医学课件波士顿科学球扩支架介绍.ppt

1、Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.髂动脉髂动脉 锁骨下动脉锁骨下动脉肾动脉肾动脉 椎动脉椎动脉1Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential info

2、rmation of Boston Scientific Corporation.Do not copy or distribute.Tandem Architecture2Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.MicroMacro3Confidential information of Boston

3、 Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.MICRO单元单元n柔顺性 n输送性更佳 n顺应性 n释放更容易4Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Cor

4、poration.Do not copy or distribute.MACROMACRO单元单元n 杰出的径向支撑力 n 出色的显影性5Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.n 卓越的管腔覆盖能力卓越的管腔覆盖能力 n 一致的径向支撑力一致的径向支撑力两者将结合可提供：两者将结合可提供：6Confi

5、dential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corpora

6、tion.Do not copy or distribute.支架直径5-10 mm支架长度5-8mm:17,27,37,57 mm9-10mm:25,37,57 mm推送杆长度75&135 cm标称压力8 ATM额定破裂压12 ATM血管鞘兼容性Up to 8 x 37:6 Fr8 x57 and up:7 Fr推送杆涂层远端30cm有Hydropass 涂层球囊涂层None头端长度5 mm8Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential info

7、rmation of Boston Scientific Corporation.Do not copy or distribute.两种设计两种设计5-8mm 支柱直径：.0072各结构单元更短后扩张支架直径可至9mm9-10mm支柱直径：.0077各结构单元更长后扩张支架直径可至11mmConfidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy

8、or distribute.Ultra-thin SDS球囊导管技术球囊导管技术非顺应性球囊出色的跟踪性回抽效率更佳10Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.非顺应性球囊的益处非顺应性球囊的益处Semi-CompliantNon-CompliantConfidential information of

9、 Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.非顺应性球囊的益处非顺应性球囊的益处 Coronary IVUS.Both balloons at 14ATMSemi-CompliantNon-CompliantConfidential information of Boston Scientific Corporation.Do not copy or dist

10、ribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.非顺应性球囊从4ATM到12ATM，球囊尺寸增加 5%更佳的扩张力，更佳一致的血管壁扩张效果13Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or dist

11、ribute.出色的跟踪性出色的跟踪性n高性能的球囊导管具有优异的推送性和抗扭曲性n推送杆远端的30cm有Hydropass 亲水性涂层，易于通过迂曲的解剖结构14Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.支架安全性支架安全性 无涂层的球囊使球囊与支架的结合更稳定 SureGrip 技术保证支架的安全性并

12、提供卓越的外廓 支架的稳定提高释放的精确度Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.径向支撑力径向支撑力网孔面积网孔面积跟踪性跟踪性16Confidential information of Boston Scientific Corporation.Do not copy or distribute.C

13、onfidential information of Boston Scientific Corporation.Do not copy or distribute.Express LD管腔直径平均减少百分比管腔直径平均减少百分比为为16.2%，小于，小于OPC的的20%.J ENDOVASC THER 2010;17:63364117Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific C

14、orporation.Do not copy or distribute.1.头臂干动脉开口狭窄头臂干动脉开口狭窄2.右侧颈总动脉开口合并左侧锁骨下动脉开口狭窄右侧颈总动脉开口合并左侧锁骨下动脉开口狭窄3.双侧髂动脉开口狭窄双侧髂动脉开口狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.p性别：男性别：男p年

15、龄：年龄：5252岁岁p诊断：诊断：头臂干动脉开口重度狭窄头臂干动脉开口重度狭窄 1.Express LD1.Express LD头臂干动脉开口重度狭窄头臂干动脉开口重度狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.1.Express LD1.Express LD头臂干动脉开口重度狭窄头臂干动脉开口重度狭

16、窄BSC Express LD 10mm*37mm 球扩释放球扩释放Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.术后造影术后造影1.Express LD1.Express LD头臂干动脉开口重度狭窄头臂干动脉开口重度狭窄Confidential information of Boston Scientifi

17、c Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.p性别：男性别：男p年龄：年龄：6565岁岁p诊断：诊断：右侧颈总动脉开口狭窄右侧颈总动脉开口狭窄 左侧锁骨下动脉狭窄左侧锁骨下动脉狭窄 2.Express LD2.Express LD右侧颈总动脉开口合并左侧锁骨下动脉狭窄右侧颈总动脉开口合并左侧锁骨下动脉狭窄Confidential information of Boston Scientific

18、 Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.IIII型弓双导丝技术型弓双导丝技术+加硬泥鳅加强支撑加硬泥鳅加强支撑2.Express LD2.Express LD左侧颈总动脉开口合并左侧锁骨下动脉狭窄左侧颈总动脉开口合并左侧锁骨下动脉狭窄Confidential information of Boston Scientific Corporation.Do not copy or distrib

19、ute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.BSC Express LD 8mm*37mm术后即刻造影术后即刻造影2.Express LD2.Express LD左侧颈总动脉开口合并左侧锁骨下动脉狭窄左侧颈总动脉开口合并左侧锁骨下动脉狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Bos

20、ton Scientific Corporation.Do not copy or distribute.术前造影术前造影3.Express LD3.Express LD双侧髂动脉狭窄双侧髂动脉狭窄p性别：男性别：男p年龄：年龄：6262岁岁p诊断：双侧髂动脉开口狭窄诊断：双侧髂动脉开口狭窄 Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy

21、 or distribute.26KISSING技术的运用技术的运用BSC Express LD9mm*25mm&9mm*37mm3.Express LD3.Express LD双侧髂动脉狭窄双侧髂动脉狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.27术后造影术后造影术后随访术后随访3.Express L

