What happens when, during an interventional procedure, you need to suddenly change method? This is a potential problem related to the increasing sophistication of transcatheter procedures. The hybrid operating room, integration of the Cath Lab and the operating room significantly reduces the risks associated with an emergency situation, allowing instant switching, for example, by a percutaneous procedure to a surgical procedure. "It's pretty clear that interventional procedures are becoming less invasive and imaging is becoming increasingly important during surgery," said Dr. Darren Walters, director of the Department of Cardiology at the Prince Charles Hospital. "All types of endovascular procedures require, in effect, a hybrid environment. "Dr. Walters believes that the advent of these environments has paved the way for the development of percutaneous valve replacement, and that this is a step forward after interventional cardiology coronary stenting. This is an important component of the revolution of the treatment of heart disease.
These techniques, for example, are leading the way in Australia, the replacement heart valve in elderly patients who were at high risk of surgical procedure in case of replacement, open chest. The data show that the first trial with percutaneous intervention, patients have shorter hospital stays and mortality rates significantly lower.
These techniques, for example, are leading the way in Australia, the replacement heart valve in elderly patients who were at high risk of surgical procedure in case of replacement, open chest. The data show that the first trial with percutaneous intervention, patients have shorter hospital stays and mortality rates significantly lower.
Dose reduction in valve replacement procedures
Access for percutaneous heart valve replacement, in most cases is through the artery femorale.In some patients, in which the blood vessel is too small to access, can be done only through ' subclavian artery or by transapical.
The second approach requires an incision of about five centimeters on the side of the chest, in this case it is necessary to intervene in a hybrid operating room because if done in a standard environment is necessary to use a mobile X-ray to guide the catheter. For this type of intervention, the system Artis zee ® is able to make measurements with significant dose reduction, and is able to reduce the dose in other ways.
The C-arm of Artis zee can detect images up to 290 ° rotation around the patient's body, with the software syngo ® DynaCT is able to reconstruct three-dimensional images by reducing the radiation dose significantly. This can be done while the patient is on the operating table, with no need 'to travel between image acquisition and installation of the valve.
The second approach requires an incision of about five centimeters on the side of the chest, in this case it is necessary to intervene in a hybrid operating room because if done in a standard environment is necessary to use a mobile X-ray to guide the catheter. For this type of intervention, the system Artis zee ® is able to make measurements with significant dose reduction, and is able to reduce the dose in other ways.
The C-arm of Artis zee can detect images up to 290 ° rotation around the patient's body, with the software syngo ® DynaCT is able to reconstruct three-dimensional images by reducing the radiation dose significantly. This can be done while the patient is on the operating table, with no need 'to travel between image acquisition and installation of the valve.
Outstanding features Siemens
Dr. Walters notes that Siemens is one of the few suppliers of advanced technology for these needs (only two), and was chosen as a supplier for a number of reasons, was not only includes the cost of the package, but also ' high level of quality, reliability, proven experience, and, equally important, product support ensures that Siemens. Another important aspect in the planning phase was to realize that the equipment supplied is fit for the purposes of future hybrid operating room. At the Prince Charles Hospital has been appreciated the flexibility of the solution because the room is also used for cardiac surgery procedures, vascular and cardiology.
