Abstract
Recent developments in vascular and cardiac care have led to new therapies integrating transcatheter techniques into surgery. To enable these procedures, operating rooms (ORs) with integrated X-rays imaging capabilities must be installed. These hybrid ORs need—beyond surgical equipment—high-end imaging equipment equivalent to angiography devices used in interventional radiography and cardiology. Imaging devices have long been used in operating theatres. Mobile C-arms, ultrasonography, and endoscopy are the standard of care for many operations. The idea of hybrid ORs is approximately 20 years old, introduced shortly after the initiation of endovascular procedures (Fogarty 1991). However, new devices, more complex transcatheter techniques, and longer procedures demand high-powered equipment to visualize thin guide-wires, quantify small vessel diameters, evaluate delicate anastomoses, and detect endoleaks in the OR. Because of their size and complexity, these integrated endovascular suites—or hybrid ORs—require special considerations, planning, and design, as well as new skills learned by the team. Guidelines on hybrid ORs are currently missing but are under development by multidisciplinary teams.
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Nollert, G., Wich, S., Hartkens, T., Figel, A. (2013). The Cardiovascular Hybrid Operating Room. In: Kpodonu, J., Haulon, S. (eds) Atlas of Advanced Endoaortic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4027-6_1
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DOI: https://doi.org/10.1007/978-1-4471-4027-6_1
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