Surgical thoracotomy and catheter intervention are the two most common invasive treatment methods at present. Although the former is effective, the incision is large and the trauma is serious. Although the latter can be done percutaneously, it still has the limitation of patients' conditions and the deficiency of its own curative effect. Is it possible to have a "perfect" medical treatment that combines the advantages of the above two treatments to benefit patients with minimal trauma? This is the purpose of the newly established "one-stop" operation center in Beijing Fuwai Cardiovascular Hospital.
"One-stop" Operating Room: A New Platform for Cardiovascular Disease Treatment
The "one-stop" program includes the following features:
1. Complete the surgical treatment of heart disease in the operating room with various imaging equipment.
2. After thoracotomy, surgeons use conventional or improved interventional instruments for treatment.
3. Highly rely on intraoperative imaging technology to guide the operation and evaluate the operation effect immediately.
"One-stop" surgery is the product of multidisciplinary integration, and its cornerstone is increasingly mature cardiac surgery, including the selection of hidden incision and off-pump examination, as well as the application of large collection and classification technology; Its core content is that under the guidance of real-time images and other routine heart operations, surgeons use interventional instruments in special operating rooms to complete the treatment of heart diseases.
"One-stop hybridization" surgery has a hybrid operating room that can perform both imaging examination and routine heart surgery at the same time. It is not necessary to transport patients between the imaging department and the operating room many times, and all operations can be completed in the same operating room, thus avoiding the possible risks caused by repeated anesthesia and transporting patients. More importantly, in such a "one-stop" operating room, the curative effect of the operation can be evaluated immediately, thus guiding the operation.
The ideal "one-stop" operating room should have all kinds of imaging equipment, including C-arm machine for cardiovascular angiography and cardiac ultrasound system. However, due to the limited conditions, even in other world-class heart centers, it is difficult to find an operating room with the above conditions. The "one-stop" operating room currently established in Fuwai is the first "one-stop" operating room in China, which is equipped with a full set of Siemens equipment, and can simultaneously perform a full set of operations such as cardiovascular anesthesia, angiography, ultrasound, cardiopulmonary bypass and surgical thoracotomy in one operating room.
Advantages of "one-stop" surgery
At present, Fuwai Hospital is going to implement three kinds of diseases, which basically cover the basic diseases of "one-stop" surgery, including "awake transthoracic occlusion of congenital atrial septal defect", "multiple coronary artery disease small incision bypass surgery combined with stent implantation" and "aortic aneurysm stent implantation".