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Three Cardiovascular Services in One State-of-the-Art Operating Room

What do you get when you bring highly advanced cardiovascular services together into one operating room? Eight hundred square feet of pure patient care innovation.

BOSTON - What do you get when you bring highly advanced cardiovascular services together into one operating room? Eight hundred square feet of pure patient care innovation.

Beth Israel Deaconess Medical Center's (BIDMC) s new hybrid operating room combines catheterization, surgery and electrophysiology (EP) capabilities, allowing maximum flexibility and speed in the treatment of patients with complex heart conditions.

"A handful of other hospitals have combined surgery and catheterization, but we've taken it a step further by adding EP," says Ralph de la Torre, MD, section chief of cardiac surgery and a specialist in minimally invasive heart valve repair and replacement.

The hybrid OR combines highly advanced equipment, skilled surgeons, cardiologists and anesthesiologists and specialized nursing and technologist staff to perform complex cases that involve two or more major services. The obvious advantage is a matter of time and space, eliminating the need to move a patient to a different room for example, to accommodate surgery after the placement of a stent or the treatment of an arrhythmia.

The hybrid OR also advances the ongoing collaborative work of vascular/endovascular and cardiac surgeons, says Frank Pomposelli, MD, chief of vascular and endovascular surgery at BIDMC.

"Together, we have developed techniques for treating high-risk cases such as the placement of extremely complicated thoracic stent grafts," he says. "These hybrid procedures, combining open and minimally invasive techniques or multiple minimally invasive procedures, are performed by truly hybrid teams. State-of-the-art angiography equipment and other technologies provided by the hybrid OR provide tremendous advantage for these complex cases."

BIDMC already was home to the first all-digital cardiac catheterization laboratory in Boston, says Joseph Carrozza, Jr., MD, section chief of interventional cardiology, allowing combined diagnosis and catheter-enabled treatment in one session.

"This one-of-a kind suite, with state-of-the-art digital flat panel imaging, allows us to offer advanced treatments to the most challenging and complex patients with cardiovascular disorders," he says.

"This allows all operators to treat some of the most complex and high-risk patients in one setting - a truly unique opportunity for patient care," adds Lawrence Garcia, MD, director of the peripheral intervention program.

Mark Josephson, MD, chief of the cardiovascular medicine division and director of BIDMC's arrhythmia service, notes: "Electrophysiologists have partnered with cardiothoracic surgeons to perform the first minimally invasive MAZE procedure to cure atrial fibrillation in Boston," adding the combined suite enables electrophysiologists to perform a variety of arrhythmia surgeries.

Beth Israel Deaconess Medical Center is a patient care, teaching and research affiliate of Harvard Medical School, and ranks fourth in National Institutes of Health funding among independent hospitals nationwide. BIDMC is clinically affiliated with the Joslin Diabetes Center and is a research partner of Dana-Farber/Harvard Cancer Center. BIDMC is the official hospital of the Boston Red Sox.