1
|
Colacchio EC, Berton M, Squizzato F, Menegolo M, Piazza M, Grego F, Antonello M. The role of multimodal imaging in emergency vascular conditions: The journey from diagnosis to hybrid operating rooms. Semin Vasc Surg 2023; 36:355-362. [PMID: 37330247 DOI: 10.1053/j.semvascsurg.2023.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 04/02/2023] [Accepted: 04/04/2023] [Indexed: 06/19/2023]
Abstract
Multimodal imaging is the incorporation of two or more imaging modalities during the same examination, and it has both diagnostic and treatment applications. The use of image fusion for intraoperative guidance in endovascular interventions is being extended increasingly to the field of vascular surgery, especially in the context of hybrid operating rooms. The aim of this work was to perform a review and narrative synthesis of the available literature in order to report on current applications of multimodal imaging in diagnosis and treatment of emergent vascular conditions. Of 311 records selected in the initial search, 10 articles were included in the present review: 4 cohort studies and 6 case reports. The authors have presented their experience in treating ruptured abdominal aortic aneurysms; aortic dissections; traumas; standard endovascular aortic aneurysm repair, with or without deterioration of renal function; and complex endovascular aortic aneurysm repair, and reported on the long-term clinical results. Although the current literature about multimodal imaging application in emergency vascular conditions is limited, this review highlights the potential of image fusion in hybrid angio-surgical suites, especially for diagnosing and performing treatment in the same operating room, avoiding patient transfer, and allowing procedures with zero or low-dose contrast mean.
Collapse
Affiliation(s)
- Elda Chiara Colacchio
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Via Nicolò Giustiniani 2, 35128 Padova, Italy.
| | - Mariagiovanna Berton
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Via Nicolò Giustiniani 2, 35128 Padova, Italy
| | - Francesco Squizzato
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Via Nicolò Giustiniani 2, 35128 Padova, Italy
| | - Mirko Menegolo
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Via Nicolò Giustiniani 2, 35128 Padova, Italy
| | - Michele Piazza
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Via Nicolò Giustiniani 2, 35128 Padova, Italy
| | - Franco Grego
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Via Nicolò Giustiniani 2, 35128 Padova, Italy
| | - Michele Antonello
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Via Nicolò Giustiniani 2, 35128 Padova, Italy
| |
Collapse
|
2
|
Wada D, Maruyama S, Yoshihara T, Saito F, Yoshiya K, Nakamori Y. Hybrid emergency room: Installation, establishment, and innovation in the emergency department. Acute Med Surg 2023; 10:e856. [PMID: 37266185 PMCID: PMC10231267 DOI: 10.1002/ams2.856] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 05/08/2023] [Accepted: 05/10/2023] [Indexed: 06/03/2023] Open
Abstract
A novel trauma workflow system called the hybrid emergency room (Hybrid ER) that combines a sliding computed tomography (CT) scanning system with interventional radiology features was first installed in Osaka General Medical Center in 2011. The Hybrid ER enables CT diagnosis and emergency therapeutic interventions without transferring the patient to another examination room. In this article, the history of CT in trauma care, the world's first installation of the Hybrid ER, clinical experiences, and evidence for the Hybrid ER in trauma workflow and nontrauma fields are summarized, and the future and innovation of the Hybrid ER are reviewed.
Collapse
Affiliation(s)
- Daiki Wada
- Department of Emergency and Critical Care MedicineKansai Medical University General Medical CenterMoriguchiJapan
| | - Shuhei Maruyama
- Department of Emergency and Critical Care MedicineKansai Medical University General Medical CenterMoriguchiJapan
| | - Tomoyuki Yoshihara
- Department of Emergency and Critical Care MedicineKansai Medical University General Medical CenterMoriguchiJapan
| | - Fukuki Saito
- Department of Emergency and Critical Care MedicineKansai Medical University General Medical CenterMoriguchiJapan
| | - Kazuhisa Yoshiya
- Department of Emergency and Critical Care MedicineKansai Medical University General Medical CenterMoriguchiJapan
| | - Yasushi Nakamori
- Department of Emergency and Critical Care MedicineKansai Medical University General Medical CenterMoriguchiJapan
| |
Collapse
|
3
|
Palacios-Rodríguez HE, Hiroe N, Guzmán-Rodríguez M, Caicedo Y, Saldarriaga L, Ordoñez CA, Funabiki T. Hybrid trauma service: on the leading edge of damage Control. Colomb Med (Cali) 2021; 52:e4014686. [PMID: 34188319 PMCID: PMC8216051 DOI: 10.25100/cm.v52i2.4686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Trauma damage control seeks to limit life-threatening bleeding. Sequential diagnostic and therapeutic approaches are the current standard. Hybrid Room have reduced hemostasis time by integrating different specialties and technologies. Hybrid Rooms seek to control bleeding in an operating room equipped with specialized personnel and advanced technology including angiography, tomography, eFAST, radiography, endoscopy, infusers, cell retrievers, REBOA, etc. Trauma Hybrid Service is a concept that describes a vertical work scheme that begins with the activation of Trauma Code when admitting a severely injured patient, initiating a continuous resuscitation process led by the trauma surgeon who guides transfer to imaging, angiography and surgery rooms according to the patient's condition and the need for specific interventions. Hybrid rooms integrate different diagnostic and therapeutic tools in one same room, reducing the attention time and increasing all interventions effectiveness.
Collapse
Affiliation(s)
- Helmer Emilio Palacios-Rodríguez
- Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia
| | - Nao Hiroe
- Saiseikai Yokohamashi Tobu Hospital, Department of Trauma and Emergency Surgery, Yokohama, Japan
| | - Mónica Guzmán-Rodríguez
- Universidad de Chile, Facultad de Medicina, Instituto de Ciencias Biomédicas, Santiago de Chile, Chile
| | - Yaset Caicedo
- Fundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia
| | - Luis Saldarriaga
- Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia
| | - Carlos A Ordoñez
- Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.,Fundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.,Universidad Icesi, Cali, Colombia
| | - Tomohiro Funabiki
- Saiseikai Yokohamashi Tobu Hospital, Department of Trauma and Emergency Surgery, Yokohama, Japan
| |
Collapse
|