腦血管介入常用材料 (2)ppt課件

1、腦血管病介入治療常用資料上海微創(chuàng)MicroportmicroportmedicalAPOLLO顱內(nèi)動(dòng)脈支架系統(tǒng)顱內(nèi)動(dòng)脈支架系統(tǒng)IntracranialStentSystem產(chǎn)品簡(jiǎn)介：產(chǎn)品簡(jiǎn)介：APOLLO顱內(nèi)動(dòng)脈支架系統(tǒng)由上海微創(chuàng)顱內(nèi)動(dòng)脈支架系統(tǒng)由上海微創(chuàng)研制，是目前國(guó)內(nèi)首個(gè)運(yùn)用于腦動(dòng)脈血管的支架系研制，是目前國(guó)內(nèi)首個(gè)運(yùn)用于腦動(dòng)脈血管的支架系統(tǒng)。顱內(nèi)動(dòng)脈支架系統(tǒng)由顱內(nèi)動(dòng)脈支架和保送器組統(tǒng)。顱內(nèi)動(dòng)脈支架系統(tǒng)由顱內(nèi)動(dòng)脈支架和保送器組成。支架采用成。支架采用316L不銹鋼，經(jīng)激光切割而成。不銹鋼，經(jīng)激光切割而成。APOLLO顱內(nèi)動(dòng)脈支架系統(tǒng)顱內(nèi)動(dòng)脈支架系統(tǒng)產(chǎn)品特點(diǎn)產(chǎn)品特點(diǎn)1支架構(gòu)造采用正弦波的開放設(shè)

2、計(jì)，并由一對(duì)支架構(gòu)造采用正弦波的開放設(shè)計(jì)，并由一對(duì)“n型銜型銜接鍵接鍵呈空間呈空間“u形銜接，每組空間形銜接，每組空間“u形銜接呈形銜接呈90度軸向度軸向交錯(cuò)陳列，使支架具有優(yōu)秀的柔順性。交錯(cuò)陳列，使支架具有優(yōu)秀的柔順性。2正弦波的加強(qiáng)環(huán)構(gòu)造支架堅(jiān)持支架徑向支撐力而降低金正弦波的加強(qiáng)環(huán)構(gòu)造支架堅(jiān)持支架徑向支撐力而降低金屬覆蓋率。屬覆蓋率。3特殊的特殊的“鏡面拋光技術(shù)，提供無可挑剔的支架外表質(zhì)量。鏡面拋光技術(shù)，提供無可挑剔的支架外表質(zhì)量。4特殊的支架壓握技術(shù)，突出保送過程的平安性，并使保特殊的支架壓握技術(shù)，突出保送過程的平安性，并使保送系統(tǒng)堅(jiān)持較小的截面積，完成高難度手術(shù)操作。送系統(tǒng)堅(jiān)持較小的截

3、面積，完成高難度手術(shù)操作。APOLLO顱內(nèi)動(dòng)脈支架系統(tǒng)顱內(nèi)動(dòng)脈支架系統(tǒng)產(chǎn)品規(guī)格產(chǎn)品規(guī)格主要技術(shù)目的主要技術(shù)目的1.支架厚度為支架厚度為0.0040inch2.支架金屬覆蓋率支架金屬覆蓋率2.5時(shí)為時(shí)為13.60%3.支架擴(kuò)張后短縮率支架擴(kuò)張后短縮率3%，徑向回彈率，徑向回彈率4%4.支架名義擴(kuò)張壓力為支架名義擴(kuò)張壓力為6atm，爆破壓，爆破壓12atm5.支架壓握后直徑支架壓握后直徑0.0365in.0.0391in.支架直徑(mm)支架長(zhǎng)度(mm)8132.50A2508A25133.00A3008A3013*最小導(dǎo)引導(dǎo)管的內(nèi)徑為5F*導(dǎo)引導(dǎo)絲直徑為0.014inchRunner2球囊擴(kuò)張導(dǎo)

