近距离内射合集

Local copper artist Jennifer Sabatka found herself in the emergency room with high blood pressure and dizziness in September.

The doctor discovered a brain aneurysm after performing an angiogram, an imaging procedure that uses X-rays to examine blood vessels. Sabatka was soon admitted to a local hospital.

Sabatka was among the first New Mexico residents to undergo a complex, minimally invasive and open procedure in Presbyterian Hospital鈥檚 $4.5 million hybrid operating room in Albuquerque, launched in October. She underwent the surgery close to home, with her husband of over 30 years by her side.

鈥淚 didn鈥檛 have any fears going into it, just because I felt so at ease,鈥� Sabatka said.

A hybrid operating room merges a standard operating room with advanced X-ray and imaging machines, allowing surgeons to perform complex procedures while viewing blood vessels in real time. Presbyterian鈥檚 hybrid suite supports advanced neuro and vascular care for treating stroke, aneurysms, blocked carotid arteries and other complex surgical issues.

When Sabatka was transferred to Presbyterian鈥檚 hybrid operating room, she received another angiogram, which she said 鈥渨as just so incredibly more detailed鈥� than the typical 2D, black-and-white version. That second angiogram produced a vivid, detailed 3D image, showing blood vessels branching like red roots around the aneurysm and giving doctors a clearer view.

In a traditional operating room, doctors perform the final check on whether the aneurysm is fully fixed at a separate time 鈥� and in another room.

鈥淵ou鈥檙e doing in real time what would usually take a separate trip to a separate operating room,鈥� said Dr. Carlos Alvarez, an endovascular neurosurgeon who helped perform Sabatka鈥檚 surgery at Presbyterian.

Hybrid operating rooms have existed in the U.S. since the early 2000s, although Alvarez said there are very few of them 鈥渋n the country, but there鈥檚 never more than a handful of them in any given state, and many states don鈥檛 have them.鈥�

The advanced operating suite is typically found in academic medical centers like the University of New Mexico Hospital, which launched its hybrid system in the early 2010s. As a result, Presbyterian鈥檚 hybrid operating room is somewhat unique, Alvarez said. Lovelace Health System also introduced a hybrid operating room in the mid-2010s.

Adopting the system at Presbyterian was a no-brainer, Alvarez said, because the hospital network serves more than a million New Mexicans at several locations across the state.

Since October, the hospital has performed approximately one hybrid case per month, said Dr. Michael Ortiz, a neurosurgeon who specializes in minimally invasive surgery and worked with Alvarez during Sabatka鈥檚 procedure.

The system boosts efficiency by allowing two surgical teams to work during the same operation, but Ortiz emphasized that its primary benefit is improved safety.

鈥淣ow, we can treat very, very complex pathology, and we can do very complex specialized surgery that, without this room, was not possible to do before safely,鈥� he said.

But the operating room does not come without its challenges, Ortiz said.

Surgery preparation still takes a long time in a hybrid operating room because surgeons must set up both the endovascular and open portions of a procedure simultaneously, Ortiz said.

Procedures like Sabatka鈥檚 require two teams, Alvarez said: one of technicians and nurses who manage the minimally invasive blood vessel access, and another that handles the open cranial portion of the surgery, requiring 鈥渄ouble the setup of any normal surgery.鈥�

Because of the bulky equipment and extra staff needed, the hybrid operating room is significantly larger than a standard operating room, Alvarez said. While hybrid operating rooms are not required for every aneurysm, he said they are 鈥済ame changers鈥� for complex ones.

Although Sabatka spent about six hours in the operating room, the surgical portion lasted roughly three hours, Ortiz said. Three hours is quite fast compared to a traditional procedure, which requires surgeons to complete each portion of the procedure separately, he said.

鈥淭hat鈥檚 less time than the patient is under general anesthesia, less time that the patient is exposed to risk, and overall, just has a lot of advantages for the patient,鈥� Ortiz said.

The Presbyterian Healthcare Foundation contributed $1.5 million, or one-third of the cost, with significant contributions from individuals, said foundation President Rick Scott.

鈥淓veryone in this state is super interested in improving access to care,鈥� he said. 鈥淪o I think that鈥檚 what really resonates with our donors, and why our donors have rallied around this and have rallied around our neuroscience fundraising.鈥�

Alvarez agreed, adding that traveling for surgery is an 鈥渁stronomical cost and inconvenience.鈥�

鈥淚t鈥檚 super disruptive,鈥� Alvarez said, 鈥渟o I think it鈥檚 very important that we鈥檙e able to keep people at home so that they can get the treatments they need at home to recover at home.鈥�

Keelin Fisher is a business reporter for the Journal. You can reach her at kfisher@abqjournal.com.