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Research article
Experiences of Using Hybrid Operating Rooms in the Treatment of large or giant Carotid-Ophthalmic Aneurysms
Wen-qiang Xin
Tianjin Medical University General Hospital
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: A hybrid operating room (Hybrid-OR) was a surgical theatre combined conventional operating room with advanced medical imaging devices. There were still plenty of limitations when endovascular treatment or microsurgical treatment was used individually to deal with large or giant carotid-ophthalmic aneurysms. The purpose of this study was to explore and summarize the technical features and effectiveness of the application of Hybrid-OR in dealing with 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 2015 with Hybrid-OR. All cases were treated with clipping and parent vessel reconstruction.
Results: With the assistance of Hybrid-OR, the rate of incompletion of intraoperative aneurysm clipping decreased from the original 25% ( 3/12) to 0%, while the rate of vessel stenosis decreased from the original 16.7% (2/12) to 8.35% (1/12). For thromboembolic event, there was one ischemic infarction complication occurred in only one patient, and none of patients appeared embolic infarction complication. All 12 patients were followed up for an average of 3 years and no aneurysms recurred. The postoperative recovery conditions were 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 cases showed severe disability (mRS 5) nor death (mRS 6).
Conclusion: The Hybrid-OR provides new ideas to the surgical clipping the large or giant intracranial carotid-ophthalmic aneurysms, which effectively decreased the rate of intraoperative vessel stenosis and unsuccessful clippings.
Keywords
balloon, microsurgical clipping, hybrid operating room, large or giant carotid-ophthalmic aneurysm
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This is a preprint. It has not completed peer review.
Research article
Experiences of Using Hybrid Operating Rooms in the Treatment of large or giant Carotid-Ophthalmic Aneurysms
Wen-qiang Xin
Tianjin Medical University General Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 30 Dec, 2019
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: A hybrid operating room (Hybrid-OR) was a surgical theatre combined conventional operating room with advanced medical imaging devices. There were still plenty of limitations when endovascular treatment or microsurgical treatment was used individually to deal with large or giant carotid-ophthalmic aneurysms. The purpose of this study was to explore and summarize the technical features and effectiveness of the application of Hybrid-OR in dealing with 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 2015 with Hybrid-OR. All cases were treated with clipping and parent vessel reconstruction.
Results: With the assistance of Hybrid-OR, the rate of incompletion of intraoperative aneurysm clipping decreased from the original 25% ( 3/12) to 0%, while the rate of vessel stenosis decreased from the original 16.7% (2/12) to 8.35% (1/12). For thromboembolic event, there was one ischemic infarction complication occurred in only one patient, and none of patients appeared embolic infarction complication. All 12 patients were followed up for an average of 3 years and no aneurysms recurred. The postoperative recovery conditions were 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 cases showed severe disability (mRS 5) nor death (mRS 6).
Conclusion: The Hybrid-OR provides new ideas to the surgical clipping the large or giant intracranial carotid-ophthalmic aneurysms, which effectively decreased the rate of intraoperative vessel stenosis and unsuccessful clippings.
Figure 1
Figure 2