This case study chronicles Baptist Cardiac & Vascular Institute's implementation of a "Hybrid" Angiography Suite consisting of the Philips Allura Xper FD-20 imaging system technology, as well as Skytron Surgical Lighting and Ceiling Boom technology.
For more than a decade, Dr. Barry T. Katzen, Medical Director of Baptist Cardiac and Vascular Institute (BCVI) in Miami, Florida, has pioneered the integration of surgical and interventional procedures. Dr. Katzen and his team continue to show that surgical procedures in an angiographic environment can be accomplished with the same degree of efficiency as in an operating room (OR).
"The specialties of interventional radiology and vascular surgery bring more to each other when we work together," suggests Dr. Katzen. "Procedures that help drive this relationship include aneurysms of the thoracic aorta and abdominal aorta. Having an environment where we can use a surgical option allows us to think out of the box for individualized patient solutions."
In 2008, Philips Healthcare and SKYTRON entered into a collaborative agreement to provide comprehensive, integrated solutions for the cardiovascular environment. Dr. Katzen seized the opportunity to refine the surroundings. Based on a well-coordinated plan from Philips and Skytron, Room Two underwent a significant upgrade aimed at enhancing hybrid functionality.
The enhanced technology includes:
- Philips Allura Xper FD20 Imaging System
- Philips Allura Xper Imaging Table
- Skytron LED Focusable Surgical Lights
- Skytron Anesthesia Boom
- Skytron Flatscreen Monitors
- Skytron Video Integration System
Room to Work & Move
One of the great advantages of the new room design is it's so spacious that we can all operate and function very effectively without being in each other's way. Information can be transferred to the head of the bed—to the anesthesiologist— down to where we're working very easily," explained Dr. James F. Benenati, Medical Director of the Peripheral Vascular Laboratory.
Up and operational, the redesigned room is running smoothly. Surgical lighting and anesthesia boom technologies provided by Skytron not only aid clinicians procedurally, but have helped clear the room - opening the floor for easy access to the patient.
Also, the quality of lighting now meets the tough standards of the surgical team. High intensity LED lights from Skytron can be finely positioned for critical tasks.
Surgical visualization is supported by a multipurpose flat-screen monitor that hangs from a ceiling boom. This new addition assists in two ways. First, it can be positioned to allow the clinicians working on the opposite side of the table to see what's going on fluoroscopically. When that is not required, the monitor is made available to other allied health personnel to chart and track ongoing procedures.
A Room That Works
BCVI’s surgical team appreciates the changes made. Katzen believes the upgrade has created a better environment for all involved. A recent experience demonstrated how the teams successfully combined surgical access with an interventional solution. A patient presented with critical narrowing of an artery to the brain and chest, and a narrowing of that same artery in the neck. “It was a very complex situation,” recalls Katzen, “but we combined our skills. The surgeons removed the plaque in the neck with an endarterectomy and we used that same access to go down and stent the chest.”
Installation With Minimal Impact
“We’re a busy lab and taking a room down for a period of time is always an inconvenience,” says Katzen. “The one thing everybody remarked upon was how fast this upgrade was accomplished.” In two and a half weeks, Philips and Skytron, working closely with the implementation team at BCVI, completed the staging and upgrade. The new room reflected the input of interventional radiologists, surgeons and anesthesiologists, with each group helping to define the clinical specifications to make it a multi-disciplinary environment.
Furthering the Hybrid Model
Room Two at BVCI now stands as one of the most advanced Hybrid Angiography Suites in the country. Drs. Katzen and Benenati and their surgical colleagues continue to break new ground in minimally-invasive cardiovascular care. Katzen concludes, "The partnership between Skytron & Philips provides us with the kind of support we need to get the job done."
Baptist Cardiac & Vascular Institute of South Florida - Video Overview:
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