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Congreso Nacional de la Sociedad Española de Electromedicina e Ingeniería Clínica
“El diseño de quirófanos híbridos requiere un enfoque multidisciplinar
con la implicación de los servicios asistenciales”
F. Arikan. Servicio de Neurocirugía. Hospital Universitario Vall d´Hebron. Unidad de
Neurotraumatología. Barcelona
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“El diseño de quirófanos híbridos requiere un enfoque multidisciplinar con la implicación de los
servicios asistenciales”
INTRODUCCIÓN
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Resonancia magnética intraoperatoria
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TC intraoperatorio
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Arco intraoperatorio
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“El diseño de quirófanos híbridos requiere un enfoque multidisciplinar con la implicación de los
servicios asistenciales”
Justificación
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28 julio 1927
Egas Moniz
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Dandy WE: Intracraneal aneurysm of the internal carotid
artery: Cured by operation. Ann Surg 107:654-659, 1938
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Arachnoid dissection is the real key to successful aneurysm operations. Yasargil, 1984
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HydroCoil Embolic System
(MicroVention, Aliso Viejo, Calif., USA)
Matrix detachable coils (Boston Scientific Neurovascular)
Three-dimensional Micrus coils
(Micrus Corporation, Sunnyvale, Calif., USA)
Cloft, AJNR, 2006 Berenstein, AJNR, 2006
Cloft, AJNR, 2007
Taschner, Stroke, 2005 Niimi, Stroke, 2006
Fiorella, Neurosurg, 2007Vallée, Neuroradiology,
2005
Neuroform (Boston Scientific Neurovascular)
Benitez, Neurosurg, 2004 Fiorella, Neurosurg, 2005
ONIX (MTI, Irvine,Calif.,USA)
Cekirge, Neuroradiology, 2006
Molyneux, AJNR, 2004
Ceretide (Micrus Endovascular, San
Jose, Calif., USA)
Bendszus, AJNR, 2006
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Both endovascular and surgical capabilities are
important to fully treat the spectrum of neurovascular
disease in the optimal fashion.
The neurovascular team must be familiar with both
open surgery and endovascular technology
forbest treatment.
The newly designed endovascular OR provides a
resource for safe and systematic neurosurgical
practice.
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“El diseño de quirófanos híbridos requiere un enfoque multidisciplinar con la implicación de los
servicios asistenciales”
Peculiaridades de la
Neurocirugía
Especialidad de alta complejidad en donde el área
de trabajo es el sistema nervioso central y sus
cubiertas.
No sólo en el área de la cabeza, también la columna
cervical, dorsal y lumbar.
Múltiples abordajes Posiciones
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RM preoperatorio CT intraoperatorio
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Registros de imagen en 3D
Angiografía 3D + RM
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Navegación
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XperGuide
XperCT scanning Path planning Guidance
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XperGuide
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“El diseño de quirófanos híbridos requiere un enfoque multidisciplinar con la implicación de los
servicios asistenciales”
Cambiar conceptos clásicos:
Quirófano de neurocirugía vs sala de neuroradiología
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AREA QUIRURGICA
2 qurófanos híbridos
19 quirófanos que se han agrupado por los requerimientos de las técnicas quirúrgicas (cirugía abierta, laparoscópica, transplante) y región anatómica de la intervención (torax y abdomen, cara y cráneo, corazón), y se ha estandarizado su diseño trabajando conjuntamente con los cirujanos. Se han definido la implantación y distribución del equipamiento estructural en 5 grupos.
11 - Polivalentes para Urología, cirugía general y urgencias.
3 - Neurocirugía sencilla, ORL y CMF.
3 - Cirugía cardiaca, torácica y transplante.
1 - Hibrido para neurocirugía avanzada.
1 - Hibrido para Cirugía Vascular avanzada.
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Karlsruhe, Germany
Zurich, Switzerland
Aarau, Switzerland
Steinhausen, Switzerland
Munich, Germany
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El diseño de quirófanos híbridos requiere un enfoque multidisciplinar
en el que deben estar necesariamente implicados los servicios asistenciales
pues son los que conocen las peculiaridades y necesidades de su
especialidad