title: Creation of a modified angiography (endovascular) suite for transluminal endograft placement and combined interventional-surgical procedures.
abstract: OBJECTIVE
  To describe early experience with an endovascular suite created for procedures requiring surgical access, endograft placement, or combined surgical and interventional radiologic expertise.
  
  
  METHODS
  After examining the operating room and angiography environments, practice guidelines, state law, and regulatory agency requirements, a multidepartmental task force recommended reconfiguring an angiography suite to serve as an endovascular suite. Forty patients have been treated; 28 underwent vascular endograft placement and 12 underwent other combined procedures.
  
  
  RESULTS
  Procedures included 31 femoral and axillary cutdowns; placement of one aortobifemoral graft, two iliofemoral grafts, two femoropopliteal grafts, and two femoral-femoral crossover grafts; two abdominopelvic exposures for aortic access, and five endarterectomies, including one at the carotid bifurcation performed in combination with common carotid stent placement. Three of the abdominopelvic procedures were not planned, including two emergency conversions. No patient had to be moved to an operating room. There was one major infection (2.5%), two minor wound infections (5%), and one wound with delayed healing (2.5%).
  
  
  CONCLUSIONS
  Early experience with a combined surgical-interventional suite has been favorable, but a vigilant approach is warranted.
authors.affiliation: Department of Interventional Radiology, Miami Vascular Institute, Baptist Hospital, FL 33176, USA.
authors.forename: B T
authors.initials: BT
authors.lastname: Katzen
authors.forename: G J
authors.initials: GJ
authors.lastname: Becker
authors.forename: C A
authors.initials: CA
authors.lastname: Mascioli
authors.forename: J F
authors.initials: JF
authors.lastname: Benenati
authors.forename: G
authors.initials: G
authors.lastname: Zemel
authors.forename: E R
authors.initials: ER
authors.lastname: Roll-Mazzei
authors.forename: J
authors.initials: J
authors.lastname: Alvarez
authors.forename: O A
authors.initials: OA
authors.lastname: Puente
authors.forename: S R
authors.initials: SR
authors.lastname: Kanter
mesh_terms: D000792:Angiography; D001807:Blood Vessel Prosthesis; D005431:Florida; D006757:Hospital Units / Q000458:organization & administration*; D006801:Humans; D007374:Interior Design and Furnishings; D009873:Operating Rooms; D011872:Radiology Department, Hospital / Q000458:organization & administration*; D015642:Radiology, Interventional; D015607:Stents; D013503:Surgery Department, Hospital / Q000458:organization & administration*; D014656:Vascular Surgical Procedures