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TAVR Hybrid OR

East Carolina Heart Institute


January 2013


Upon completion of the new TAVR Hybrid OR at the East Carolina Heart Institute at Vidant Medical Center, we were asked to do interior photography of one of the largest operating rooms in the country and the acclaimed surgeons that will use it. Leading this team is the legendary cardiothoracic surgeon Dr. Randolph Chitwood. With approximately over 10,000 cardiac surgeries, of which more than 5,000 involved heart valve procedures, this hybrid room is one of his greatest achievements. He lead the way in pushing for funding and expedited completion of this OR to start serving the regional community.

The main focus of the room was on a few new and critical pieces of equipment: operating table, robotic C-ARM and the huge LCD screen. Lighting was critical and with Pyxis machines not yet installed made for easy placement. The process is explained in more detail in the blog entry here.

About the TAVR Room
East Carolina Heart Institute at Vidant Medical Center is home to the first hybrid operating room in eastern North Carolina. With its integration of angiographic imaging capabilities, it’s like having a cardiac catherization lab and radiology suite in the OR – a versatile, state-of-the-art environment that enables cardiac and vascular surgeons and interventionalists to perform both open and complex minimally invasive procedures in the same room – often working side by side.

Among the advanced procedures for which the hybrid OR is particularly advantageous are trans-catheter aortic valve replacement (TAVR), stent grafting for aortic aneurysm repair, and aortic dissection repair.

A signature aspect of the hybrid OR is the floor-mounted robotic C-arm which can be positioned virtually anywhere around the patient to produce real-time clinical imaging, including 3D representation with a live fluoroscopy overlay. It enables diagnostic, intraoperative and postoperative imaging to be performed right in the OR, which is not only more convenient and efficient but potentially lifesaving as emergent patients can bypass radiology and go directly to the hybrid OR – saving precious time.

The versatility of the hybrid OR also eliminates the need to transfer a patient to another OR if it is deemed necessary during an interventional procedure. For instance, if an acute problem is found during a percutaneous catheter intervention, surgeons can convert immediately to an open procedure on the same table.

At 1,200 square feet, the hybrid OR is among the largest of such facilities in the nation. Beyond size, however, this new OR – designed by the physicians and nurses who use it – delivers the highest degree of flexibility for the full range of vascular and cardiac procedures, and the best-possible patient care.

Information via VIDANT HEALTH – MEDICAL REPORT Issue 1 – Summer 2013

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