as in cases of dural fistulas (2 patients) – mRS 0 (points); in arteriovenous malformation, 30 patients did not have any complications – mRS 0; 3 patients had complications (of different types) – mRS 1.Conclusions. The combination of microsurgical and endovascular methods of treatment in a hybrid operating room allows to combine the positive features of the two methods in accordance with surgical needs which improves the outcomes of neurosurgical interventions in complex neurovascular pathology.

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“…For stroke patients, the use of mechanical thrombectomy and other surgical cerebrovascular treatments is a current area of innovation. [181920] Hybrid ORs can also be used for penetrating head trauma and other hybrid neurosurgical procedures including hemorrhagic stroke.…”

Section: Methodsmentioning

confidence: 99%

Developments in hybrid operating room, neurointensive care unit, and ward composition and organization for stroke management

et al. 2019

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Stroke is the leading cause of adult disability in the US. Rapid diagnosis and treatment of stroke, in addition to efficacious rehabilitation, is invaluable. The present review aims to report the recent improvements in hybrid operating rooms (hybrid ORs), and in the organization of Neurological intensive care unit (NICUs) and dedicated stroke wards (SWs), which contribute to enhanced stroke treatment. A PubMed literature review was conducted in addition to the collection of other online media releases regarding recent organizational advances in stroke care. PubMed keywords included but were not limited to “neurological intensive care unit,” “hybrid operating room,” and “stroke ward,” while all other online information regarding recent advances in the physical organization was selected and synthesized in accord with its relevance. The current research indicates that hybrid ORs facilitate surgical innovation and improved patient care through the colocation of advanced imaging modalities and surgical capabilities. Moreover, the recent reorganization of NICUs and SWs may lead to better-quality initial treatment and rehabilitation. The present review also considers the current ER triage protocol for stroke patients, and it concludes with relevant considerations relating to the role of the physical hospital structure and organization in stroke care.

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Treating cerebrovascular diseases in hybrid operating room equipped with a robotic angiographic fluoroscopy system: level of necessity and 5-year experiences

Cited by 17 publications

References 27 publications

Image-guided procedures in the hybrid operating room: A systematic scoping review

Image-guided procedures in the hybrid operating room: A systematic scoping review

Surgical treatment of cerebrovascular diseases in a hybrid operating room

Developments in hybrid operating room, neurointensive care unit, and ward composition and organization for stroke management

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