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Henry Ford Allegiance Health recently opened a high-tech operating room (OR) for the performance of advanced, minimally invasive heart and vascular procedures. The new room is referred to as a hybrid because it combines the powerful imaging equipment of a cardiac catheterization lab with the custom features of an operating room designated for open-heart surgery. Highly specialized imaging equipment provides precise, real-time pictures of the heart and circulatory system to accurately guide the procedure. The hybrid OR can also accommodate a change of clinical teams and approaches if a patient requires a change from minimally invasive to traditional open-heart surgery. ADVANCED, NON-SURGICAL PROCEDURES PERFORMED IN THE HYBRID OPERATING ROOM INCLUDE: • Aorticvalvereplacement(TAVR)–Replacementofadefectiveheartvalvewithin the largest artery of the body (aorta). • Endovascular aneurysm repair (EVAR) – Repair of a bulging weakness (aneurysm) in the wall of the aorta where it runs through the abdomen. A tiny mesh tube (stent), inserted through a small incision in the groin, reinforces the aneurysm to keep it from bursting. • Thoracic endovascular aneurysm repair (TEVAR) – Repair of an aneurysm in the wall of the thoracic aorta (the part of the aorta that runs through the chest). • Carotidarteryrepair–Removalofablockageornarrowingofthelargearteriesat either side of the neck (carotids). • High-riskPCI–Stentplacementtoopenablockageinanarteryoftheheartthatis particularly difficult to reach and life-threatening. • PVI–Openingofablockedornarrowedarteryoutsidethehearttopreventstroke, such as in the neck, arms, legs or abdomen. In order to bring these life-saving procedures to our local communities, Henry Ford Allegiance Health interventional cardiologists studied with experts from the Henry Ford Center for Structural Heart Disease for nearly two years.