4、管球囊擴(kuò)張導(dǎo)管柔軟、新型的超軟端設(shè)計(jì)提高了導(dǎo)管的跟蹤性能和穿越病變的才干，降低損傷血管壁的風(fēng)險(xiǎn)。 運(yùn)用國(guó)際先進(jìn)水準(zhǔn)的新型高分子資料FANTAX 。 凹陷型的顯影點(diǎn)安裝方式，減小了球囊折疊后的外徑尺寸和顯影點(diǎn)對(duì)球囊的損傷。 產(chǎn)品規(guī)格及主要技術(shù)目的產(chǎn)品規(guī)格及主要技術(shù)目的定貨號(hào)擴(kuò)張后球囊直徑（mm）球囊有效長(zhǎng)度（mm） 名義壓力（atm） 額定爆破壓力RBP（atm）管軸尺寸（F）遠(yuǎn)端/中部/近端1515pn1.5156142.5/2.9/2.12015pn2.0156142.5/2.9/2.12515pn2.5156142.5/2.9/2.13015pn3.0156142.5/2.9/2.1351

5、5pn3.5156142.5/2.9/2.14015pn4.0156142.5/2.9/2.11520pn1.5206142.5/2.9/2.12020pn2.0206142.5/2.9/2.12520pn2.5206142.5/2.9/2.13020pn3.0206142.5/2.9/2.13520pn3.5206142.5/2.9/2.14020pn4.0206142.5/2.9/2.1產(chǎn)品規(guī)格及主要技術(shù)目的產(chǎn)品規(guī)格及主要技術(shù)目的定貨號(hào)擴(kuò)張后球囊直徑（mm）球囊有效長(zhǎng)度（mm） 名義壓力（atm） 額定爆破壓力RBP（atm）管軸尺寸（F）遠(yuǎn)端/中部/近端1525pn1.5256142.5

6、/2.9/2.12025pn2.0256142.5/2.9/2.12525pn2.5256142.5/2.9/2.13025pn3.0256142.5/2.9/2.13525pn3.5256142.5/2.9/2.14025pn4.0256142.5/2.9/2.11530pn1.5306142.5/2.9/2.12030pn2.0306142.5/2.9/2.12530pn2.5306142.5/2.9/2.13030pn3.0306142.5/2.9/2.13530pn3.5306142.5/2.9/2.14030pn4.0306142.5/2.9/2.1SATURN遠(yuǎn)遠(yuǎn)端端保保護(hù)護(hù)器器D

7、istalProtectiveDevice骨架選用了激光切割鎳鈦NITI合金。 遠(yuǎn)端維護(hù)器的主要構(gòu)成是一個(gè)帶有傘狀濾網(wǎng)的0.014“導(dǎo)絲，濾網(wǎng)膜由高分子資料制成，上有大量0.1毫米微孔。 傘狀濾網(wǎng)預(yù)裝在熟料外鞘管中，鞘管有側(cè)孔與帶濾網(wǎng)導(dǎo)絲配合呈快速交換構(gòu)造。 SATURN濾網(wǎng)外徑濾網(wǎng)外徑適用血管適用血管導(dǎo)絲長(zhǎng)度導(dǎo)絲長(zhǎng)度導(dǎo)絲外徑導(dǎo)絲外徑輸送鞘輸送鞘管外徑管外徑回收鞘回收鞘管外徑管外徑鞘管長(zhǎng)度鞘管長(zhǎng)度型號(hào)型號(hào)mm mm mm FrenchFrenchmm SATURN-002.52.51800/30000.0142.841400SATURN-01331800/30000.0142.841400SA

8、TURN-02441800/30000.0142.841400SATURN-03551800/30000.014341400SATURN-04661800/30000.014341400SATURN-05771800/30000.0143.541400SATURN-06881800/30000.0143.541400產(chǎn)品分類標(biāo)志及技術(shù)規(guī)格產(chǎn)品分類標(biāo)志及技術(shù)規(guī)格北京樂普lepumedical/同心同心PARTNERPARTNER雷帕霉素藥物洗脫支架系統(tǒng)雷帕霉素藥物洗脫支架系統(tǒng) 運(yùn)用雷帕霉素藥物制劑具有良好的生物相容和緩釋特性，可以確保臨床運(yùn)用的平安性和有效性。采用雙螺旋構(gòu)造的設(shè)計(jì)提供強(qiáng)有力的血管

