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- Sanjay Konakondla, Christoph J Griessenauer, Reginald P Fong, Oded Goren, and Clemens M Schirmer.
- Department of Neurosurgery, Geisinger, Danville, Pennsylvania, USA. Electronic address: skonakondla@gmail.com.
- World Neurosurg. 2018 Nov 1; 119: 278-281.
BackgroundThe hybrid operating room (OR) offers new opportunities for the management of complex cerebrovascular lesions to the dual-trained neurovascular surgeon. It creates a space for easy accessibility to perform complex endovascular procedures by delivering high-quality images with readily available surgical equipment.Case DescriptionHere, we demonstrate how the hybrid OR allowed for rapid identification and near zero-delay distal mechanical thrombectomy of a middle cerebral artery occlusion with favorable outcome after clipping of a complex posterior communicating artery aneurysm.ConclusionsIntraoperative cerebral angiography after open surgical clipping of intracranial aneurysms gives real-time actionable data that can affect intraoperative decision making. This can be accomplished without a hybrid OR by using fluoroscopic equipment, but suboptimal imaging conditions may lead to unfavorable outcomes.Published by Elsevier Inc.
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