介入中球囊及支架的应用课件.ppt

介入中球囊及支架的应用;冠状动脉介入治疗球囊的选择;球囊分类;球囊的结构;球囊尖端;球囊;球囊性能;球囊操作要领;预扩张;后扩张;不同类型病变的球囊选择 ;不同类型病变的球囊选择 ;常用的球囊特点;Maverick? PTCA Balloon Catheters;Apex? PTCA Dilatation Catheter;Quantum? Maverick? Balloon;Quantum? Maverick? Balloon;;;;NC sprinter;;;Rugin;Voyager;Powersail;SafeCut uses dual wire mechanism to create focused force. It has a built-in 0.011 integral wire external to the balloon to help track tortuous vessels with great efficiency. A standard 0.014 guidewire that delivers the catheter to the target lesion also participates in the dilatation process. The guidewire exit port is located at the proximal part of the balloon. During balloon dilatation, the standard guidewire and integral wire apply controlled force to facilitate plaque fractures at low inflation pressures. The same application also helps minimize balloon slippage. SafeCuts distal leading tip profile is 0.032 tapered to 0.028 which is smaller than those of other focused force balloons. Balloons with embedded blades for scoring the vessel have high crossing profiles due to the nature of the balloon materials and blades. The integral wire and standard guidewire apply evenly distributed force to facilitate controlled plaque at low pressures, reducing trauma to the vessel wall. Other balloons using the same focused force technology use blades which are much more traumatic to the vessel wall. ;Cutting Balloon;冠状动脉介入治疗支架的选择;冠状动脉支架广泛应用的原因;支架分类 ;支架的性能特点;支架的开环和闭环设计;网眼大小;;微米;金属动脉比值;支架可视性;;;;裸金属支架选择原则 ;Cordis Confidential - Internal Use Only;DES与BMS的比较;DES与BMS的比较;;Recommendation;ACC/AHA 2005 Guideline for PCI;ACC/AHA 2005 Guideline for PCI;;预扩张;药物支架选择和扩张;支架选择和展开;药物支架选择和展开;后扩张;IVUS的重要性;目前常用的药物支架特点;CYPHER? Sirolimus-eluting Coronary Stent ;TAXUS? Express2? Coronary Stent ;316L 不锈钢材料 支架梁厚度 – 0.0038” 尖端外廓 – 0.017” 通过外廓 – 0.047”** ;;支架平台比较血管覆盖 ;命名压力;;Driver 独特设计带来优异的Endeavor输送平台; Polymer Coating;Minimal injuryMinimizing strut and polymer thickness;;;;Excel 药物支架 ;Partner支架;谢 谢