solitaire颅内支架介入治疗 ppt课件资料讲解.ppt

* Wall Apposition Solitaire Enterprise Leo Neuroform Stents deployed in 3mm vessel, 2.4 mm bend radius * Wall Apposition Solitaire Enterprise Leo Neuroform Stents deployed in 4mm vessel, 2.4 mm bend radius * Wall Apposition Important data for the physicians. Clinical importance: Cells of stents that don’t have a good wall apposition, can’t expand that well and this can have an effect on getting the catheter thru - will have to jail the catheter Potential of coil herniation Comparison: Solitaire AB maintains better wall apposition than Enterprise and Neuroform * Gator-Backing Neuroform3 3.5x20 Leo 3.5x25 Solitaire AB 4x20 Enterprise 4.5x22 Wingspan 3.5x15 * Kinking Solitaire AB 4x20 Enterprise 4.5x22 Leo 3.5x25 Neuroform3 3.5x20 Wingspan 3.5x15 * Gator-Backing and Kinking For some physicians this is important, for others it is ‘nice-to-know’ though wouldn’t stop them from using a stent they like. Clinical relevance: May result in coil herniation Unlikely that kinking will result in vessel occlusion, though it might limit catheter access Comparison: Gator-backing and kinking not observed in Solitaire AB and Enterprise * Stent Cell Area * Stent Cell Size * Cell area and size Physicians would like to know both data Clinical relevance: Want to know whole area for potential coil herniation The size is important for catheter size to be able to go thru Comparison: Able to place a 3 mm stent through Solitaire AB for bifurcation / Y-stenting, while other stents have much smaller cell size A catheter diameter of 3 mm can cross Solitaire, while a catheter diameter of 1.3 mm can cross the Enterprise. The largest catheter that can pass through in Solitaire is 8F. This is larger than most devices used in neurovascular intervention. Solitaire AB cell length is similar to Enterprise, though Solitaire is twice as wide, therefore cell area of Solitaire is twice as large. * Working area foreshortening Device Size (mm) Foreshortening (%) Enterprise 4.5 x 15 6.7 4. 5 x 22 7.7 4.5