SolitaireAB支架的应用ppt课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,2009 ev3 Inc. All rights reserved. Contents are confidential.,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,2009 ev3 Inc. All rights reserved. Contents are confidential.,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,2009 ev3 Inc. All rights reserved. Contents are confidential.,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,2009 ev3 Inc. All rights reserved. Contents are confidential.,Click to edit Master title style,Click to edit Master text styles,2009 ev3 Inc. All rights reserved. Contents are confidential.,Solitaire AB,Neurovascular Remodeling Device,2009 ev3 Inc. All rights rese,2009 ev3 Inc. All rights reserved. Contents are confidential.,2,2009 ev3 Inc. All rights rese,Solitaire,AB,产品设计及优势,Solitaire,AB,是自膨式镍钛合金材料，闭合网孔设计,但是一侧完全开放的支架。,采用这种设计是融合了闭合网孔和开放网孔的两大优势,很好的输送能力（柔顺性，顺应性）,很高的径向支撑力,没有突出和打折现象,2009 ev3 Inc. All rights reserved. Contents are confidential.,3,Solitaire AB 产品设计及优势 Solitair,Solitaire,AB,产品设计,Solitaire,AB,可以完全释放，完全回收（两次）。,Solitaire,AB,是置于推送导丝上，覆盖保护鞘被,输送的,它可以在栓塞前、也可以在栓塞后被解脱。,它是通过微导管,(ID: 0.021”& 0.027”),输送，使用,Rebar,18,；,Rebar,27,。,电解脱方式解脱；,NDS-2,解脱器,2009 ev3 Inc. All rights reserved. Contents are confidential.,4,Solitaire AB 产品设计 Solitaire A,设计,Solitaire,AB,有两种直径，,4mm ,三种,长度,15cm, 20cm & 30cm,。,清晰可见的不透光标记,4mm,支架的标记：远端,3,个,近端,1,个。,6mm,支架的标记：远端,4,个,近端,1,个。,2009 ev3 Inc. All rights reserved. Contents are confidential.,5,设计 Solitaire AB 有两种直径，4mm &,2009 ev3 Inc. All rights reserved. Contents are confidential.,6,2009 ev3 Inc. All rights rese,7,设计规格,4 mm,6 mm,Indicated vessel size,3 4 mm,5 6 mm,Stent Material,Nitinol,Nitinol,Tube Size,5 mm,7 mm,Pushwire Material,Nitinol,Nitinol,Pushwire Size,0.0016”,0.0016”,Pushwire Length,180cm,180cm,Minimum Microcatheter,0.021”,0.027”,Distal Markers,3,4,Working Length Marker,None,None,Proximal Marker,1,1,Foreshortening*,13 - 17%,16 - 20%,Detachment,Electrolytic,Electrolytic,*,Is depending on vessel size and deployment,7设计规格4 mm6 mmIndicated vessel,2009 ev3 Inc. All rights reserved. Contents are confidential.,8,2009 ev3 Inc. All rights rese,9,Solitaire,AB,重叠,由于,Solitaire,AB,是一侧完全开放式支架，所以在血管内会有重叠发生：,重叠多少是根据血管大小和支架的尺寸决定的。,近端标记看重叠,180,o,，这是中度重叠。,9Solitaire AB重叠由于Solitaire AB是,10,Solitaire AB Overlap - 4 mm device,10Solitaire AB Overlap - 4 mm,11,Solitaire AB Overlap - 6 mm device,11Solitaire AB Overlap - 6 mm,Solitaire AB 4mmx20mm Position 1,C,0.99,1.69,1.34,0.25,0.67,1.45,0.95,Cell A,0.65,Cell B,Cell C,A,B,Radial,Force,Fatigue,Resistance,Visualization,Conformance,Wall,Apposition,Detachment,Delivery,System,Closed,Cell,Retrieval,Zone,Solitaire AB,Overlap,Solitaire AB 4mmx20mm Positi,Solitaire AB 4mmx20mm Position 2,A,C,B,0.72,1.10,0.95,Cell A,0.34,0.82,0.91,1.15,1.44,1.77,Cell B,Cell C,Radial,Force,Fatigue,Resistance,Visualization,Conformance,Wall,Apposition,Detachment,Delivery,System,Closed,Cell,Retrieval,Zone,Solitaire