Document Detail


The creation of the optimal dedicated endovascular suite.
MedLine Citation:
PMID:  17964193     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: During the last decade endovascular therapy has been established as an alternative treatment for a variety of vascular diseases. Neither the classic operating room (OR), nor the conventional angiography suite is optimal for both open surgery and endovascular procedures. Important issues include: quality of the imaging equipment, radiation burden, ease of use of the equipment, need for specially trained personnel, ergonomics, ability to perform both open and percutaneous procedures, sterile environments, as well as quality and efficiency of patient care. METHODS: A literature search identified articles pertinent to the key issues during the decision-making process of creating the optimal endovascular suite. Manual cross-referencing also was performed. RESULTS AND CONCLUSION: The most important feature of working in a dedicated endovascular suite should be the ability to attain best treatment of vascular patients. Whether the interventional radiologist or the vascular surgeon uses the facilities is of less importance. A fixed fluoroscopy unit is preferred, above a portable C-arm. Establishment of an endovascular operating room suite has the benefit of a sterile environment, the possibility of performing hybrid procedures and conversions when necessary. Moreover, angiography immediately before treatment gives contemporary anatomical information, and after treatment provides quality control. As a consequence, better quality and service can be provided to the individual patient.
Authors:
C J J M Sikkink; M M P J Reijnen; C J Zeebregts
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-10-25
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  35     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-01     Completed Date:  2008-02-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  198-204     Citation Subset:  IM    
Affiliation:
Department of Surgery, Maasland Hospital, Sittard, The Netherlands. cjsikkink@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Efficiency, Organizational
Equipment Design
Human Engineering
Humans
Operating Rooms / organization & administration*,  standards
Outcome and Process Assessment (Health Care)*
Quality Control
Radiology, Interventional / instrumentation,  organization & administration*,  standards
Surgical Procedures, Minimally Invasive
Vascular Diseases / surgery*
Vascular Surgical Procedures / instrumentation,  organization & administration*,  standards

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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