Collaboration Between Interventional Neurosurgery and Vascular Surgery in the Hybrid Operating Room

With the development of hybrid operating room (OR) capabilities and rapid advances in neuroendovascular surgical techniques, the list of options able to be offered to patients with cerebral vascular pathology has grown enormously. Despite advances in equipment and technique, many treatable anomalies remain inaccessible because of pathologic and age-related features in vessels that must be traversed to reach the cerebral vasculature. This case study illustrates how the hybrid OR environment enables collaboration between surgeons from complementary subspecialties that results in net benefit to this patient with aneurysmal subarachnoid hemorrhage and forbiddingly tortuous vasculature.