Clinical Application of Hybrid Operating Room for Neurosurgery

Abstract

Recent advances in surgical and endovascular techniques have facilitated complex neurovascular treatment. However, some complex vascular diseases need combined surgical and endovascular technique.
Newly designed robotic DSA system Artis zeego and biplane system were installed in Hybrid operating rooms (ORs). The system consists of a modified surgical OR table and carbon head clamp. In addition to conventional neuroendovascular procedures, the system was used as an intra-operative imaging tool for various neurosurgical procedures such as aneurysm clipping or spine instrumentation.
More than 3000 neurosurgical procedures were successfully conducted in the Hybrid ORs. We describe our experience of modified Digital subtraction angiography (DSA) system in the Hybrid operation room (OR).