[血管外科中的杂交手术室。选择与前景]
[Hybrid operation theatre in vascular surgery. Options and perspectives].
作者信息
Steinbauer M, Katsargyris A, Greindl M, Töpel I, Verhoeven E
机构信息
Klinik für Gefäßchirurgie, Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger Str. 86, 93049, Regensburg, Deutschland,
出版信息
Chirurg. 2013 Dec;84(12):1030-5. doi: 10.1007/s00104-013-2557-1.
BACKGROUND
Demographic development leads to an increase in vascular interventions due to the increase in elderly and multimorbid patients. The aim of this study was to demonstrate the open interventional therapy options and their influence on staff and patients which have become possible due to the introduction of angio-hybrid operations including 3-D imaging Dyna-CT.
MATERIAL AND METHODS
The modifications with respect to radiation protection for staff, improvements for patients and the possibilities of operative 3-D imaging Dyna-CT are described based on the current literature.
RESULTS
The implementation of angio-hybrid operation theaters has resulted in new open interventional treatment options which can also be employed for high risk elderly patients with aortic and peripheral arterial pathologies. With hybrid operations the radiation exposure and contrast medium exposure can be reduced for patients and an improvement in the results can also be achieved. The implementation of 3-D imaging in the angio-hybrid operation theater could also lead to further improvements, especially for complex aortic procedures.
DISCUSSION
Using angio-hybrid operational procedures complex interventions can be carried out with more safety for patients and personnel. The implementation of 3-D imaging Dyna-CT offers additional interesting options for complex aortic procedures.
背景
人口结构的变化导致老年患者和多病共存患者数量增加,从而使血管介入治疗的需求上升。本研究的目的是展示由于引入包括三维成像动态CT(Dyna-CT)的血管杂交手术而出现的开放介入治疗选择及其对医护人员和患者的影响。
材料与方法
基于当前文献,描述了在辐射防护方面对医护人员的改进、对患者的改善措施以及手术三维成像动态CT的应用可能性。
结果
血管杂交手术室的建立带来了新的开放介入治疗选择,这些选择也可用于患有主动脉和外周动脉疾病的高危老年患者。通过杂交手术,可以减少患者的辐射暴露和造影剂暴露,同时也能改善治疗效果。在血管杂交手术室中实施三维成像还可带来进一步的改善,特别是对于复杂的主动脉手术。
讨论
采用血管杂交手术操作程序,可以更安全地对患者和医护人员进行复杂的介入治疗。三维成像动态CT的应用为复杂的主动脉手术提供了更多有趣的选择。