GE Healthcare Moving beyond EVAR - Manual (Page 4)

Combining endovascular techniques with minimally invasive open
surgery creates a hybrid approach for aortic repair that requires
a hybrid surgical suite. This new setting merges the familiar equipment
of an operating room, such as anesthesia or heart-lung machines, with
the high-end imaging capabilities and advanced interventional devices
typically found in the cath lab.
Surgeon control over the diverse tools and technology become critical to procedural success
demanding a flexible environment. In the event a case needs to be converted to open surgery,
a vital requirement is for the cath lab equipment to be quickly moved to the background
leaving the surgeon room to operate.
An efficient design of this surgical suite can also aid a surgical team to effectively respond to
the increasing demand for EVAR procedures that is expected to grow 15% annually in some
European countries.
How to best combine these requirements in a single setting vary from the extensive investment
in a fixed system to the elegantly straight-forward approach
of a mobile hybrid OR.
The essential elements for the hybrid vascular surgeon
in either design are high-performance imaging
capabilities with a floating patient table.
Merging capabilities to create a Hybrid OR
I am not a radiologist,
I am a surgeon.
“It becomes important to have a system
that is easy to use and fits well within
the operating room setting, moving
quickly to the side when we need to
perform an open surgery,” said Prof.
Haulon.
“A motorized C-arm system combined
with a floating table was the key
for us to be able to move from routine
to advanced aortic endovascular repairs.
Once the C-arm is positioned with
the floating table, no one touches
the C-arm anymore. Controlling
the C-arm myself means the procedure
can really fly, simpler and faster.
The team has completely changed
with the motorized system.
Now the scrub nurse can focus on
the various endovascular tools that
need to be prepared.
Other people in the room can take care
of the patient and bring the various
components we need during
the endovascular repair.”