CTO介入治疗最新进展_Yasushi.ppt

Toyohashi Heart Center Retrograde Wiring Toyohashi Heart Center Retrograde Wiring with Channel Dilator Toyohashi Heart Center Kissing Wire Technique Toyohashi Heart Center IVUS Guided Wiring Toyohashi Heart Center Reverse CART Toyohashi Heart Center Successful Wiring Toyohashi Heart Center Externalization using 300 cm GW Toyohashi Heart Center Externalization using 300 cm GW Toyohashi Heart Center Balloon Toyohashi Heart Center Stenting Toyohashi Heart Center Final Toyohashi Heart Center Final Toyohashi Heart Center Summary 1. Tapered tip wire would be feasible and user-friendly in an antegrade technique. 2. In Japan expert operators tend to choose not Confienza but Miracle family as the 2nd choice. 3. Corsair is dramatically changing a retrograde CTO PCI. 4. IVUS guided reverse CART is standard technique in Corsair era. Toyohashi Heart Center TOPIC2010 July 15-17, 2010 Don’t Miss It! Toyohashi Heart Center Toyohashi Heart Center Toyohashi Heart Center * Structure Usable Length Radiopaque/ Coil Length Coating Tip Stiffness 0.010” 0.014” Sleek-Coat Technology with Hydrophilic Coating Stainless One Piece Core Shaft Toyohashi Heart Center Guide Wire Structural ImageWIZARD Fielder XT 16cm Polymer sleeve with Hydrocoat 16cm Radiopaque Coil Length Tip Load 0.8g 1cm 0.009” Straight 3cm Tapered 12cm 0.014” 4cm 0.009 - 0.014” 17cm Polymer-Dipping with Hydrocoat 16.5cm Radiopaque Coil Length Tip Load 1g 3g 12.5cm 0.014” 4cm 0.010” Straight Wizard Fielder XT Toyohashi Heart Center Fresh Progressin PCI for CTO Toyohashi Heart Center Yasushi Asakura M.D. Toyohashi Heart Center Antegrade Approachwith Single Wire ↓ Parallel Wire Technique ↓ Retrograde Approach ↓ IVUS Guided Wiring Step by Step Approach Antegrade Approachwith Single Wire Toyohashi Heart Center Current Trend of Wire Selection 1. Fielder-XT, Wizard 1. Miracle 3, 6, 12g 2. Confienza Family 2. 3. Toyohashi Heart Center Microchannels in CTO Toyohashi Heart Center 0.014 inch : 0.36mm 0.009 inch : 0.23mm Micr