劲动脉支架Carotid wallstent课件.pptVIP

Carotid Wallstent? Monorail?  – Closed Cell Structure “The closed cell stent structure is likely a positive contributor to achieving solid clinical results” - Dr. Nick Hopkins (TCT) Carotid Wallstent? Monorail?– Closed Cell Structure Closed-Cell Structure Assists in preventing plaque prolapse有利于阻挡脱落斑块 Provides increased scaffolding 提供增强的脚手架结构 Mesh design covers and retains plaque against the vessel wall 密网设计覆盖并将斑块有效贴壁 Potentially reduces the number of post-procedural embolizations 潜在减少术后斑块的脱落 Carotid Wallstent? Monorail?  – Closed Cell Structure “当支架被放在跨过分叉的部位时，支架本身需自行调节而适应不同的直径. 支架必需贴近血管壁以便于内膜增生而覆盖到其表面. Wallstent是最能适合上述各种需求的支架” “When the stent is placed across the bifurcation,it must adapt itself to arteries of different diameters. The stent should have close contact with the vessel wall so that it can be overgrown by neointima. All these demands are best met by the Wallstent.” Pr. Mathias: Angioplasty and stenting for carotid lesions: an argument for. Adv. Surg. 32:225-43, 1999 * * * * * * Carotid Wallstent * 支架输送系统 Monorail? 导管设计，0.014“导丝输送系统； 5F (6 8 mm) 和 6F (10 mm) 低外廓，高柔顺性； 高输送性* 高柔顺性的支架输送系统，具有良好的跟踪性易于通过迂曲的解剖结构； Image property of BSC. * Bench Testing Data on file at BSC. Carotid Wallstent? Monorail? Carotid Stenting性能 * 闭环设计 结构更致密，具有优异的病变覆盖能力、保护斑块和血管造影结果，血栓保护装置回收更容易；* 显影性 出色的显影性，在X线下具有比其他支架更佳的可视性，放置准确；* 可回收 支架释放50%时仍可被回收后重新定位再次释放，支架放置更准确；* * Bench Testing Data on file at BSC. Image property of BSC. Carotid Wallstent? Monorail? Carotid Stenting 性能 * Image property of BSC. Carotid Wallstent? Monorail?  临床有效性 闭环设计 高输送性 可回收 显影性 血管适应性 * Carotid Wallstent的尺寸选择 盒子上的支架尺寸和植入后的尺寸不同… 我有些糊涂了! Carotid Wallstent的尺寸选择 选择Wallstent 根据: 靶血管的最大直径 支架植入部位的长度 1. Wallstent的unconstrained diameter要比靶血管的最大直径 至少大1 mm Size Selection of Carotid Wallstent 原则 支架覆盖病变两侧的正常组织，至少各长5 mm * 支架直径 = 血管直径 (a) + 1 or 2 mm 支架长度 (b) = 病变长度 (c) + 10 mm (两侧各超出5mm) a b c Carotid Wallstent尺寸选择 * Carotid Wallstent Fully Open Diameter Fully Open Leng