Synergy in IR–Hybrid CT/C-arm in the setting of critical trauma

Joseph A Knox,Teri Moore,Mark Wilson,Vishal Kumar,Sujal Nanavati,Miles B Conrad

doi:10.1007/s10140-022-02015-7

Abstract

Access to multi-detector computed tomography (MDCT) scanning for interventional procedures can prove to be logistically challenging as resources are often in different areas within the hospital. At some institutions, interventional radiology suites have moved to the operating room, separate from the diagnostic radiology department. At these institutions, complex interventional procedures requiring both fluoroscopy and MDCT may pose logistical challenges, especially as they pertain to timely patient transfers. Hybrid CT/fluoroscopy suite provides rapid, reliable MDCT assessment of trauma patients before and after emergent surgery, as well as access to the entire spectrum of emergent image-guided interventions in the same suite.

Highlights

With the development of angiographic imaging and interventional techniques, interventional radiology (IR) is expected to provide an expanded role in the management of acute trauma patients [1]
While some operating rooms (ORs) and angiography suites may come equipped with flat panel C-arm computed tomography (CT) capabilities, inroom multi-detector computed tomography (MDCT) scanners allow for acquisition of multi-phase, diagnostic level imaging of nearly the entire patient’s body, without image cut-off, a major limitation of cone beam CT [9, 10]
From an operators’ perspective, the hybrid unit allows for seamless transitioning between diagnostic CT imaging and image-guided intervention on highly unstable patients, a distinct advantage the room provides over traditional angiography suites

Summary

CASE REPORT

Knox1 · Vishal Kumar1,2 · Miles B. Conrad1,2 · Sujal Nanavati1,2 · Teri Moore2 · Mark Wilson. Received: 19 November 2021 / Accepted: 3 January 2022 This is a U.S government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022

Introduction

Emergent intervention applications

Discussion