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Hybrid operating rooms (HORs) combine a conventional state-of-the-art microsurgical theater and advanced imaging technologies, usually an intraoperative digital subtraction angiography (DSA) system. Initially developed for peripheral vascular surgery, HORs are gaining popularity among neurosurgical teams around the world. Based on their recent experience, the authors describe the launch of such a hybrid room in the University Hospital of Dijon Bourgogne and, through a narrative review of the pertinent literature, try to define the specific vascular neurosurgery conditions that may benefit from this highly demanding multidisciplinary environment. The association between intraoperative diagnostic and interventional endovascular capabilities and microsurgical management in the same location provides the possibility of immediate assessment of the surgical results, the immediate conversion to one or other technique if needed without transferring the patient, and appears to provide a very high cure rate of neurovascular malformations while minimizing the morbidity and mortality.

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Hybrid Operative Room for Vascular Neurosurgery: Applications, Limits, and Perspectives

  • 章节

  • 发表日期：

    2025年

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  • Luc Kerherve,
  • Tuan Le Van,
  • Ahmed El Cadhi,
  • Edouard Morlaix,
  • Alia Houidi,
  • Clément Millot,
  • Jean François Bellus,
  • Thomas Waelchli,
  • Catherine Cao,
  • Walid Farah,
  • Maxime Lleu,
  • Jacques Beaurain,
  • Francois Lebeaupin,
  • Brivael Lemogne,
  • Pierre Thouant,
  • Frédéric Ricolfi,
  • Pierre Olivier Comby,
  • Giulia Cossu,
  • Moncef Berhouma

摘要

Hybrid operating rooms (HORs) combine a conventional state-of-the-art microsurgical theater and advanced imaging technologies, usually an intraoperative digital subtraction angiography (DSA) system. Initially developed for peripheral vascular surgery, HORs are gaining popularity among neurosurgical teams around the world. Based on their recent experience, the authors describe the launch of such a hybrid room in the University Hospital of Dijon Bourgogne and, through a narrative review of the pertinent literature, try to define the specific vascular neurosurgery conditions that may benefit from this highly demanding multidisciplinary environment. The association between intraoperative diagnostic and interventional endovascular capabilities and microsurgical management in the same location provides the possibility of immediate assessment of the surgical results, the immediate conversion to one or other technique if needed without transferring the patient, and appears to provide a very high cure rate of neurovascular malformations while minimizing the morbidity and mortality.