Hybrid Operation Theaters in Vascular Care: Current and Future Technologies

Nollert, Georg; Hartkens, Thomas; Schwabenland, Ina; Sunderbrink, Dirk; Dyck, Anja

doi:10.1007/978-3-642-37393-0_186-1

Cited by 1 publication

(2 citation statements)

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“…8,9 To improve the value of the HOT even further, new innovations in the HOT have been proposed. 10 Concurrent with research on the benefits of current HOTs, new innovative technologies for image-guided vascular surgery are being developed. Examples include tools for wound perfusion measurement, improved angiographic imaging technologies such as low field Magnetic Resonance Imaging (lfMRI) and guided steering assistance.…”

Section: Introductionmentioning

confidence: 99%

“…Examples include tools for wound perfusion measurement, improved angiographic imaging technologies such as low field Magnetic Resonance Imaging (lfMRI) and guided steering assistance. 10,11 In the long term, these and other novel technologies could be implemented in the HOT to overcome current limitations, such as the restricted information about the perfusion of the diabetic foot ulcer of PAOD patients 12 and the still remaining dose of ionizing radiation that the patient receives during the endovascular procedures. This brings up interesting questions, such as: 1) Which innovative technologies are most likely to lead to substantially improved patient recovery times, patient health outcomes and healthcare efficiency?…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Value based decision support to prioritize development of innovative technologies for image-guided vascular surgery in the hybrid operating theater

Heslinga

Koffijberg

Geelkerken

et al. 2020

Medical Imaging 2020: Image-Guided Procedures, Robotic Interventions, and Modeling

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Innovative technologies for minimally invasive interventions have the potential to add value to vascular procedures in the hybrid operating theater (HOT). Restricted budgets require prioritization of the development of these technologies. We aim to provide vascular surgeons with a structured methodology to incorporate possibly conflicting criteria in prioritizing the development of new technologies. We propose a multi-criteria decision analysis framework to evaluate the value of innovative technologies for the HOT based on the MACBETH methodology. The framework is applied to a specific case: the new HOT in a large teaching hospital. Three upcoming innovations are scored for three different endovascular procedures. Two vascular surgeons scored the expected performance of these innovations for each of the procedures on six performance criteria and weighed the importance of these criteria. The overall value of the innovations was calculated as the weighted average of the performance scores. On a scale from 0-100 describing the overall value, the current HOT scored halfway the scale (49.9). A wound perfusion measurement tool scored highest (69.1) of the three innovations, mainly due to the relatively high score for crural revascularization procedures (72). The novel framework could be used to determine the relative value of innovative technologies for the HOT. When development costs are assumed to be similar, and a single budget holder decides on technology development, priority should be given to the development of a wound perfusion measurement tool.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%