How to Build a Cath-Lab Operating Room
AbstractRecent developments in cardiac surgery and interventional cardiology have led to the installation of integrated operating rooms that allow both surgical and endovascular procedures. These units offer surgical as well as angiographic equipment and personnel and therefore require special planning and design. A variety of integrated procedures can be performed. Hybrid coronary revascularization, percutaneous valve repair, and aortic stent-graft placement are current developments that are ideally performed in a cath-lab operating room. This review by an international working group of cardiac surgeons and cardiologists outlines the challenges involved with implementation of an integrated operating suite and suggests general planning and construction guidelines.
Barstad RM, Fosse E, Geiran OR, Simonsen S, Vatne K, Andersen K, Tønnessen TI. 1998. Minimally invasive direct coronary artery bypass grafting without cardiopulmonary bypass in combination with intraoperative percutaneous transluminal coronary angioplasty for palliative coronary revascularization in a heart-transplant recipient. J Heart Lung Transplant 17:629-34.nBonatti J, Schachner T, Bonaros N, et al. 2005. Treatment of double vessel coronary artery disease by totally endoscopic bypass surgery and drug-eluting stent placement in one simultaneous hybrid session. Heart Surg Forum 8:E284-6.nBonatti J, Schachner T, Bonaros N, et al. 2005. Robotic totally endoscopic coronary artery bypass and catheter based coronary intervention in one operative session. Ann Thorac Surg 79:2138-41nBonatti J. 2007. Simultaneous hybrid coronary revascularization using totally endoscopic left internal mammary artery bypass grafting and placement of rapamycin eluting stents in the same interventional session. Cardiology [in press].nEggrebrecht H, Harold U, Kuhnt O, et al. 2005. Endovascular stentgraft treatment of aortic dissection: determinants of post-interventional outcome. Eur Heart J 26:489-97.nFosse E, Hol PK, Samset E, Røtnes JS, Bjørnstad P, Lundblad R. 2000. Integrating image-guidance into the cardiac operating room. Minim Invasive Ther Allied Technol 9:403-9.nFriedrich GJ, Jonetzko P, Bonaros N, et al. 2005. Hybrid coronary artery revascularization: logistics and program development. Heart Surg Forum 8:E258-61.nKiaii B, McClure RS, Kostuk WJ, et al. 2005. Concurrent robotic hybrid revascularization using an enhanced operative suite. Chest 128:4046-8.nKrohg-Sørensen K, Hafsahl G, Fosse E, Geiran OR. 2003. Acceptable short-term results after endovascular repair of diseases of the thoracic aorta in high risk patients. Eur J Cardiothorac Surg 24:379-87.nLichtenstein SV, Cheung A, Ye J, et al. 2006. Transapical transcatheter aortic valve implantation in humans: initial clinical experience. Circulation 114:533-5.nSrivastava S, Gadasalli S, Tijerina O, Barrera R, Quismundo S, Srivastava V. 2006. Planned simultaneous beating-heart totally endoscopic coronary artery bypass (TECAB) and percutaneous intervention in a single operative setting. Innovations 1:239-242.nTen Cate G, Fosse E, Hol PK, et al. 2004. Integrating surgery and radiology in one suite: a multicenter study. J Vasc Surg 40:494-9.nVassiliades T. 2005 The clinical development of percutaneous heart valve technology. A position statement of the Society of Thoracic Surgeons, the American Association of Thoracic Surgery, and the Society for Cardiovascular Angiography and Interventions. J Thorac Cardiovasc Surg 29:970-6.nZipfel B, Hammerschmidt R, Krabatsch T, Buz S, Weng Y, Hetzer R. 2007. Stent-grafting of the thoracic aorta by the cardiothoracic surgeon. Ann Thorac Surg 83:441-8.n
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