Hudorović Narcis, Rogan Suncica Andreja, Lovricević Ivo, Zovak Mario, Schmidt Sasa
University Department of Vascular Surgery, Sestre milosrdnice University Hospital, Zagreb, Croatia.
Acta Clin Croat. 2010 Sep;49(3):289-98.
The last two decades have seen a paradigm shift in the treatment of vascular related diseases from once traditional open surgical repairs to the entire vascular tree being amenable to percutaneous interventions. Neither the classic operating room nor the conventional angiography suite is optimal for both open surgery and endovascular procedures. Important issues for the vascular hybrid operating room include quality of the imaging equipment, radiation burden, ease of use of the equipment, need for specially trained personnel, ergonomics, ability to perform both open and percutaneous procedures, sterile environments, as well as quality and efficiency of patient care. The most important feature of working in a dedicated hybrid vascular suite should be the ability to attain best treatment of vascular patients. Whether the interventional radiologist or the vascular surgeon uses the facilities is of less importance. Establishment of an endovascular operating room suite has the benefit of a sterile environment, and the possibility of performing hybrid procedures and conversions when necessary. Moreover, angiography immediately before treatment gives contemporary anatomical information, and after treatment provides quality control. Consequently, better quality and service can be provided to the individual patient. These changes in the treatment of vascular disease require that a new type of vascular specialist, named 'vascular hybrid surgeon', trained to perform both endovascular and open surgical procedures in this highly complex patient group.
在过去的二十年里，血管相关疾病的治疗发生了范式转变，从曾经传统的开放手术修复转变为整个血管系统都适合进行经皮介入治疗。无论是传统的手术室还是常规的血管造影室，对于开放手术和血管内介入手术来说都不是最优选择。血管杂交手术室的重要问题包括成像设备的质量、辐射负担、设备的易用性、对经过专门培训人员的需求、人体工程学、进行开放手术和经皮手术的能力、无菌环境以及患者护理的质量和效率。在专用的杂交血管手术室工作的最重要特征应该是能够为血管疾病患者提供最佳治疗。介入放射科医生或血管外科医生是否使用这些设施并不那么重要。建立血管内手术室套件有以下好处：提供无菌环境，以及在必要时进行杂交手术和转换手术的可能性。此外，治疗前立即进行血管造影可提供最新的解剖信息，治疗后可进行质量控制。因此，可以为个体患者提供更高质量的服务。血管疾病治疗的这些变化要求培养一种新型的血管专科医生，即“血管杂交外科医生”，他们要接受培训，能够在这个高度复杂的患者群体中同时进行血管内手术和开放手术。
