Abstract
A hybrid room defined as the synthesis of a fully equipped operating room (OR) with all the necessary diagnostic equipment allows high-quality diagnostic imaging and provides the option to perform endovascular interventions but also conventional surgery. Treatment of complex aortic pathologies in the hybrid OR offers ideally conditions regarding fluoroscopic visualization with simultaneous less as possible radiation exposure and minimizes also the needed used amount of contrast medium by different auto-mapping techniques. The present chapter demonstrates how profound knowledge of the possibilities of the module but also a well-organized stock extend the utility of the hybrid rooms in complex aortic pathologies significantly.
Keywords
advanced EVAR, angiosuite, complex EVAR, hybrid operation room, logistics
Endovascular treatment of complex aortic disease requires advanced imaging. The ideal facilities to perform complex endovascular aneurysm repair (EVAR) are the hybrid rooms, defined as the synthesis of a fully equipped operating room (OR) with all the necessary diagnostic equipment. Fig. 5.1 shows the first hybrid OR in Germany. This angiosuite was built in 2003 in Münster, at St. Franziskus Hospital for the Department of Vascular Surgery. The hybrid room allows high-quality diagnostic imaging, endovascular interventions, and the option for open surgery. Important characteristics of the angiography system are continuous and pulsed fluoroscopy recording the vascular route and masking overlay, single and sequential shooting power with variable frame rates, four different operating positions of the C -arm, and several programs for radiation exposure protection. The C -arm can be positioned from the console at the table ( Fig. 5.2 ).
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