AB,Overlap,Solitaire AB 4mmx20mm Positi,Solitaire AB 4mmx20mm Position 3,A,B,C,0.43,0.97,0.97,Cell A,0.32,0.61,0.69,Cell B,1.77,1.90,2.62,Cell C,Radial,Force,Fatigue,Resistance,Visualization,Conformance,Wall,Apposition,Detachment,Delivery,System,Closed,Cell,Retrieval,Zone,Solitaire AB,Overlap,Solitaire AB 4mmx20mm Positi,支架使用技术,2009 ev3 Inc. All rights reserved. Contents are confidential.,15,支架使用技术2009 ev3 Inc. All rig,单一支架技术,单一支架的使用,放支架，解脱，通过网孔放,coil,放支架，通过网孔放,coil,，解脱,放导管，放支架（导管活动受限），放,coil,放支架，解脱，将支架置于此处几天后，再放导管，放,coil,术中医生不想留下支架，同时又不能使用球囊的情况下， 使用支架作临时的辅助作用。,2009 ev3 Inc. All rights reserved. Contents are confidential.,16,单一支架技术 单一支架的使用2009 ev3 Inc.,多支架技术,X,或,Y,型摆放技术,两个支架通过第一个支架后释放,接触式摆放技术,两个支架挨着释放,支架套支架技术,有时会用到几个支架来覆盖动脉瘤颈口,有些医生有时会采用支架套支架技术，形成自己的“,Flow diversion”.,2009 ev3 Inc. All rights reserved. Contents are confidential.,17,多支架技术X 或 Y 型摆放技术2009 ev3 Inc,Y- Stenting,一个支架放完后,另一个支架从上一个支架的网孔中穿过,2009 ev3 Inc. All rights reserved. Contents are confidential.,18,Y- Stenting 一个支架放完后,另一个支架从上一个,接触式放置技术,(,先直后弯）,先释放直侧的支架，再释放弯曲血管内的支架,2009 ev3 Inc. All rights reserved. Contents are confidential.,19,接触式放置技术(先直后弯）先释放直侧的支架，再释放弯曲血管,接触式放置技术（先弯侧再直侧）,在这两个例子中，第二个支架释放时第一个支架没有移动,2009 ev3 Inc. All rights reserved. Contents are confidential.,20,接触式放置技术（先弯侧再直侧）在这两个例子中，第二个支架释,支架操作过程,2009 ev3 Inc. All rights reserved. Contents are confidential.,21,支架操作过程2009 ev3 Inc. All right,装置的选择,选择,Solitaire,AB,和微导管是根据产品规格选择,Solitaire,AB,选择,Rebar,选择的长度是要过动脉瘤颈两端各长出,4mm.,2009 ev3 Inc. All rights reserved. Contents are confidential.,22,装置的选择 选择Solitaire AB 和微导管是根据产,微导管的位置,跨过动脉瘤颈远端,4mm.,2009 ev3 Inc. All rights reserved. Contents are confidential.,23,微导管的位置 跨过动脉瘤颈远端4mm.2009 ev3,Device Selection and Preparation,将保护鞘一部分放入,RHV,，拧紧,RHV,，证实鞘顶端的近端在液体出口处,2009 ev3 Inc. All rights reserved. Contents are confidential.,24,Device Selection and Preparat,支架的选择和准备,松开,RHV,， 向前推送支架鞘管直到进入微导管中心，拧紧,RHV,，推送,Solitaire,AB,进入微导管。,2009 ev3 Inc. All rights reserved. Contents are confidential.,25,支架的选择和准备松开RHV， 向前推送支架鞘管直到进入微导,定位和输送,一旦将推送导丝的光滑部分进入到微导管中,将鞘移除,;,推动支架向前到达微导管的顶端,然后推送微导管直至支架的标记到达动脉瘤颈口远侧,4mm,处，释放支架。,2009 ev3 Inc. All rights reserved. Contents are confidential.,26,定位和输送 一旦将推送导丝的光滑部分进入到微导管中,将鞘,位置和释放,释放支架的过程：保持支架的方向，回撤微导管，确保完全释放，同时微导管近端标记到支架近端标记,2009 ev3 Inc. All rights reserved. Contents are confidential.,27,位置和释放 释放支架的过程：保持支架的方向，回撤微导管，,回收和重新释放,小心向前推送微导管直到支架完全进入微导管内；,Solitaire,AB,可以释放回收两次。,2009 ev3 Inc. All rights reserved. Contents are confidential.,28,回收和重新释放小心向前推送微导管直到支架完全进入微导管内；,栓塞,通过,Solitaire,AB,的网孔放置,一根微导管，微导管的顶端,外径,2.5F ,然后放入弹簧圈,进行栓塞。,2009 ev3 Inc. All rights reserved. Contents are confidential.,29,栓塞 2009 ev3 Inc. All rights,解脱,解脱,Solitaire,AB,是采用,NDS-,2,解脱器,2009 ev3 Inc. All rights reserved. Contents are confidential.,30,解脱 解脱Solitaire AB 是采用NDS- 2,2009 ev3 Inc. All rights reserved. Contents are confidential.,Thank,You,！,2009 ev3 Inc. All rights rese,