Division of Endovascular Neurosurgery, Department of Neurosurgery, Jikei University School of Medicine, Tokyo, Japan.
Neurosurgery. 2011 May;68(5):1427-32; discussion 1433. doi: 10.1227/NEU.0b013e31820b4f1c.
Fully equipped high-end digital subtraction angiography (DSA) within the operating room (OR) environment has emerged as a new trend in the fields of neurosurgery and vascular surgery.
To describe initial clinical experience with a robotic DSA system in the hybrid OR.
A newly designed robotic DSA system (Artis zeego; Siemens AG, Forchheim, Germany) was installed in the hybrid OR. The system consists of a multiaxis robotic C arm and surgical OR table. In addition to conventional neuroendovascular procedures, the system was used as an intraoperative imaging tool for various neurosurgical procedures such as aneurysm clipping and spine instrumentation.
Five hundred one neurosurgical procedures were successfully conducted in the hybrid OR with the robotic DSA. During surgical procedures such as aneurysm clipping and arteriovenous fistula treatment, intraoperative 2-/3-dimensional angiography and C-arm-based computed tomographic images (DynaCT) were easily performed without moving the OR table. Newly developed virtual navigation software (syngo iGuide; Siemens AG) can be used in frameless navigation and in access to deep-seated intracranial lesions or needle placement.
This newly developed robotic DSA system provides safe and precise treatment in the fields of endovascular treatment and neurosurgery.
在手术室（OR）环境中配备齐全的高端数字减影血管造影（DSA）已成为神经外科和血管外科领域的新趋势。
描述在杂交手术室中使用机器人 DSA 系统的初步临床经验。
在杂交手术室中安装了新设计的机器人 DSA 系统（Artis zeego；西门子公司，Forchheim，德国）。该系统由多轴机器人 C 臂和手术 OR 台组成。除了常规的神经血管内介入治疗外，该系统还可用作各种神经外科手术（如动脉瘤夹闭和脊柱器械）的术中成像工具。
使用机器人 DSA 在杂交手术室中成功完成了 501 例神经外科手术。在动脉瘤夹闭和动静脉瘘治疗等手术过程中，无需移动 OR 台即可轻松进行术中 2/3 维血管造影和基于 C 臂的 CT 图像（DynaCT）。新开发的虚拟导航软件（syngo iGuide；西门子公司）可用于无框架导航以及进入深部颅内病变或放置针头。
这种新开发的机器人 DSA 系统可为血管内治疗和神经外科领域提供安全精确的治疗。
