醫(yī)學(xué)課件人體動脈血管系統(tǒng)

1、 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.IMPORTANTAudience本文件及內(nèi)容的使用，僅限于培訓(xùn)美敦力員工以及經(jīng)授權(quán)的代理商。本文件不適合展示或傳播給醫(yī)生或者其他第三方。 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.基本的解剖，生理，病理和診斷 主動

2、脈以上血管 腎動脈，及AV-分流 髂動脈 股腘動脈 膝下動脈外周介入 適應(yīng)癥 各種技術(shù)和效果本課程目標(biāo) 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.主動脈以上動脈腦中動脈，MCA腦前動脈，ACA頸內(nèi)動脈，ICA頸外動脈，ECA頸總動脈，CCA 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or

3、 distribute.主動脈以上動脈主動脈以上動脈正常解剖結(jié)構(gòu) 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.S. Madhwal, J Invasive Cardiol May 2008 主動脈弓 分型 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.主動脈弓以上血

4、管的變異 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.Piton GC頸動頸動脈指引脈指引導(dǎo)導(dǎo)管管FiberNet EPS腦腦保保護(hù)護(hù)裝置裝置Submarine Rapido快速交快速交換換球囊球囊 0.018”Mo.Ma Ultra (單球囊)近端保近端保護(hù)護(hù)裝置裝置Cristallo Ideale頸動頸動脈自膨式混合脈自膨式混合設(shè)計設(shè)計支架支架Mo.Ma (雙球囊)近端保近端保護(hù)護(hù)裝置裝置Mo.Ma Ultra (雙球囊)近

5、端保近端保護(hù)護(hù)裝置裝置主動脈以上動脈 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.腎動脈http:/ http:/.my/prod05.htm;http:/ 胸腔隔膜腎腎動脈主動脈下腔靜脈腎靜脈食管腎上腺 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.AV-轉(zhuǎn)流ht

6、tp:/ 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.Reef HPPTA 球囊球囊Hippocampus腎動腎動脈快速交脈快速交換換支架支架Racer RX腎動腎動脈快速交脈快速交換換支架支架Submarine Rapido快速交快速交換換球囊球囊 0.018”腎動脈 & AV-轉(zhuǎn)流 2010 Medtronic, Inc. Content is confidential and proprietary.Interna

7、l Use Only! Do not copy or distribute.髂總動脈，CIA髂內(nèi)動脈，IIA髂外動脈，EIA股深動脈，PFA股淺動脈，SFAhttp:/ 髂動脈和股腘動脈 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.腹主動脈/髂動脈/股總動脈1. 腹主動脈2. 髂總動脈3. 髂內(nèi)動脈4 .髂外動脈5. 股總動脈6 股深動脈6 2010 Medtronic, Inc. Content is confidential

8、 and proprietary.Internal Use Only! Do not copy or distribute.腹主動脈 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.腹主動脈造影腹主動脈DSA腹主動脈 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.主髂動

9、脈造影圖 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.髂動脈主要分支造影圖 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.股動脈腘動脈股腘動脈 2010 Medtronic, Inc. Content is confidential and proprietary.

10、Internal Use Only! Do not copy or distribute.正常股腘動脈解剖 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.a) 股深動脈b) 股淺動脈股動脈造影 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.Admiral Xtreme

11、PTA球囊球囊 OTW 0.035”Maris/Maris Plus外周自膨式支架外周自膨式支架Assurant Cobalt髂動髂動脈球脈球擴(kuò)擴(kuò)支架支架 OTWComplete SE髂動髂動脈支架脈支架Scuba鈷鉻鈷鉻合金外周球合金外周球擴(kuò)擴(kuò)支架支架Pacific XtremePTA 球囊球囊 OTW 0.018”Pioneer Plus帶帶超聲超聲傳傳感感診診斷探斷探頭頭的的經(jīng)經(jīng)皮皮導(dǎo)導(dǎo)管管髂動脈和股腘動脈 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy

12、 or distribute.脛后動脈，PTA脛前動脈，ATA腓動脈，PA下肢 膝下動脈 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.脛腓干三分叉處的變異 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.膝下動脈4. 脛前動脈6. 脛后動脈6a. 腓動脈7. 足背動脈

13、8. 足底中動脈9. 足底外動脈10. 足底弓 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.膝下動脈造影腘動脈脛前動脈脛腓干腓動脈脛后動脈脛后動脈遠(yuǎn)端脛前動脈遠(yuǎn)端 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.造影顯示脛前動脈、脛后動脈以及足部動脈均有長段閉塞 20

14、10 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.介入處理后脛后動脈造影 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.足動脈側(cè)位前部：脛前動脈(1)延伸為足背動脈(2), 側(cè)跗動脈(3), 和穿動脈(5)；后部：脛后動脈(11)遠(yuǎn)端在踝后演化為跖總動脈(7)，分叉為足底內(nèi)動脈(8)和足底外動脈(9), 足底弓(10) ；中部：腓動脈遠(yuǎn)端 (12)；Chomel, S. et al. Am. J. Roentgenol. 2004;182:1435-1442 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.足部動脈脛前動脈足背動脈脛后動脈遠(yuǎn)端足底外動脈足底內(nèi)動脈足部弓 2010 Medtro