The team of vascular surgeons at Mount Sinai Morningside and Mount Sinai West work to ensure all available technology is used to benefit patients. From left: Michael Dudkiewicz, MD, James Cornwall, MD, Adam Korayem, MD, PhD, Daniel Han, MD, Robert J. Grossi, MD, and Alan Benvenisty, MD.
The hybrid operating room (OR) represents an important tool to help manage an increasing number of complex vascular and endovascular surgical procedures and at the same time meet the needs of patients seeking less invasive treatments.
“The techniques used in the hybrid OR guarantee a significant reduction in the invasiveness of surgical interventions,” said Daniel K. Han, MD, Chief of Vascular Surgery, Mount Sinai Morningside. “This not only allows the possibility of treatment to patients deemed at high risk for open surgery, it also meets the desire for a low-invasive surgical approach.”
A hybrid operating room is a surgical suite that combines medical imaging and a conventional surgical suite that can be used for both minimally invasive and conventional, or “open”, surgical procedures. The imaging devices allow surgeons to perform surgical procedures through a series of small incisions by enabling the visualization of miniscule body parts such as blood vessels.
The hybrid operating room includes an angiographic platform with advanced imaging systems, such as 3D reconstruction systems and image fusion with vascular navigator tools; an operating table integrated with the movements of the fixed C-arm angiography; and a multimedia monitoring system.
There is also anesthesiology monitoring and supporting tools like ventilators and multi-parametric monitors; complementary diagnostic tools including duplex scan, transesophageal echocardiography, and intravascular ultrasound, and the necessary equipment for carrying out most types of surgical procedures.
“The combination and sophistication of the equipment in the hybrid OR permits an unparalleled level of precision and safety,” said Dr. Han.
“As Mount Sinai Morningside commemorates the one-year anniversary of its hybrid OR, it celebrates groundbreaking achievements and life-saving interventions that have redefined vascular and endovascular care at Mount Sinai Morningside,” he adds. “The increasing level of complexity of the surgical interventions makes it essential to have suitable settings and equipment, capable of providing the highest possible performance.”
When the new operating room opened, Robert Lookstein, MD, Clinical Director and Manager of Interventional Radiology Services, Mount Sinai Health System, and Alan Benvenisty, MD, Site Director of Surgery for Mount Sinai Morningside, ceremoniously christened it by successfully addressing a renal bleed in a patient rushed from the Emergency Department—a promising beginning that heralded a year of successful procedures. There are also hybrid operating rooms at The Mount Sinai Hospital and Mount Sinai West.
“Now, with more than 700 cases performed within the first year, the hybrid OR has become an important resource for patients with complex vascular conditions,” says Dr. Han. “These cases span a diverse spectrum, from carotid artery disease to lower extremity arterial occlusive disease, showcasing the versatility and expertise of the surgical team.” The team offers a wide range of expertise including amputation prevention, care for aortic aneurysms, and treatment of peripheral artery disease and carotid stenosis.
Central to the success of the hybrid OR is the collaboration among various medical disciplines, which includes the perioperative, operative, and radiology teams—vascular surgeons, interventional radiologists, anesthesiologists, nurses, radiology technicians, perfusion technicians and a broad range of support staff.
“These teams have played instrumental roles in ensuring the smooth operation of the hybrid operating room, underscoring the importance of teamwork in delivering high-quality care,” says Dr. Han.
To make an appointment, call Mount Sinai Morningside Vascular and Endovascular Surgery, 440 W. 114th Street, Suite 100, New York, NY 10025, at 212-523-4706.