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The Hybrid Operating Room

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Management of Cerebrovascular Disorders

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Abstract

Complex neurovascular disease often requires the use of both open and endovascular techniques to optimize treatment strategies. The increased technology along with endovascular capabilities has expanded the armamentarium available for neurovascular surgeons. Having both capabilities assimilated in one operating theatre will allow improved ability to treat complex disease more efficiently and lead to improved patient outcomes. The versatility of the room can also be applied to spine and skull base treatments. We review the background, patient selection, as well as room design and logistical challenges in establishing a hybrid operating room.

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References

  1. Murayama Y, Arakawa H, Ishibashi T, Kawamura D, Ebara M, Irie K, Takao H, Ikeuchi S, Ogawa T, Kato M, Kajiwara I, Nishimura S, Abe T. Combined surgical and endovascular treatment of complex cerebrovascular disease in the hybrid operating room. J NeuroInterv Surg. 2013;5:489–93.

    Article  Google Scholar 

  2. Fandino J, Taussky P, Marbacher S, Muroi C, Diepers M, Fathi AR, et al. The concept of a hybrid operating room: applications in cerebrovascular surgery. Acta Neurochir Suppl. 2013;115:113–7.

    PubMed  Google Scholar 

  3. Iihara K, Satow T, Matsushige T, Kataoka H, Nakajima N, Fukuda K, et al. Hybrid operating room for the treatment of complex neurovascular and brachiocephalic lesions. J Stroke Cerebrovasc Dis. 2012;22:e277–85.

    Article  Google Scholar 

  4. Murayama Y, Saguchi T, Ishibashi T, Ebara M, Takao H, Irie K, Ikeuchi S, Onoue H, Ogawa T, Abe T. Endovascular operating suite: future directions for treating neurovascular disease. J Neurosurg. 2006;104(6):925–30.

    Article  Google Scholar 

  5. Jolesz FA. Intraoperative imaging in neurosurgery: where will the future take us? Acta Neurochir Suppl. 2011;109:21–5.

    Article  Google Scholar 

  6. Berkhemer OA, Fransen PS, Beumer D, et al. MR CLEAN Investigators. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med. 2015;372:11–20.

    Article  Google Scholar 

  7. Goyal M, Demchuk AM, Menon BK, et al. ESCAPE Trial Investigators. Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med. 2015;372:1019–30.

    Article  CAS  Google Scholar 

  8. Saver JL, Goyal M, Bonafe A, et al. SWIFT PRIME Investigators. Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med. 2015;372:2285–95.

    Article  CAS  Google Scholar 

  9. Campbell BC, Mitchell PJ, Kleinig TJ, et al. EXTEND-IA Investigators. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med. 2015;372:1009–18.

    Article  CAS  Google Scholar 

  10. Jovin TG, Chamorro A, Cobo E, et al. REVASCAT Trial Investigators. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med. 2015;372:2296–306.

    Article  CAS  Google Scholar 

  11. Chalouhi N, Theofanis T, Jabbour P, Dumont AS, Fernando Gonzalez L, Starke RM, et al. Safety and efficacy of intraoperative angiography in craniotomies for cerebral aneurysms and arteriovenous malformations: a review of 1093 consecutive cases. Neurosurgery. 2012;71:1162–9.

    Article  Google Scholar 

  12. Goren O, Monteith SJ, Hadani M, Bakon M, Harnof S. Modern intraoperative imaging modalities for the vascular neurosurgeon treating intracerebral hemorrhage. Neurosurg Focus. 2013;34(5):1–7.

    Article  Google Scholar 

  13. Mori R, Yuki I, Kajiwara I, Nonaka Y, Ishibashi T, Karagiozov K, Dahmani C, Murayama Y. Hybrid operating room for combined neuroendovascular and endoscopic treatment of ruptured cerebral aneurysms with intraventricular hemorrhage. World Neurosurg. 2016;89:727e9–e12.

    Article  Google Scholar 

  14. Fathi AR, Nevzati E, Marbacher S, Gugliotta M, Remonda L, Fandino J. Validation and accuracy of intraoperative CT scan using the Philips Allura Xper FD20 angiography suite for assessment of free-hand pedicle screw placement. J Neurol Surg A Cent Eur Neurosurg. 2012;73:741–6.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA

    Kyle Mueller & Daniel Felbaum

  2. Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, MD, USA

    Randy Bell

  3. Department of Neuroendovascular Surgery, MedStar Washington Hospital Center, MedStar Georgetown University Hospital, Washington, DC, USA

    Rocco Armonda

Authors
  1. Kyle Mueller
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  2. Daniel Felbaum
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  3. Randy Bell
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  4. Rocco Armonda
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA

    Alejandro M. Spiotta

  2. Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA

    Raymond D. Turner

  3. Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA

    M. Imran Chaudry

  4. Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA

    Aquilla S. Turk

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Mueller, K., Felbaum, D., Bell, R., Armonda, R. (2019). The Hybrid Operating Room. In: Spiotta, A., Turner, R., Chaudry, M., Turk, A. (eds) Management of Cerebrovascular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-99016-3_4

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  • DOI: https://doi.org/10.1007/978-3-319-99016-3_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-99015-6

  • Online ISBN: 978-3-319-99016-3

  • eBook Packages: MedicineMedicine (R0)

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