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Robotic digital subtraction angiography systems within the hybrid operating room
Yuichi Murayama1, Koreaki Irie, Takayuki Saguchi
1Division of Endovascular Neurosurgery, Department of Neurosurgery, Jikei University School of Medicine, Tokyo, Japan. ymurayama@jikei.ac.jp
Neurosurgery
|January 29, 2011
Summary
A new robotic digital subtraction angiography (DSA) system in the hybrid operating room (OR) enables safe and precise neurosurgical and endovascular treatments. This advanced imaging technology enhances intraoperative capabilities for complex procedures.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Medical Imaging
- Robotics
Background:
- High-end digital subtraction angiography (DSA) in the operating room (OR) is a growing trend in neurosurgery and vascular surgery.
- Robotic systems offer advanced imaging capabilities within the OR environment.
Observation:
- A novel robotic DSA system (Artis zeego) was installed in a hybrid OR.
- The system integrates a multiaxis robotic C-arm and surgical OR table.
- It was utilized for neuroendovascular procedures and as an intraoperative imaging tool for neurosurgery (e.g., aneurysm clipping, spine instrumentation).
Findings:
- Five hundred one neurosurgical procedures were successfully completed using the robotic DSA in the hybrid OR.
- Intraoperative 2D/3D angiography and C-arm CT (DynaCT) were performed seamlessly during procedures like aneurysm clipping and arteriovenous fistula treatment.
- New virtual navigation software (syngo iGuide) facilitated frameless navigation and access to deep intracranial lesions or for needle placement.
Implications:
- The robotic DSA system demonstrates potential for safe and precise endovascular treatments and neurosurgical interventions.
- Integration of advanced robotics and imaging in hybrid ORs can enhance surgical outcomes and procedural efficiency.
- Virtual navigation software aids in complex neurosurgical procedures requiring precise targeting.
