Texas Health Presbyterian Hospital Dallas has opened a hybrid neurointerventional operating suite.

"This hybrid operating room allows us to do complete neuro-diagnostic angiography and open craniotomy procedures in the same setting without the disruption of moving critically ill patients between OR and IR suites," said Anthony Maioriello, M.D., chief of neurosurgery for and on the medical staff of Texas Health Dallas.

Previously the angiography would be done in the neuro-interventional imaging department, then the patient would be moved downstairs to the operating room for subsequent neurosurgery.

"It reduces time and it's safer for the patient because of the additional risk to the patient while traveling between floors under prolonged anesthesia," Maioriello said.

"It's combiningtwo different neuro-invasive procedural areas in one room, allowing the imaging to increase accuracy with just-in-time imaging of the blood vessels and structures to be treated," he said. "If we're operating on a vessel abnormality we can adjust the table to re-do critical images to ensure the entire blood vessel is treated."

High definition display screens put critical information right in front of the care team.

"The new imaging allows for real-time views of vessels and intracranial structures to be displayed, making it more accurate to reference areas accessed during the actual surgery, whereas previously we would have to walk away from the patient to view images," said Maioriello. "The scrub techs are also able to view the images, and can anticipate the appropriate instruments needed, with a smoother flow to the procedure."