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Hybrid Operating Room (OR): Neurovascular Therapies and Procedures

The Carl J. and Ruth Shapiro Cardiovascular Center at Brigham and Women’s Hospital (BWH) is a national leader in integrating cutting-edge technologies and advanced surgical techniques to improve medical outcomes for our patients. The Center now boasts one of the most advanced hybrid operating rooms (ORs) in the country, which allows our staff to perform high-end diagnostic imaging and multiple surgical or non-surgical interventions for an individual patient without ever leaving the operating room.

Treatment that used to take place over the course of several days or more, and in multiple operating rooms and diagnostic labs, can now all be done over the course of one visit in one room. This efficient treatment leads to a comfortable, less time-consuming hospital stay and a quicker recovery for patients. It is also anticipated that the improved communications and timely responses enabled by having the entire range of specialists collaborating in the same room at the same time will lead to better outcomes.

The design of the hybrid OR allows for the integration of all the necessary equipment and multidisciplinary specialists required to seamlessly diagnose and treat a patient requiring multiple procedures.

A key part of the hybrid OR’s potential to improve efficiency and outcomes is the ability to provide high-end imaging right in the operating room. BWH is the first hospital in the United States to use the Artis zeego® system in the operating room. This robotically controlled, high-end imaging machine rotates completely around a patient’s body. This set-up makes it easier for our staff to make a diagnosis in the operating room, and, if necessary, immediately operate.

What neurovascular hybrid therapies are performed at BWH?

The hybrid neurovascular procedures currently offered in the hybrid operating room include:

  • Combined open and endovascular techniques for tumor resection and embolization
  • Combined treatment for ruptured aneurysms involving open craniotomy with simultaneous endovascular approaches
  • Endovascular treatment of cerebral aneurysms with the insertion of platinum coils or stents
  • Carotid endarterectomies and minimally invasive stenting
  • Minimally invasive percutaneous approaches to difficult to access intracranial vascular pathology

Schedule a consultation

If you would like to schedule a consultation with one of our cerebrovascular neurosurgeons, please call the Cerebrovascular Center Coordinator at (617) 525-8113.


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