Hong Kong East Cluster Comprehensive Service Model in Hybrid Neurovascular Service

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Abstract Description

We are glad that our Hybrid theatre with intraoperative CT was installed in 2022, this made a tremendous move to our comprehensive neurovascular service in HKEC. Nevertheless, we are not the only users, other stakeholders include anesthetists particularly pain team, vascular surgeons, orthopedic surgeons, and interventional radiologists.

This is one of the first state of the art technology in HA hospitals, and we can now provide 24/7 real time imaging and operation in one location, particularly useful in trauma setting which requires multidisciplinary input and multimodalities of treatment including opening surgery and endovascular treatment. Stroke service is another highlight and we are proud to provide 24/7 service for acute ischemic stroke as well as hemorrhagic stroke. Moreover, combination of endovascular and open surgical treatment is particularly helpful to some patients requiring neurovascular service, such as external ventricular drain insertion and embolization of aneurysm can now be catered without patient’s transfer. Spine intervention together with neuro-navigation is another breakthrough which can shorten the learning curve and reduce the radiation hazard for our new generation. CT scan at the same site right after treatment can illustrate the results of surgery without any delay.

For Hybrid Neurovascular service, we will share some cases to illustrate our collaborative effort in both elective and emergency surgery workflow. For example, we will demonstrate a complex vascular case that utilize our 3D printing technology for pre op planning and simulation; We will also show our case series of chronic subdural hematoma management with combined burr holes drainage and MMA embolization in order to provide one-stop treatment strategy to reduce recurrence in high-risk patients. 

In conclusion, streamlined treatment strategy and workflow can provide the best outcome for our patients, and we hope to increase our capacity so that more patients can be benefit in the near future.


Abstract ID :
HAC952
Submission Type
Consultant
,
Pamela Youde Nethersole Eastern Hospital
Consultant
,
Pamela Youde Nethersole Eastern Hospital
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