9、支撐力，使支架能堅(jiān)持良好的支撐和貼壁性能，尤其在分叉開口完全閉塞鈣化等病變中表現(xiàn)優(yōu)良的性能。 支架種類規(guī)格長(zhǎng)度由1236mm 直徑由2.54.0mm規(guī)格型號(hào)齊全可以適用不同病變的臨床要求。 主要技術(shù)目的主要技術(shù)目的支架材質(zhì) AISI 316L醫(yī)用不銹鋼支架厚度為0.0045inch支架外表積 15-18%縮短率為 小于1%回彈率為 小于2%徑向抗壓 大于16psi球囊導(dǎo)管有效長(zhǎng)度 0mm支架預(yù)裝后直徑 0.95-1.1mm支架擴(kuò)張后直徑 2.50-4.00mm支架長(zhǎng)度 12-36mm球囊允許壓力 16atm球囊導(dǎo)管構(gòu)造 導(dǎo)絲快速交換型涂層厚度 6m 藥物劑量 1.2g/mm2佳騰guidant

10、guidant/RXACCULINKCarotidStentSystemSelf-expanding nitinol6F sheath/8F guide catheter Diameters: straight5.0, 6.0, 7.0, 8.0, 9.0, 10.0 mm tappered 6-8mm,7-10mmlengths :20, 30, 40 mm 014 low-profile system Compatible with 100 cm guiding catheters and sheaths Stent ConfigurationsMaterial:Self-expandin

11、gNitinolStentlengths:20,30*,40*mmStentdiameters:Straight:5-10mmTapered:6*8mm,7*10mmStent Designed for Accurate Placement3 longitudinal spines reduce shorteningOnly 1.0% foreshortening1Unique Handle DesignDesign enables one hand deploymentEliminates “push-pull techniquePlaced on table or leg, stabili

12、zing system for accurate placementDesigned for Accuracy1Measuredusing7X40mmACCULINKstent.TestsperformedbyanddatafiledatGuidant.RX ACCUNET Embolic Protection System 6F sheath/8F guide catheter compatible 4.5, 5.5, 6.5, and 7.5 mm basket diameters recommended for use in arteries ranging from 3.25 mm t

13、o 7.0 mm 0.014 guide wire based 190 cm and 300 cm lengthsPolyurethane filter over nitinol basketMaintains perfusion Artery range Basket Profile 3.25 mm 4.0 mm 4.5 mm 3.5F 4.0 mm 5.0 mm 5.5 mm 3.5F 5.0 mm 6.0 mm 6.5 mm 3.7F 6.0 mm 7.0 mm 7.5 mm 3.7FExcellentDeliverabilityGuide wire and delivery sheat

14、h enter vessel as one unit Highly flexible to navigate tortuous anatomy Low profile and smooth transition from tip to filter basket .014 wire is torqued independent from filter basket DeliverySheathTipAccurateDeploymentRapid exchange unsheathing for stability and simplicity Peel away delivery sheath

15、 allows for controlled deployment PeelawayConvertibleSheathCapture and Control for Optimal Protection Highly flexible filter basket designed to conform to tortuosity Designed to capture high volume while allowing adequate blood flow Concentric design with guide wire centered in filter Four platinum

16、radiopaque markers surround filter for visualization of wall apposition EffectiveandFlexibleFilterSecure Filter Retrieval ChoiceoftworapidexchangerecoverycathetersdesignedspecificallyforthechallengesoffilterrecoveryRX ACCUNET Recovery Catheter Shapeable Recovery Catheter TipRX ACCUNET 2 Recovery Cat

17、heter Low-profile, flexible tip to allow for deflection away from stent struts during advancement Flexible catheter/shaft optimized for challenging guide catheter/sheath access Catheter shaft markers at 95 and 105 cm for reduced flouro time 美國(guó)美敦力公司(Medtronic,Inc.) medtronicGuardWireTemporaryOcclusio

18、nandAspirationSystemGuardWire Ordering Information Racer Over-the-Wire Biliary Stent System 波士頓科學(xué)公司波士頓科學(xué)公司(BostonScientificCorp)bostonscientific亞太地域產(chǎn)品亞太地域產(chǎn)品Carotid Wallstent Monorail Stent FilterWire EX NexStent Carotid Stent Wingspan Stent System with Gateway PTA Balloon Catheter WingspanStentSyste

