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hybrid operating room

Jingwei Li, Shiwei Du, Liyong Sun, Feng Shang, Hongqi Zhang, Guilin Li
As a normal variation of the cerebral venous angioarchitecture, developmental venous anomalies (DVAs) represent a rare cause of intraparenchymal hemorrhage. Different from mixed vascular lesions, such as capillary malformations (CMs), arteriovenous malformations (AVMs), arteriovenous fistulas (AVFs), and thrombosis, here we describe the first case of a ruptured hemodynamic aneurysm associated with a DVA and introduce the first use of hybrid operation for the treatment of a hemorrhagic DVA. A 14-year-old girl suffered from sudden onset of headache, aphasia and left hemiplegia...
August 9, 2018: World Neurosurgery
Michael R Karns, Daniel L Jones, Dane C Todd, Travis G Maak, Stephen K Aoki, Robert T Burks, Minkyoung Yoo, Richard E Nelson, Patrick E Greis
Background: Few studies have investigated the influence of patient-specific variables or procedure-specific factors on the overall cost of anterior cruciate ligament reconstruction (ACLR) in an ambulatory surgery setting. Purpose: To determine patient- and procedure-specific factors influencing the overall direct cost of outpatient arthroscopic ACLR utilizing a unique value-driven outcomes (VDO) tool. Study Design: Cohort study (economic and decision analysis); Level of evidence, 3...
August 2018: Orthopaedic Journal of Sports Medicine
Vijaya T Daniel, Angela M Ingraham, Jasmine A Khubchandani, Didem Ayturk, Catarina I Kiefe, Heena P Santry
BACKGROUND: Acute care surgery (ACS) was proposed to improve emergency general surgery (EGS) care; however, the extent of ACS model adoption in the United States is unknown. A national survey was conducted to ascertain factors associated with variations in EGS models of care, with particular focus on ACS use. METHODS: A hybrid mail/electronic survey was sent in 2015 to 2,811 acute care hospitals with an emergency room and an operating room. If a respondent indicated that the approach to EGS was a dedicated clinical team whose scope encompasses EGS (± trauma, ± elective general surgery, ± burns), the hospital was considered an ACS hospital...
August 6, 2018: Joint Commission Journal on Quality and Patient Safety
Adrien Kaladji, Alexandre Villena, Remy Pascot, Florent Lalys, Anne Daoudal, Elodie Clochard, Antoine Lucas, Alain Cardon
INTRODUCTION: Fusion imaging is a technique that facilitates endovascular navigation but is only available in hybrid rooms. The goal of this study was to evaluate the feasibility of fusion imaging with a mobile C-arm in a conventional operating room through the use of an angio-navigation station. METHODS: From May 2016 to June 2017, the study included all patients who underwent an aortic stent graft procedure in a conventional operating room with a mobile flat-panel detector (Cios Alpha, Siemens) connected to an angio-navigation station (EndoNaut, Therenva)...
August 6, 2018: Annals of Vascular Surgery
Shahed Borojeni, Antoinette Borojeni, Paul Panayotopoulos, Antoine Bouvier, Christophe Aubé, Abdel-Rahmène Azzouzi, Pierre Bigot
BACKGROUND: In a cadaveric model with healthy kidneys, it has recently been highlighted that a single renal segment could be supplied by one or more arterial branches originating from an artery supplying another segment. OBJECTIVE: To demonstrate occurrences of anatomical variations of renal vascularization and to analyze vascularization of renal tumors. DESIGN, SETTING, AND PARTICIPANTS: This prospective monocentric study included all patients treated for a renal tumor between May 2015 and June 2017 by laparoscopic partial nephrectomy after superselective tumor embolization in a hybrid operating room...
August 2, 2018: European Urology Focus
Maxime Benoit, Antoine Bouvier, Paul Panayotopoulos, Thibaut Culty, Bertrand Guillonneau, Christophe Aube, Abdel Rahmène Azzouzi, Philippe Sebe, Pierre Bigot
BACKGROUND: Partial nephrectomy (PN) is the standard treatment for localized renal tumors. Laparoscopic PN (LPN) after selective embolization of tumor (LPNE) in a hybrid operating room has been developed to make LPN easier and safer. The aim of this study was to compare outcomes of LPNE and robot-assisted PN (RAPN). PATIENTS AND METHODS: All patients who underwent an LPNE at Angers University Hospital between May 2015 and April 2017, and a RAPN at Diaconesses Croix Saint Simon hospital between October 2014 and April 2017 were prospectively included...
