Evaluation Background: Hybrid ORs with Interventional Angiography Systems

February 14, 2018 | Evaluations & Guidance


​**Here's background for our Evaluations of hybrid operating rooms (ORs) with interventional angiography equipment, outlining the key considerations for making wise purchasing decisions. Learn how the technology is used, which specs are important, and what factors we test for. Also review our latest product ratings and ECRI Institute's data describing hospitals' interest in each vendor.

Hybrid ORs with interventional angiography capabilities are surgical suites equipped with dedicated angiography imaging components that are integrated with a specialized operating table to provide intraoperative imaging. These suites are designed to accommodate both minimally invasive and open surgical procedures. Clinical applications include vascular, cardiovascular, thoracic, spine, and neurologic procedures.

Hybrid ORs can also be configured with MR or CT systems, or in some cases all three major modalities; however, rooms equipped with advanced angiography systems are the most common type. This type of hybrid OR allows percutaneous coronary procedures to be performed before, during, or after an open surgical procedure, without the need to move the patient from the OR table.

To be considered in this category, a hybrid OR must include angiographic imaging equipment that is fully integrated with a surgical table to provide intraoperative imaging. Position and orientation of the imaging components and patient table must be coordinated to achieve the necessary alignment for the anatomy to be imaged. Users should also be able to reposition components for additional imaging during a procedure, and the controls for doing so should be available tableside. Similarly, image acquisition and image processing should be available in both the exam room and the control room.

Angiography components:

  1. An x-ray source that produces the x-rays

  2. A detector that converts the x-rays...

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