[Do we need hybrid operating theaters?: a critical appraisal].

CLINICAL ISSUE: Infrastructural improvements with a combination of interventional and open surgical procedures. STANDARD TREATMENT: Separate performance of interventional and open surgical procedures. TREATMENT INNOVATIONS: Implementation of hybrid operating rooms. DIAGNOSTIC WORK-UP: Intraoperative high-quality digital subtraction angiography. PERFORMANCE: Best hygienic conditions Intraoperative improved image quality Improved patient management Increased patient safety Broadening of indications ACHIEVEMENTS: Major improvement from a medical standpoint Different implications from a management perspective Economic aspects challenging PRACTICAL RECOMMENDATIONS: Exact planning of all aspects and effects is necessary.