From Laparoscopic to Open Heart Surgery without Changing ORs on Mississippi Medical News

From Laparoscopic to Open Heart Surgery without Changing ORs

By: LYNNE JETER

Baptist’s New Hybrid OR Most Technologically Advanced in Mississippi

JACKSON—When Baptist Medical Center administrative leaders began planning new cardiovascular surgical suites, they huddled with cardiovascular surgeons on staff at the hospital—William J. Harris, MD, Charles S. O’Mara, MD, and W. Stewart Horsley, MD—to determine the best design. Together, they decided to add an advanced Hybrid OR to the mix—an operating room where surgeons could go from doing minimally invasive valve repair and replacement to performing vascular surgery procedures without changing venues.

When the Hybrid OR opens this month in Baptist’s new cardiovascular surgical suite, it will represent the third of its kind in Central Mississippi—the University of Mississippi Medical Center and St. Dominic each have a Hybrid OR—and the most technologically advanced one in the state.

“The new Hybrid OR at Baptist is going to give us the opportunity to perform procedures that no other cardiovascular team can provide in Mississippi,” said Horsley. “For example, we have the potential to do percutaneous aortic valve replacement, which is still in the FDA trial phase. It’s not yet approved for general use, but hopefully within the next year or two, it’ll be available for high-risk patients who are not candidates for surgery or traditional AVR. When it is, we’ll be the only one in the state with the capability to perform the procedure, and one of few in the southeastern United States.”

The Philips Allura Xper FD20 mixed X-ray system, which allows for high-resolution imaging support during challenging minimally invasive cardiac and vascular surgery procedures, is the centerpiece of the Hybrid OR. Its larger-than-usual field of view supports steep angles and provides detailed visualization of tiny details to support challenging applications, including percutaneous valve replacements, AAA and TAA procedures.

Because cardiac procedures often involve extended fluoroscopy times and a high number of radiographic images, Baptist selected Philips’ DoseWise for an integrated system-wide approach to X-ray dose management. It allows the physician to choose the most appropriate image quality for the application at a low X-ray dose, resulting in less radiation exposure for patients and staff in the Hybrid OR during minimally invasive procedures.

The Hybrid OR will expand Baptist’s cardiovascular team’s ability to perform hybrid procedures, including combined cases with cardiologists, such as bypassing a vessel, using standard open heart surgery techniques, and instead using a limited off-pump procedure to do one graft. It allows the cardiologist to stent the other vessels on the back of the heart.

“This procedure is being done in other parts of the country, but nowhere in Mississippi,” says Horsley. “It’s a viable option for unique situations where, for example, a patient may benefit from a surgical bypass of a single vessel on the front of the heart that can be done through a limited incision, and then have the cardiologist stent another vessel.”

The Hybrid OR will also make possible coronary arteriograms in the OR after off-pump bypasses. “All of these procedures are potential cardiac uses of the Hybrid OR, which will also be used to do thoracic and abdominal aortic aneurysm work,” Horsley added. “We’ll have the radiology capability built into the ceiling so that we don’t have to have a C-arm brought into the OR to do the endograft work to repair aneurysms. We’re very excited about all of these potential uses.”

The opening of Baptist’s new cardiovascular surgical suite comes on the heels of receiving high marks for the prevention, diagnosis, treatment and management of cardiovascular diseases—from an abnormal heart rate, to a troublesome varicose vein, to bypass surgery. Baptist has received the HealthGrades Vascular Surgery Excellence Award for six consecutive years, been ranked among the nation’s top 10 percent for vascular surgery annually since 2003, been 5-star rated for carotid surgery for eight years in a row, and been ranked among the leading five hospitals in Mississippi for vascular surgery.

The Hybrid OR complements Baptist’s cardiac care services: 6-bed Cardiovascular Recovery Unit, 10-bed Surgical Intensive Care Unit, 24-bed fully-monitored unit focused on the progressive care of cardiovascular surgical and procedural patients, and 24-bed fully-monitored unit focused on the medical management of cardiovascular patients.

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Baptist Medical Center, Charles S. O’Mara, Hybrid, W. Stewart Horsley., William J. Harris

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Baptist’s New Hybrid OR Most Technologically Advanced in Mississippi

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