July 12, 2018: Clinical Genitourinary Cancer
Maria Antonella Ruffino, Marco Fronda, Andrea Discalzi, Paola Isoardi, Laura Bergamasco, Roberto Ropolo, Dorico Righi, Paolo Fonio
PURPOSE: To evaluate the radiation dose reduction during endovascular aneurysm repair (EVAR) after the reconfiguration of a Philips AlluraXper FD20 X-ray system. METHODS: Between 2013 and 2015, we implemented a low-dose protocol (Eco dose) increasing the filtration with 1 mm of Al and 0.1 of Cu on both fluoroscopy and fluorography and halving the frames per second in fluoroscopy. The switch was complemented by hybrid operating room staff education and training in radiation protection...
July 23, 2018: La Radiologia Medica
Yin-Kai Chao, Chih-Tsung Wen, Hsin-Yueh Fang, Ming-Ju Hsieh
Background: The advent of image-guided video-assisted thoracoscopic surgery (iVATS) has allowed the simultaneous localization and removal of small lung nodules. The aim of this study is to detail, in a retrospective review, one institution's experience using iVATS in this clinical setting, with a special attention to efficacy, safety, and procedural details. Methods: This study was a retrospective analysis of prospectively collected data. Between October 2016 and January 2018, a total of 95 patients with 100 small lung nodules underwent iVATS...
June 2018: Journal of Thoracic Disease
Tao Hong, Jia-Xing Yu, Wei Liu, Li-Song Bian, Fan Yang, Yong-Jie Ma, Feng Ling, Hong-Qi Zhang
Filum terminale arteriovenous fistula (FTAVF) with multiple shunt points has not been reported in the literature. In previous studies, the angio-architecture of FTAVFs was always featured with only one single shunt point and such a uniformity had established the preconceived and conventional understanding of FTAVFs for clinicians. The authors describe two exceptional cases of FTAVFs with multiple shunt points confirmed by open surgery, which means the above understanding may lead misdiagnosis and incomplete treatment in future...
July 19, 2018: World Neurosurgery
Takahiro Kinoshita, Motohisa Hayashi, Kazuma Yamakawa, Atsushi Watanabe, Jumpei Yoshimura, Toshimitsu Hamasaki, Satoshi Fujimi
OBJECTIVE: The timely treatment of severe traumatic brain injury (TBI) is essential for limiting the effects of damage; however, there is no consensus regarding an effective method for early intervention. In August 2011, our hospital launched a novel trauma workflow using the hybrid emergency room (ER), consisting of an interventional radiology-computed tomography (CT) unit installed in the trauma resuscitation room to facilitate early interventions. The aim of this study was to evaluate effects of the hybrid ER system on functional outcomes in patients with severe TBI...
July 17, 2018: World Neurosurgery
Óscar Cano, María Bueno, Joaquín Osca, María-José Sancho-Tello, Fernando Hornero, Luis Martínez-Dolz
No abstract text is available yet for this article.
July 16, 2018: Revista Española de Cardiología
Brecht Hanssens, Emmeric Tanghe, Davy P Gaillot, Martine Liénard, Claude Oestges, David Plets, Luc Martens, Wout Joseph
This work presents an extension of the high-resolution RiMAX multipath estimation algorithm, enabling the analysis of frequency-dependent propagation parameters for ultra-wideband (UWB) channel modeling. Since RiMAX is a narrowband algorithm, it does not account for the frequency-dependency of the radio channel or the environment. As such, the impact of certain materials in which these systems operate can no longer be considered constant with respect to frequency, preventing an accurate estimation of multipath parameters for UWB communication...
2018: EURASIP Journal on Wireless Communications and Networking
Serge Marbacher, Itai Mendelowitsch, Basil Erwin Grüter, Michael Diepers, Luca Remonda, Javier Fandino
OBJECTIVE During the last decade, improvements in real-time, high-resolution imaging of surgically exposed cerebral vasculature have been realized with the successful introduction of intraoperative indocyanine green video angiography (ICGVA) and technical advances in intraoperative digital subtraction angiography (DSA). With the availability of 3D intraoperative DSA (3D-iDSA) in hybrid operating rooms, the present study offers a contemporary comparison for rates of accuracy and discordance. METHODS In this retrospective study of prospectively collected data, 140 consecutive patients underwent microsurgical treatment of intracranial aneurysms (IAs) in a hybrid operating room...
