Robert子宫动脉导管.pptVIP

* * * * * * * * * * * * * * * * * * * * * DEMONSTRATION OF ROBERTS UTERINE ARTERY ACCESS CATHETER 罗伯特子宫动脉导管介绍 苏州大学附属第一医院介入科 * Intended Use Used for gaining access to the uterine artery, as well as for embolizing vessels in the pelvic region. 用于选择性进入子宫动脉，或是用作其它盆腔动脉的栓塞 * 这个导管可以非常容易的进入同侧以及对侧髂内动脉。 导管头端采用专利的Beacon ? Tip 不透X线材料，由此增强了X线下的可视性。 有一个不透X线金属标记位于导管转弯部位，非常方便导管在髂动脉分叉处的操作。 导管头端由5F渐变细为4F,利于插管。 导管最大流量为12CC/SEC（1200PSI下） Advantages 优势 * ORDER NUMBER TORCON NB ? ADVANTAGE CATHETER Beacon ? Tip stainless steel braided nylon French Size 5.0 Wire Guide Diameter .035 inch Length 90 Tip Configuration RUC HNBR5.0-35-90-P-NS-RUC RADIOPAQUE MARKER ROBERTS UTERINE ARTERY ACCESS CATHETER 罗伯特子宫动脉导管 * RUC两种插管方法 RUC插入对侧髂外动脉，推送导管至转折标记点位于主动脉分叉处，继续推送导管进入腹主动脉呈成袢状态，然后下拉导管进入同侧或对侧子宫动脉。 在导丝引导下将RUC直接插入对侧子宫动脉，完成介入治疗后，利用导丝在对侧臀上动脉成袢，再行同侧子宫动脉插管 。 常规应使用第一种方法 * View of pelvic arteriogram shows a Varrel contralateral flush catheter used for positioning of wire over the bifurcation. * A wire guide is placed through the Varrel contralateral flush catheter and positioned in the contralateral iliac artery. 导管在导丝导引下进入对侧髂动脉！ * The Varrel contralateral flush catheter is removed and the Roberts Uterine Artery Catheter is advanced over bifurcation. 罗伯特子宫动脉导管越过髂动脉分叉进入对侧髂动脉 * Marker positioned at the top of bifurcation (mag shot). 导管金属标记到达髂动脉分叉处 * Catheter is now ready to be reformed. 导管准备塑性，以进入对侧髂内动脉 * Wire guide is now pulled back on other side of radiopaque marker. The Roberts Uterine Artery Catheter is being pushed up to reform loop. 导丝退回到同侧导管中，开始向上推并扭转导管，准备成圈 * Catheter reforming up from right groin. 扭控导管，使对侧导管头端指向髂内动脉 * Catheter mostly reformed 导管在扭控中 * Catheter reformed. Starting to search for the left internal iliac. 导管开始进入左侧髂内动脉 * Catheter now in the origin of the left internal iliac artery. Catheter is being pulled down at the right groin. 导管进入左侧髂内动脉起始部，开始从右侧向下拉导管，以使导管深入髂内动脉 * Catheter tip at the origin of the left uterine artery (continuing to pull down). 导管头端进入左侧子宫动脉起始部（继续