CTO导丝学习教程

CTO导丝的选择CTO病变的特点CTO正向导丝通行技巧导丝的基本结构几种新导丝的特点第1页/共54页30-50%CTO with Micro-channels第2页/共54页CTO导丝的选择CTO病变的特点CTO正向导丝通行技巧导丝的基本结构几种新导丝的特点第3页/共54页第4页/共54页钻行技术第5页/共54页穿行技术第6页/共54页滑行技术第7页/共54页第8页/共54页第9页/共54页第10页/共54页CTO导丝的选择CTO病变的特点CTO正向导丝通行技巧导丝的基本结构几种新导丝的特点第11页/共54页第12页/共54页第13页/共54页第14页/共54页第15页/共54页第16页/共54页第17页/共54页Polymer cover with Hydrophilic CoatingHydrophilic CoatingHydrophobic CoatingNo Coating第18页/共54页第19页/共54页第20页/共54页CTO导丝的选择CTO病变的特点CTO正向导丝通行技巧导丝的基本结构几种新导丝的特点第21页/共54页几种滑导丝第22页/共54页第23页/共54页Fielder FC&Fielder XT0.009”0.009”Fielder XTFielder XTFielder FCFielder FC11cm Spring Coil11cm Spring Coil3cm Radio-opaque Coil0.014”0.014”20cm Polymer Sleeve&SLIP COAT20cm Polymer Sleeve&SLIP COATPTFE CoatingPTFE CoatingStainless Steel CoreStainless Steel Core16cm Radio-opaque spring coil16cm Radio-opaque spring coil16cm Polymer Sleeve&SLIP COAT16cm Polymer Sleeve&SLIP COAT0.014”0.014”PTFE CoatingPTFE CoatingStainless Steel CoreStainless Steel Core第24页/共54页Fielder FC11cm 弹簧圈段3cm 显影段0.014”20cm 聚合物及亲水涂层PTFE 涂层不锈钢核心第25页/共54页Fielder X-treme16cm 显影的弹簧圈段16cm 聚合物包裹及涂层0.014”不锈钢核心0.009”XT-AXT-R第26页/共54页第28页/共54页PTFE coatingRope coil&Radiopaque segment 3cmSLIP COAT Hydrophilic coating 21cmSpring coil 18cmStainless steel high-tension core0.014”第29页/共54页3300mm 80mm1600mm（硅油涂层）0.26mm(0.010”)0.26mm(0.010”)30mm：Pt 50mm：SUS1700mm（亲水涂层）GW直径；0.026mm(0.010”)有效长度；330cm弹簧圈长度；80mm（Pt：SUS=30mm：50mm）亲水涂层长度；1700mm头端负荷；3g第30页/共54页Product Information第31页/共54页32Core Technologies in Wire DesignDrawingTorque+Wire FormingTorque+CoatingCoreCoilGuide Wire第32页/共54页33StructureRadiopaquelength：3cmCoatinglength：28cm（Full coating）Tip load：Joint-less spring coilCompositeCore第33页/共54页34ACT ONECoilTwist coreCore wireCompositeCoreSix wire ropeHollow tube第34页/共54页35CoilCore wireCompositeCoreTwist core第35页/共54页36CompositeCoreThe Composite Core Improves Torque and Tip Shape Retention1Tip breakageKink in Core wireACT ONE protects the Core wire2Prevents Torque“Whip”Prevents whip by stopping torque build-up第36页/共54页37CompositeCoreACT ONE benefits1Shape protection2Torque transmissionTwist core benefits1Stronger tipComposite Core allows for a smaller diameter core wire2Negates“whipping”第37页/共54页几种硬导丝第38页/共54页第39页/共54页第40页/共54页第41页/共54页第42页/共54页第43页/共54页HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott Laboratories.Information contained herein for distribution outside of the US&Japan onlyHI-TORQUE PROGRESS:新一代慢性闭塞病变导丝新一代慢性闭塞病变导丝Asahi MiracleBros 3不锈钢聚合物护套/混合涂层穿透力高性能标准穿透力低穿透力高Tests performed by and data on file at Abbott VascularAsahi MiracleBros 12CROSS-IT 200XT|300XTCROSS-IT 100XTAsahi MiracleBros 4.5 CROSS-IT 400XTAsahi Confianza Pro 9|12Asahi Fielder XT HT PROGRESS 40HT PILOT 50|150|200 HT PROGRESS 80HT PROGRESS 120HT PROGRESS 140THT PROGRESS 200T第44页/共54页HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott Laboratories.Information contained herein for distribution outside of the US&Japan only3 cm radiopaque coil29.5 cm polymer sleeveTests performed and data on file at Abbott VascularSMOOTHGLIDE:疏水涂层有助于器械在导丝的近段移动TURBOCOAT:亲水涂层使导丝远段在长时间手术过程中保持润滑头端直径端直径:0.012”(40,80,120)0.0105”(140T,锥形)0.009”(200T,锥形)中段聚合物中段聚合物护套覆盖套覆盖亲水水涂涂层:使导丝在病变中具有最大的可操控性CORE-TO-TIP DURASTEEL:高强度的核芯材质和核芯至头端设计提供了出色的扭控反应和导丝的保持塑形能力RESPONSEASE:距离导丝头端12cm无过渡节段的核芯避免了脱垂点的产生最大幅度地减少了导丝打折，并提供可靠的导丝操控头端端弹簧圈簧圈:5mm 裸露头端 便于产生触觉反馈引领慢性闭塞病变导丝技术:HI-TORQUE PROGRESS 系列导丝第45页/共54页HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott Laboratories.Information contained herein for distribution outside of the US&Japan onlyHI-TORQUE PROGRESS 系列导丝系列导丝 HI-TORQUE PROGRESS 40其特点为具有保持塑形的头端，是探索或滑行的理想器械HI-TORQUE PROGRESS 80头端设计便于滑行或钻行HI-TORQUE PROGRESS 120提供更硬的头端以便钻行HI-TORQUE PROGRESS 140T锥形头端(0.0105”)便于穿刺慢性闭塞病变HI-TORQUE PROGRESS 200T具有 0.009”直径的头端 以便穿刺慢性闭塞第46页/共54页HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott Laboratories.Information contained herein for distribution outside of the US&Japan onlyHI-TORQUE Progress 设计优点设计优点 穿透力采用穿透力便于慢性闭塞导丝的直接比较Tests performed by and data on file at Abbott VascularKg/inch第50页/共54页导丝的选择Always start withthe soft wires Quickly upgrade to stiffer wiresin a step up strategyAs 30-50%CTO with Micro-channelsAs micro-channels are sometimes not visible第51页/共54页导丝的选择Which wire and when？Micro-channel visible：Plastic jacket or hydrophilic wireFilelder XT,Filelder FC&FleiderPilot 50Runthrough NSSevere fibro calcific segment：Stiff extra support wires Miracle series 3,4.5,6,12 gmCross IT 100,200,300,400Intermediate wiresConquest pro,9/12 gm第52页/共54页第53页/共54页感谢您的观看！第54页/共54页