19、mwithGatewayPTABalloonCatheter3.5F Over-the-Wire (OTW) Stent Delivery System0.014 in Guidewire Compatible6F Guide Catheter CompatibleStent diameter:2.5,3.0,3.5,4.0,4.5mmStent length:9,15,20mmBalloon length:15,20mmBalloon diamaeter: 15mm-1.5,2.0,2.25,2.5,2.75mm 20mm-1.5,2.0,2.25,2.5,2.75,3.0 3.25,3.5

20、,3.75,4.0mmWingspanProcedureOverviewGentle Pre-Dilation (6 atm ): undersized to 80% of the target vessel diameter Atraumatic Stent DeploymentHighly Conformable Stent DesignOutward Radial ForceNexStentCarotidStentnitinol stent system Low-profile, 0.014 Monorail Delivery SystemStent Length:30mm diamet

21、ers from 4mm-9mm (Dynamic Tapering Technology)Self-sizing, flat-sheet nitinol roll design acts as a tapered or straight stent, accommodating vessel diameters from 4mm-9mm FilterWireEZEmbolicProtectionSystemFilterWireEZEmbolicProtectionSystemFilterWireEZEmbolicProtectionSystem1. Radiopaque Spring Tip

22、 (3.0 cm)2. Polyurethane Filter (110 micron pore size)3. Radiopaque Nitinol Loop4. Spinner Tube5. Proximal Stop6. PTFE Coated Wire (.014)FilterWireEZEmbolicProtectionSystem6F Guide Catheter Compatible (minimum ID .066)3.55.5 mm Vessel Diameter ProtectionWALLSTENTEndoprosthesisWallstentIliacEndoprost

23、hesiswithUnistepPlusDeliverySystemSelf-expanding支架直徑：支架直徑：678910mm支架長(zhǎng)度：支架長(zhǎng)度：1869mm導(dǎo)管直徑：導(dǎo)管直徑：6F導(dǎo)管長(zhǎng)度：導(dǎo)管長(zhǎng)度：100160cmTAXUS Express Paclitaxel(紫杉酚)-Eluting Coronary Stent System Neuroform3MicrodeliveryStentSystem強(qiáng)生cordiscordisjnjgatewayCordis系列支架PALMAZ GENESIS Transhepatic Biliary Stent PALMAZ Transhepati

24、c Biliary Stent PALMAZ BLUE Transhepatic Biliary Cobalt Chromium StentPRECISE RX Transhepatic Biliary Stent PRECISE Transhepatic Biliary Stent S.M.A.R.T. CONTROL Transhepatic Biliary Stent S.M.A.R.T. Transhepatic Biliary Stent 12mm & 14mm 5.5F and 6F crossing profile. cm catheter working length.

25、 0.014 and 0.018 guidewire acceptance. 5F proximal shaft.DIAMETER: 5,6,7,8,9,10mm LENGTH:20,30,40mmCordis PRECISE Nitinol Self-Expanding StentCordis ANGIOGUARD Capture Guidewire Eight Nitinol struts. Available in medium and extra support. 100 micron basket pore size.Angioguard 規(guī)格-選用傘直徑血管徑釋放鞘回收鞘 4mm3

26、.0-3.5 3.2F 5.1F 5mm3.5-4.5 3.3F 5.1F 6mm4.5-5.5 3.5F 5.1F 7mm5.5-6.5 3.7F 5.1F 8mm6.5-7.5 3.9F 5.1FAngioguardSV .018 Guidewire SteerabilityandSupporthighlevelofsupportandtorqueresponseEMERALDGuidewiresShapingthewayyouapproachdiagnosticproceduresEnhancedmaneuverabilityReducedlikelihoodofflakingFinge

27、rStraightenabilityBraidedAngiographicCatheterSuperior torque response for fast and easy catheter positioning Excellent pushability and kink resistance Soft flexible atraumatic tip for enhanced trackability Tapered tips for sheathless entry Ev3 SpideRXTMEmbolicProtectionDeviceUseofpreferred0.014-0.01

