课件：冠脉分叉病变不同介入治疗策略评价.ppt

THANK YOU SUCCESS * * 可编辑 * * * This is the Bulleted List slide. To create this particular slide, click the NEW SLIDE button on your toolbar and choose the BULLETED LIST format. (Top row, second from left) The Sub-Heading and footnote will not appear when you insert a new slide. If you need either one, copy and paste it from the sample slide. If you choose not to use a Sub-Heading, let us know when you hand in your presentation for clean-up and we’ll adjust where the bullets begin on your master page. Also, be sure to insert the presentation title onto the BULLETED LIST MASTER as follows: Choose View / Master / Slide Master from your menu. Select the text at the bottom of the slide and type in a short version of your presentation title. Click the SLIDE VIEW button in the lower left hand part of your screen to return to the slide show. (Small white rectangle) * Which bifurcations will require 2 stents? * Position stent in SB ensuring coverage of ostium with minimal protrusion into MB and place non-compliant balloon in MB stent Final Result: Inflate the delivery balloon in the SB and the MB balloon simultaneously Step 3: Step 4: The T-stenting with Protrusion Technique (TAP) as a Cross-over from the Provisional Approach 1: Rewire side branch and advance a balloon and dilate toward SB 2: Position a stent in the SB with minimal protrusion in the MB. Leave a balloon in the MB EVALUATE RESULT: if the result is not acceptable then A Reverse Crush Stenting 3: Deploy the stent in the SB and remove the wire and the balloon 4: Crush the short protruding part of SB stent over the stent in MB by inflating the MB balloon B Reverse Crush Stenting 5: Rewire the SB and perform high pressure dilatation 6: Perform final kissing balloon inflation C Reverse Crush Stenting 双支架术 当分支血管的病变比较弥漫，不仅仅局限于分支开口部位，并且分支血管适合置入支架 主支和分支血管放入导引钢丝 扩张主支血管，必要时扩张分支血管 Crush支架术或其他双支架术 如果进行Crush: 分支血管再次放入导引钢丝,对其进行高压球囊扩张 球囊对吻扩张 Crush支架术 标准Crush：7F以上指引导管, 事先对两个支架定位，然后释放分支血管支架，主支血管支架挤压分支血管支架 Reverse （In