ArticleJournal of cerebrovascular and endovascular neurosurgery2020
The experience of surgery and endovascular procedure of cerebrovascular disease in the hybrid operating room; Multi-axis robotic C-arm DSA system.
Article in Journal of cerebrovascular and endovascular neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- The use of hybrid operating rooms in neurosurgery, advantages, disadvantages, and future perspectives: a systematic review.Acta neurochirurgica · 2023Pooled it
- Article
- Hybrid operating rooms for the treatment of complex middle cerebral artery aneurysms: A technical note.Brain & spine · 2026Article
- Scoring the Clinical Application of a Novel Scale in a Hybrid Operating Room for Neurosurgery.Current medical science · 2025Article
- Emergency neurosurgical hybrid operating platform for acute intracranial hemorrhage (E-HOPE).Chinese neurosurgical journal · 2024Article
- Intraventricular haemorrhage treated by extra ventricular drainage with catheter mistakenly penetrating the cisterna ambiens: A case report.The Journal of international medical research · 2024Article
- Surgical exposure of the vertebral artery for endovascular access in a hybrid operating room.Acta neurochirurgica · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo report on combined surgical and/or endovascular procedures for cerebrovascular disease in a hybrid operating room (OR).
methodsBetween October 2016 and June 2020, 1832 neurosurgical procedures were performed in a hybrid OR. Our institution's hybrid OR consists of a multi-axis robotic C-arm monoplane digital subtraction angiography (DSA) system with an operating table, 3D-rotational DSA, cone-beam computed tomography (dyna CT), and real-time navigation software. Procedures were categorized into six categories according to purpose (1) simple diagnosis and follow-up, (2) simple endovascular procedure, (3) combination of surgery and endovascular procedures, (4) rescue surgery after endovascular procedures, (5) frameless stereotactic procedure, and (6) other surgeries requiring C-arm.
resultsOf 1832 neurosurgical procedures in the hybrid OR, 1430 were simple diagnosis and follow-up cases, 330 simple endovascular procedures, 8 combination of surgery and endovascular procedures, 15 rescue after endovascular procedure, 40 frameless stereotactic procedures, and 9 other surgeries. Eight cases of combination of surgery and endovascular procedures, safely performed without wasting time on patient transfer, were performed in seven bypass end endovascular procedures and one case of bow-hunter syndrome in complex cerebrovascular disease. After embolization, craniotomy (or craniectomy) and intracerebral hemorrhage removal were performed in eight patients in-situ. Of the 40 frameless stereotactic procedure, 37 were extraventricular drainage before/after coil embolization in subarachnoid hemorrhage patients. They all mounted conduits in their planned locations.
conclusionsA hybrid OR for combined endovascular and surgical procedures represents a safe and useful strategy for cerebrovascular disease. In hybrid ORs various neurosurgical procedures can be safely and conveniently performed. Hybrid OR will pioneer a new era in neurosurgical procedures.
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