28、8Guidewire-toreachandcrossthelesionSingleDual-EndedLow-ProfileCatheter-oneendfordeliveryandtheoppositeendforrecoveryPre-LoadedFilter/CaptureWire-readytoflushanddeploywithnostyletorintroducerFullyRapidExchange-forprimarywire,deliveryandrecoveryofCaptureWire6Fr.GuideCatheterCompatible-forallSpideRXFil

29、tersizesLow3.2Fr.CrossingProfile-minimalinteractionwiththelesionduringplacementMultipleFilterSizes(3.0,4.0,5.0,6.0,7.0mm)-optimalmatchingoftheFiltertothevesselsizeLongitudinal/RotationalWireMovement-FilterdesignedtoremainstationaryduringtheinterventionPatencyUpto60Minutes-HEPROTECheparin-coatedFilte

30、ruse in the iliac or subclavian arteries EX.P.R.T. (Exact Placement Release Technology) Release for Accurate Stent Placement Enhanced Radiopacity ：Tantalum markers Diamater:6,7,8,9,10mmLength:20,30,40,60,80mmIntroducer sheath:6F,7FGuidwire acceptance:0.018,0.0356 Fr/.014 Rapid ExchangeSimple, intuit

31、ive stent delivery systemCustomized delivery catheter with radiopaque mid-marker band on tapered design Diamater:straight-6,7,8,9,10mm tapered-8*6mm,10*7mmLength:straight-20,30,40,60mm tapered-30,40mm意大利invatec invatec/tool/home.phpinvatec-china/MO.MA腦維護(hù)安裝近端血流阻斷腦維護(hù)安裝近端血流阻斷Mo.Ma protects the brain fr

32、om embolization by two highly compliant atraumatic balloons, blocking antegrade blood flow from the CCA (Common Carotid Artery) and retrograde blood flow from the ECA (External Carotid Artery): protection is established before the critical phase of lesion crossing. 美國(guó)雅培美國(guó)雅培abbott/abbottvascular吞并了gu

33、idant的血管內(nèi)產(chǎn)品業(yè)務(wù)Xact Carotid Stent System Nitinol constructionRapid exchange delivery system Straight and tapered configurationsStent Length:Straight-20,30mm Tapered-30,40mmStent Diameter: Straight-7,8,9,10mm Tapered-8*6,9*7,10*8mm EmboshieldCerebralEmbolicProtectionSystem0.014 Bare Wire with 0.018 tip

34、 7F guide catheter/6F sheath compatible 3.7-3.9F Filter Delivery System Rapid Exchange SystemDiameter:3,4,5,6mmCrossing Profile:3.7F,3.9F德國(guó)phytisphytis.br/sidebranching.htmThePhytisDiamondSidebranchStenttwo cells designs in the same stent coated with a unique Diamond-Like Carbon (DLC) coating 13mm s

35、tent with the larger cell structure located in the middle of the stent17mm stent available in two versions, proximal and distal larger cell structure . Stent Material: 316LStainless Steel with Diamond-Like Carbon (DLC) coatingRapid exchange hypo-tube delivery catheterNomial Pressure :8 atmRated Burs

36、t pressure:16 atmGuide wire lumen:0,014(max) lenghts:9, 12, 16, 20 e 25 mm 法國(guó)愛沙卡特公司HEXACATHhexacath/TITAN2支架Made of stainless steel coated with Titanium-Nitride-Oxide TITAN2 BAS (Bio Active Stent) is the unique alternative to DES (Drug Eluting Stent)獨(dú)特的氮氧化鈦TiNO涂層，降低再狹窄和支架內(nèi)血栓，不需求長(zhǎng)期雙重抗血小板。 Widest rang

37、e of coronary stents available today covering all physicians needs from 7mm to 28mm in length and from 2.0 to 5.0 in diameter. rapid exchange StentrangeLengths:7,10and13mmDiameters:2.0and2.25mmProfileOneofthelowestprofileavailabledownto0.92mmor0.036openingnewcrossabilityperspectivestophysicians.MetallicsurfaceareaDesignedtodecreasethemetaltoarteryratio,theTITAN2X-Smallstentoffersanoptimisedcoverageof18%and17%forvesselsof2.0and2.25mm.StentrangeLengths:13,16and19mmDiameters:4.5and5.0mmProfileLowerstentprofileanda1.9Fshaftdeliverycatheterco