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Application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms

BACKGROUND: A hybrid operating room (Hybrid-OR) is a surgical theatre that combines a conventional operating room with advanced medical imaging devices. There are still plenty of limitations when endovascular treatment or microsurgical treatment is used individually to treat large or giant carotid-o...

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Autores principales: Zhang, Nai, Xin, Wen-Qiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7674719/
https://www.ncbi.nlm.nih.gov/pubmed/33269251
http://dx.doi.org/10.12998/wjcc.v8.i21.5149
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author Zhang, Nai
Xin, Wen-Qiang
author_facet Zhang, Nai
Xin, Wen-Qiang
author_sort Zhang, Nai
collection PubMed
description BACKGROUND: A hybrid operating room (Hybrid-OR) is a surgical theatre that combines a conventional operating room with advanced medical imaging devices. There are still plenty of limitations when endovascular treatment or microsurgical treatment is used individually to treat large or giant carotid-ophthalmic aneurysms. AIM: To explore and summarize the technical features and effectiveness of the application of a Hybrid-OR in managing major intracranial carotid-ophthalmic aneurysms. METHODS: The Department of Neurosurgery treated 12 cases of large or giant intracranial carotid-ophthalmic aneurysms between March 2013 and December 2019 in a Hybrid-OR. All cases were treated with clipping and parent vessel reconstruction. RESULTS: With the assistance of the Hybrid-OR, the rate of incomplete intraoperative aneurysm clipping decreased from 25% (3/12) to 0%, while the rate of vessel stenosis decreased from 16.7% (2/12) to 8.35% (1/12). In terms of thromboembolic events, ischemic infarction complication occurred in only one patient, and none of the patients experienced embolic infarction complications. All 12 patients were followed for an average of 3 years, and no aneurysms recurred. The postoperative recovery was evaluated with the modified Rankin Scale (mRS): 11 patients showed no symptoms (mRS = 0), 1 patient showed slight disability (mRS 1-2), and none of the patients had severe disability (mRS = 5) or died (mRS = 6). CONCLUSION: The Hybrid-OR provides new ideas for the surgical clipping of large or giant intracranial carotid-ophthalmic aneurysms and decreases the rate of intraoperative vessel stenosis and unsuccessful clipping.
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spelling pubmed-76747192020-12-01 Application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms Zhang, Nai Xin, Wen-Qiang World J Clin Cases Retrospective Study BACKGROUND: A hybrid operating room (Hybrid-OR) is a surgical theatre that combines a conventional operating room with advanced medical imaging devices. There are still plenty of limitations when endovascular treatment or microsurgical treatment is used individually to treat large or giant carotid-ophthalmic aneurysms. AIM: To explore and summarize the technical features and effectiveness of the application of a Hybrid-OR in managing major intracranial carotid-ophthalmic aneurysms. METHODS: The Department of Neurosurgery treated 12 cases of large or giant intracranial carotid-ophthalmic aneurysms between March 2013 and December 2019 in a Hybrid-OR. All cases were treated with clipping and parent vessel reconstruction. RESULTS: With the assistance of the Hybrid-OR, the rate of incomplete intraoperative aneurysm clipping decreased from 25% (3/12) to 0%, while the rate of vessel stenosis decreased from 16.7% (2/12) to 8.35% (1/12). In terms of thromboembolic events, ischemic infarction complication occurred in only one patient, and none of the patients experienced embolic infarction complications. All 12 patients were followed for an average of 3 years, and no aneurysms recurred. The postoperative recovery was evaluated with the modified Rankin Scale (mRS): 11 patients showed no symptoms (mRS = 0), 1 patient showed slight disability (mRS 1-2), and none of the patients had severe disability (mRS = 5) or died (mRS = 6). CONCLUSION: The Hybrid-OR provides new ideas for the surgical clipping of large or giant intracranial carotid-ophthalmic aneurysms and decreases the rate of intraoperative vessel stenosis and unsuccessful clipping. Baishideng Publishing Group Inc 2020-11-06 2020-11-06 /pmc/articles/PMC7674719/ /pubmed/33269251 http://dx.doi.org/10.12998/wjcc.v8.i21.5149 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Retrospective Study
Zhang, Nai
Xin, Wen-Qiang
Application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms
title Application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms
title_full Application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms
title_fullStr Application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms
title_full_unstemmed Application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms
title_short Application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms
title_sort application of hybrid operating rooms for clipping large or giant intracranial carotid-ophthalmic aneurysms
topic Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7674719/
https://www.ncbi.nlm.nih.gov/pubmed/33269251
http://dx.doi.org/10.12998/wjcc.v8.i21.5149
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