BACKGROUND: Fully equipped high-end digital subtraction angiography (DSA) within the operating room (OR) environment has emerged as a new trend in the fields of neurosurgery and vascular surgery. OBJECTIVE: To describe initial clinical experience with a robotic DSA system in the hybrid OR. METHODS: A newly designed robotic DSA system (Artis zeego; Siemens AG, Forchheim, Germany) was installed in the hybrid OR. The system consists of a multiaxis robotic C arm and surgical OR table. In addition to conventional neuroendovascular procedures, the system was used as an intraoperative imaging tool for various neurosurgical procedures such as aneurysm clipping and spine instrumentation. RESULTS: Five hundred one neurosurgical procedures were successfully conducted in the hybrid OR with the robotic DSA. During surgical procedures such as aneurysm clipping and arteriovenous fistula treatment, intraoperative 2-/3-dimensional angiography and C-arm-based computed tomographic images (DynaCT) were easily performed without moving the OR table. Newly developed virtual navigation software (syngo iGuide; Siemens AG) can be used in frameless navigation and in access to deep-seated intracranial lesions or needle placement. CONCLUSION: This newly developed robotic DSA system provides safe and precise treatment in the fields of endovascular treatment and neurosurgery.
BACKGROUND: Fully equipped high-end digital subtraction angiography (DSA) within the operating room (OR) environment has emerged as a new trend in the fields of neurosurgery and vascular surgery. OBJECTIVE: To describe initial clinical experience with a robotic DSA system in the hybrid OR. METHODS: A newly designed robotic DSA system (Artis zeego; Siemens AG, Forchheim, Germany) was installed in the hybrid OR. The system consists of a multiaxis robotic C arm and surgical OR table. In addition to conventional neuroendovascular procedures, the system was used as an intraoperative imaging tool for various neurosurgical procedures such as aneurysm clipping and spine instrumentation. RESULTS: Five hundred one neurosurgical procedures were successfully conducted in the hybrid OR with the robotic DSA. During surgical procedures such as aneurysm clipping and arteriovenous fistula treatment, intraoperative 2-/3-dimensional angiography and C-arm-based computed tomographic images (DynaCT) were easily performed without moving the OR table. Newly developed virtual navigation software (syngo iGuide; Siemens AG) can be used in frameless navigation and in access to deep-seated intracranial lesions or needle placement. CONCLUSION: This newly developed robotic DSA system provides safe and precise treatment in the fields of endovascular treatment and neurosurgery.
Authors: Philipp Dammann; Tobias Breyer; Karsten H Wrede; Klaus-Peter Stein; Isabel Wanke; Astrid E Grams; Elke R Gizewski; Marc Schlamann; Michael Forsting; I Erol Sandalcioglu; Ulrich Sure Journal: Ther Adv Neurol Disord Date: 2014-01 Impact factor: 6.570
Authors: Boris Schulz; Katrin Eichler; Petra Siebenhandl; Tatjana Gruber-Rouh; Christoph Czerny; Thomas Josef Vogl; Stephan Zangos Journal: Eur Radiol Date: 2012-07-21 Impact factor: 5.315
Authors: Nidal Muhanna; Catriona M Douglas; Michael J Daly; Harley H L Chan; Robert Weersink; Jason Townson; Eric Monteiro; Eugene Yu; Emilie Weimer; Walter Kucharczyk; David A Jaffray; Jonathan C Irish; John R de Almeida Journal: J Neurol Surg B Skull Base Date: 2020-02-03
Authors: Harley H L Chan; Jeffrey H Siewerdsen; Allan Vescan; Michael J Daly; Eitan Prisman; Jonathan C Irish Journal: PLoS One Date: 2015-09-02 Impact factor: 3.240