page 1iasi, october 2009dominique schwarz 11,20 8,80 5,5,1 4,4 1,2 1,6 8,0 8,6 11,60 6,71 11,89...
TRANSCRIPT
Page 1 IASI, October 2009Dominique Schwarz
6,71
Hybrid Operating Room
IASI, 2009Dominique Schwarz Siemens Healthcare
Page 2 IASI, October 2009Dominique Schwarz
6,71
The latest trend in cardiovascular surgery is the development of hybrid treatment strategies for any given set of cardiovascular lesions.
Percutaneous Aortic Valve ImplantationThoracic Aortic Surgery and StentingHybrid Coronary Revascularization
Latest trend
Page 3 IASI, October 2009Dominique Schwarz
6,71
Hybrid procedures are the combination of minimally invasive surgery with endoluminal techniques arranged in one setting.
The aim of hybrid procedures are
To minimize procedural and patient risk To optimize success ratesTo enhance complication managementTo advance workflow efficiency
Hybrid procedures
Page 4 IASI, October 2009Dominique Schwarz
6,71
A Hybrid Operation Room is a special constructed environment that meets the requirements for interdisciplinary work to provide the best out of two worlds for the patients‘ demands.
A Hybrid Operation Room stands for the combination of imaging equipment in an sterile operating theatre.
Hybrid operation rooms
Page 5 IASI, October 2009Dominique Schwarz
6,71
The modality of choice is a fix-mounted, powerful Angiography System with excellent and reliable Image Quality and 3D-imaging capabilities.
Modality of choice
Page 6 IASI, October 2009Dominique Schwarz
6,71
provides: Unlimited patient access for everyone in the room High-grade flexibility for no interference Floor-mounted device to meet hygenic requirements Left and right imaging positions and full body coverage Various parking positions when imaging is not needed
Artis Zeego
Page 7 IASI, October 2009Dominique Schwarz
6,71
With a variety of integrated table solutions a hybrid room serves as traditional imaging lab as well as traditional operating theatre at the same time without any limitations to each other.
Integrated table solutions
Page 8 IASI, October 2009Dominique Schwarz
6,71
Integrated workflow solutions tailored to dedicated hybrid procedures based on minimized user interaction and automated segmentation and measurement tools support surgeons and interventionalists during hybrid procedures.
Workflow solutionsDynaCT Imaging Segmentation
MeasurementFlouro Overlay
Page 9 IASI, October 2009Dominique Schwarz
6,71
3D DynaCT imaging directely in the Hybrid OR enables pre- and postoperative evaluation and guidance during device placement.
3D Imaging solutions
Page 10 IASI, October 2009Dominique Schwarz
6,71
We gained experience with > 170 Hybrid-OR installations worldwide in the past two years.
Artis Zeego is the dominating Imaging system in Hybrid ORs with 42% in 2009.
Experience
biplane10%
mobile 13%
floor 8%
ceiling 28%
zeego 42%
Cardiac surgeryVascular surgeryNeuro surger
Others (abd., exper.)
Page 11 IASI, October 2009Dominique Schwarz
6,71
With excellent clinical / industrial partnerships we can support innovations and simultaneously keep pace with rapid medical and technical developments to achieve better outcomes.
„thinking hybrid“
Partnership
Page 12 IASI, October 2009Dominique Schwarz
6,71
Congratulations !
to your Hybrid-OR
and
Good Luck !
for your cardiovascular program
Page 13 IASI, October 2009Dominique Schwarz
6,71
Page 14 IASI, October 2009Dominique Schwarz
6,71
Page 15 IASI, October 2009Dominique Schwarz
6,71 DynaCT workflow im Hybrid-OP
Real-time overlay und Guidance
Sapiens Edwards Core valve Ventor Embracer
Aortenklappen Implantate
Page 16 IASI, October 2009Dominique Schwarz
6,71
Thorakale Aorta durch retrograde oder antegrade Stentimplantation mit oder ohne Aortenbogenrekonstruktion oder Gefässtransposition
Thorako-abdomineller Übergang
Roberto Chiesa, MD et. Al.J Vasc Surg. 2007 Jun;45(6):1128-35
3D-Bildgebung (Dyna-CT) im Hybrid-Raum
Page 17 IASI, October 2009Dominique Schwarz
6,71 Hybrid Koronarrevaskularisation
Page 18 IASI, October 2009Dominique Schwarz
6,71
Modern hybrid coronary revascularization refers to a 1-stop CABG/PCI in a hybrid room in 1 setting, and is based on the excellent results on LIMA-LAD grafts and DES PCI in non-LAD vessels.