by
Loren Bonner, DOTmed News Online Editor | April 17, 2012
From the April 2012 issue of HealthCare Business News magazine
Universal operating rooms
As interventional cardiologists and cardiac surgeons migrate into a common space, OEMs have stepped in to make care possible in a single room—and without jeopardizing strict hospital guidelines for PCI.
“Instead of bringing people from A to B, it’s making sure that in that room you can switch to an OR,” says Louise Verheij van Wijk, vice president of marketing for interindustry ventional X-ray at Philips Healthcare.
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These hybrid OR rooms are multidisciplinary, integrated cardiovascular procedural suites that combine a modern cath lab with a cardiovascular surgery operating room. They evolved in the late 1990s as PCI procedures, like stenting, became common medical interventions.
Philips’ FlexMove positioning system, through its Allura Xper line, presents the advantage of using a room for open, as well as minimally invasive procedures. The system is not only related to more complex procedures in cardiology, but to those in vascular as well.
“You can easily change the layout of the cath lab. So, if you want to do open or closed, you can get the C-arm out of the way and you’re versatile in the lab,” says Verheij van Wijk.
Siemens notices a steady increase in the number of hybrid ORs. “We see hybrid suites being located in interventional radiology or interventional cardiology as well as the OR,” says Dewey.
Siemens’ Artis zeego system is an example of the advanced
Siemens Artis zeego system
options available to clinicians in a modern hybrid suite. The technology overlays 3-D reconstructed images from CT data sets acquired in the procedure room by rotating the C-arm around the patient onto the live fluoroscopic image.
“When a vascular surgeon or an interventional radiologist is working on a fenestrated stent graft and they need to know the location of the renal arteries, for example, they can mark those on the 3-D image and superimpose the markings on the live fluoroscopic image to guide the placement of the stent,” says Dewey.
Syngo DynaCT offers cross-sectional imaging in the interventional suite from projection images of rotational angiography, while the syngo iGuide provides live and integrated needle guidance for interventional procedures.
