The Hybrid Cath Lab / OR Suite is a brand new concept. With just a few installed in hospitals around the world, Holy Family is privileged to have installed the first of its’ kind in Mumbai and the third in India. This state-of-the-art operating suite incorporates all the equipment, monitoring devices and technology required for cardiac catheterization, as well as cardiac surgery. The advantage of having this facility is that it can be used simultaneously for procedures which need cardiac catheterization or angiography as well as surgery at the same time.
For heart patients in a serious condition, the time to be transferred from lab to surgical suite is critical because every second counts. Since the Hybrid Cath Lab / OR eliminates the need for the patient to be transferred, doctors are certain that it will change the standard of care for cardiovascular patients.
This lab makes ‘sighted’ cardiac surgery possible with ‘live’ top-end 3D imaging. This significantly reduces the risk factor and the margin for error. Another significant advantage is that the use of the Hybrid Cath Lab / OR Suite enables the use of minimally invasive interventions, thus reducing cardiac patient’s trauma. Recovery time is also reduced to a great extent.
Hybrid procedure can be used when patients with blockages in their coronary arteries need to have revascularisation. For example, a patient having a total occlusion of the LAD and multiple blockages in other arteries would on most occasions be sent for conventional open heart surgery but in such a set up the patent could be offered an internal mammary artery grafted to the LAD through a lateral thoracotomy with the use of a thoracoscope by the surgeon. This would be followed by an angiography to check the graft and then an angioplasty with stent implantation in the circumflex and right coronary artery. This procedure eliminates the median sternotomy incision and enables the patient to go home in 1-2 days after the procedure instead of the standard 10 days of hospitalisation required after conventional surgery.
In the case of a patient undergoing a combination of a stent graft for an abdominal or thoracic along with bypass of the involved vessels (for example: the neck vessels in case of a thoracic aneurysm); the entire procedure could be done on the same table. This reduces the total time required for the surgery, reduces the risk of complications and infection and highly improves the standard recovery time.
In structural heart disease patients and paediatric cases, the surgeon may want to close the VSD (hole in the heart) with a device or implant an aortic valve through the ventricle. This is possible only in a Hybrid Cath Lab / OR Suite, as the equipment and provisions for both cardiac catheterization procedures and cardiac surgery are present at the same venue.
Pace makers: Patients who have to undergo bi-ventricular pacing, and therefore at times need an epicardial lead to the left ventricle, would normally need to be shifted to the Surgical OT which may not be on the same floor. The entire bi-ventricular pacing procedure can be performed in the Hybrid Cath Lab / OR Suite and the patient does not need to be shifted. The total time required for the surgery is reduced, the risk of complications and infection is minimised and recovery time is shortened.
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