cto病变介入治疗的器械选择.ppt

左冠走行向下 JL 4.5 Other Recommendations: Short Amplatz; El Gamal SL 4.5 * 左冠走行向上 JL 3.5 Other Recommendations: Champ 1.5; MAC EBU；XB；BL 3.0 * 24岁左主干病变时造影导管及指引导管的选择 EBU 3.0 JL 3.5造影导管 * 右冠Guiding Catheter选择 JR 4.0 AL 1.0 Other Recommendations: AR 2.0; MAC 3.0; ECR 4.0 * 右冠走行向下 JR 4.0 Other Recommendations: El Gamal; ECR; Short Amplatz MB 1 * 右冠走行向上 JR3.5；TR4.0 * RCA闭塞指引导管的选择 AL 1.0指引导管 JR 4.0造影导管 * 导丝的选择及使用技巧 * 导丝的性能分类 导丝的硬度：导丝顶端的直径、结构 导丝的推送力：导丝通过病变的能力 导丝的支撑力：导丝体部可以将高度扭曲的血管拉直，便于其它器械通过的能力 * 目前PCI术中常用导引导丝 Guidant: BMW, Whisper, Cross IT, PILOT Cordis: ATW, Stablizer supersoft, Shinobi Boston Scientific: PT 系列 Terumo: Cross NT，Rinato, Runthrough ASAHI: Mircale系列, Conquest系列 * * * PilOT导丝系列比较 * PilOT导丝头端与其它导丝头端的比较 PILOT * PT2 LS与PT2 MS导丝的结果比较 * 右冠功能性闭塞-导丝的选择：亲水涂层导丝 PT2-LS通过病变 * CROSS-IT XT 导丝：逐渐变细的头端 * CROSS-IT XT 导丝：头端硬度比较 * LAD开口处闭塞病变 EBU 3.5 CRISS IT 100通过闭塞段 * 前降支开口部闭塞时导丝的选择—缠绕硬导丝 亲水涂层超滑导丝难以突破近端纤维帽 缠绕硬导丝能够轻易突破闭塞近端纤维帽 * Miracle系列导丝结构及硬度比较 * Conquest系列导丝的结构及硬度 * Introduce yourself and meet participants of program. This 50-minute continuing education unit is designed to help you better understand the function of guiding catheters, various curve selection considerations, specialty curves and curve recommendations. After you have completed a post in-service progress check and a program evaluation at the conclusion of the program, you will receive a certificate of completion for one CEU. Please note: You may tailor this program to the needs of your audience. For example, if participants are fairly new to guide catheter selection, you may spend more time on the basics of curve selection considerations. In a very experienced group, you may choose to focus more attention on determining curve styles most useful in a given anatomy. This will give them an opportunity to learn from each other. The outlined objectives must be addressed, but the level of focus placed on each may vary. Normal aorta: The aorta has a normal curvature and diameter of 3.5 cm to 4.0 cm. The norma