July 13, 2018: Journal of Neurosurgery
Oleg Lupan, Vasile Postica, Mathias Hoppe, Niklas Wolff, Oleksandr Polonskyi, Thierry Pauporté, Bruno Viana, Odile Majérus, Lorenz Kienle, Franz Faupel, Rainer Adelung
Noble metals and their oxide nano-clusters are considered to be the most promising candidates for fabricating advanced H2 gas sensors. Through this work, we propose a novel strategy to grow and modulate the density of PdO/PdO2 nanoparticles uniformly on nanostructured Pd-doped ZnO (ZnO : Pd) films by a one-step solution approach followed by thermal annealing at 650 °C, and thus to detect ppm-level H2 gas in a selective manner. The gas sensing properties of such hybridized materials showed that the PdO-functionalized ZnO samples offer significantly improved H2 gas sensing properties in an operating temperature range of 25-200 °C...
August 7, 2018: Nanoscale
Satoshi Fumimoto, Kiyoshi Sato, Mitsuhiro Koyama, Kazuhiro Yamamoto, Yoshifumi Narumi, Nobuharu Hanaoka, Takahiro Katsumata
Background: The development of diagnostic technology has led to detection of an increasing number of small pulmonary nodules (SPNs), which can be difficult to locate intraoperatively. Here, we report our experience performing single-stage lipiodol localization and surgical resection in a hybrid operating room (OR). Methods: Between June 2016 and August 2017, 30 patients with 32 SPNs underwent sliding gantry-based multidetector computed tomography (MDCT)-guided lipiodol marking followed by video-assisted thoracoscopic surgery (VATS) in a hybrid OR...
May 2018: Journal of Thoracic Disease
Jeevan Nagendran, Chris Tarola, Jorge Catrip, Stephanie A Fox, Michael W A Chu, Patrick Teefy, Kumar Sridhar, Pantelis Diamantouros, Bob Kiaii
Background: The efficacy of diagonal coronary artery stenting in patients undergoing robotic left internal thoracic artery-to-left anterior descending (LITA-to-LAD) anastomosis is not well defined. The objective of this study was to assess graft and stent patency in a single-stage hybrid revascularization with LITA-to-LAD anastomosis and PCI to a diagonal coronary artery. Methods: From 2004 to 2014, a total of 25 patients consented to robotic-assisted LITA harvesting and a small left anterior thoracotomy for off-pump coronary artery bypass anastomosis onto the LAD along with concomitant PCI to the diagonal coronary artery...
August 2018: Journal of Clinical Medicine Research
C Raspé, M Bucher
No abstract text is available yet for this article.
July 2018: Der Anaesthesist
T Fuchs-Buder, N Settembre, D Schmartz
A hybrid suite is an operating theater with imaging equipment equivalent to that used in an angiography suite with computed tomography (CT) and magnetic resonance imaging (MRI). They are often situated outside the operating room area and typically serve as multifunctional rooms designed to support a variety of catheter-based endovascular procedures and open surgery to be performed in the same location. The possibility to perform these in the same location facilitates the combination of both approaches to so-called hybrid procedures...
July 2018: Der Anaesthesist
K Schuetze, M Kraus, A Eickhoff, F Gebhard, P H Richter
The original version of this article unfortunately contained a mistake. In abstract, results section should read.
June 15, 2018: International Journal of Computer Assisted Radiology and Surgery
Ashleigh Long, Paul Mahoney
BACKGROUND: Transcatheter mitral valve-in-valve (TMVIV) or valve-in-ring (TMVIR) replacement has shown early promise in patients deemed poor surgical candidates as a less invasive alternative to conventional reoperative mitral valve (MV) replacement. OBJECTIVE: This retrospective, single-center study reviewed the procedural outcomes of all TMVIV and TMVIR procedures between 2013-2018 at a large tertiary referral center serving the southeastern United States. An analysis of patient safety measures was also performed, with a retrospective assessment of relative procedural safety that included preoperative risk stratification and postoperative mortality predictors, operative time, average blood loss, length of hospital stay, and readmission rates...
June 15, 2018: Journal of Invasive Cardiology
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