脳血管障害の治療におけるハイブリッド手術室の活用

The Utility of Hybrid Operating Rooms for the Treatment of Cerebrovascular Diseases

Point

・ハイブリッド手術室は，血管内治療，外科的治療の両者を一期的に行える部屋である．

・スタッフの配置やチーム形成を適切に行うことで，血管撮影装置の使用時間の短縮につながる．

・セットアップから血管撮影装置の稼動など，知識，経験をもった人材育成が必要と考える．

　Endovascular neurosurgery has been established as a first-line therapy for cerebrovascular diseases. Although many endovascular procedures can be performed in conventional angiosuites, a sterile and well-prepared environment is needed to perform combined surgical exposure and endovascular procedures for complex neurovascular diseases, such as thrombosed giant aneurysms. Therefore, we established a hybrid operating room (OR) to treat cerebrovascular disease. The first hybrid OR was established in 2003 using a biplane DSA system with a surgical OR table system. A new concept involving the implementation of industrial robot technology in angiography systems was developed in collaboration with Siemens, and a new image-guided surgery environment was established (Robotic DSA). Our hospital currently has three hybrid operating rooms (one with a biplane angiography machine and two with a robotic DSA）. This study describes the utilization of hybrid operating rooms for treating cerebrovascular diseases and their disadvantages.