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Our institution utilizes an integrated operating room in which both microneurosurgery and endovascular neurosurgery can be performed. We report our early experience of the use of this operating room. Between April 2007 and March 2008, we performed open surgery in 8 cases for cerebrovascular pathologies, 7 of which were aneurysms and 1 of which was an AVM. Two of the aneurysms were paraclinoid large aneurysms. One was a ruptured multiple mycotic aneurysm and the other was an MC bifurcation aneurysm with severe M1 stenosis. Two cases of the aneurysms were coil embolized first, and then converted to open surgery. One AVM case was embolized first and then resected after craniotomy in 1 session. We discuss usefullness of this multifunctional integrated operating room.

Use of a Integrated Operating Room for Collaborative Procedures of Microneurosurgery and Endovascular Surgery