22、D3.Express LD双侧髂动脉狭窄双侧髂动脉狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential informat

23、ion of Boston Scientific Corporation.Do not copy or distribute.临床适应症临床适应症血管标称支架尺寸标称支架尺寸直径(mm)x 长度(mm)q4.0 x 15,19q5.0 x 15,19q6.0 x 14,18q7.0 x 15,19金属材质金属材质316L不锈钢结构设计结构设计专利的Tandem ArchitectureTM支架设计在支架的近端具有额外连接点输送导管输送导管由Maverick球囊平台发展而来的UltraSoft SVTM SDS球囊扩张导管套管设计套管设计轻质，单片设计导丝尺寸导丝尺寸.014或.018推荐血管鞘

24、外径推荐血管鞘外径5FR(1.9 mm):4.0 6.0 mm6FR(2.2 mm):7.0 mm推荐导引导管内径推荐导引导管内径6FR(.060“/1.52 mm)4.0 mm6FR(.064“/1.63 mm)5.0 mm6FR(.067“/1.70 mm)6.0 mm7FR(.078“/1.98 mm)7.0 mm球囊材质球囊材质DynalLEAP支架张开的压力支架张开的压力8 ATM/811 kPa标称压力标称压力10 ATM/1013 kPa额定破裂压额定破裂压14 ATM/1419 kPaConfidential information of Boston Scientific C

25、orporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.4mm7mm6mm5mm15,19mm15,19mm14,18mm15,19mm4mm7mm6mm5mm5/6F 6/7F5/6F5/6FExpress Vascular SD Stent SystemProduct Specifications产品技术参数产品技术参数Confidential information of Boston Scientifi

26、c Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.Customized Tandem Architecture Stent Design 专利的专利的Tandem Architecture 支架设计支架设计Increased lumen support at proximal end of stent 在支架的近端提供额外的管腔支撑在支架的近端提供额外的管腔支撑Superb radial stren

27、gth 卓越的径向作用力卓越的径向作用力Low recoil 低回缩低回缩DESIGN设计设计Increased lumen support at proximal end of stent增加了支架近端的管腔支增加了支架近端的管腔支撑撑Leading Edge Flexibility with Proximal End Support在提供近端支撑的同时具有杰出的柔顺性在提供近端支撑的同时具有杰出的柔顺性Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidentia

28、l information of Boston Scientific Corporation.Do not copy or distribute.Low profile,6F(.067”)guide catheter compatible through 6.0mm stent diameter 低外形轮廓，直径低外形轮廓，直径6.0mm的支架可通过的支架可通过6F(.067)导引导管导引导管Maverick Balloon Catheter Technology Maverick 球囊导管技术球囊导管技术Semi-Compliant Balloon Material 半顺应性球囊半顺应性球囊

29、Outstanding trackability over a.014”or.018”guide wire 可使用可使用.014或或.018导丝，具有出色的跟踪性导丝，具有出色的跟踪性DELIVERABILITY输送性输送性Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.Customized balloon l

30、engths for each stent size 每种尺寸的支架均有相应的长度的球囊每种尺寸的支架均有相应的长度的球囊 Stent is precisely set between swaged marker bands using laser alignment technology 支架被精确的预置在激光校准的放射性标记之间支架被精确的预置在激光校准的放射性标记之间 Minimal stent shortening:6%or less 最小的支架短缩：最小的支架短缩：6%或更少或更少PRECISION准确性准确性Confidential information of Boston Sc

31、ientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.特性特性利益利益支架近端有额外的连接点支架近端有额外的连接点Macro/micro单元在支架的近端 1/3处由连接点连接在一起出色的管腔覆盖和支撑，尤其适用于开口处病变Tandem Architecture 支架设计支架设计最小的支架短缩准确的支架放置和完美的病变覆盖Micro单元杰出的柔顺性和卓越的输送性Macro单元在直接全长均有一

32、致的径向作用力 优异的管腔支撑不透X 射线 极佳的可视性Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.特性特性利益利益DynaLEAP球囊材料PebaxTM回抽后易于回撤至导管或血管鞘内球囊扩张稳定14ATM额定破裂压TraktipTM平滑过渡的锥形渐细头端避免进入时损伤血管，并有良好的柔顺性和抗扭曲能力专利

33、的激光结合技术，不使用粘合剂可通过5FR/6FR的血管鞘和导引导管低外形轮廓，易于通过病变部位优良的跟踪性可通过迂曲的解剖结构球囊超出支架部分最大为0.5mm支架放置准确完美的病变覆盖能力单轨技术快速、流畅的导管交换，提高效率，缩短手术时间单人即可完成导管交换，易于控制Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribu

34、te.1.右侧椎动脉开口狭窄右侧椎动脉开口狭窄2.双侧肾动脉开口狭窄双侧肾动脉开口狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.p性别：女性别：女p年龄：年龄：58岁岁p诊断：诊断：1.右侧椎动脉开口狭窄右侧椎动脉开口狭窄 2.右侧颈动脉内膜切除右侧颈动脉内膜切除 +补片成形术后补片成形术后1.Expre

35、ss SD-1.Express SD-右侧椎动脉开口狭窄右侧椎动脉开口狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.路图路图/造影造影 路图下轻柔超选路图下轻柔超选1.Express SD-1.Express SD-右侧椎动脉开口狭窄右侧椎动脉开口狭窄Confidential information of

36、 Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.BSC Express SD 5mm*19mm球扩释放球扩释放术后即刻造影术后即刻造影1.Express SD-1.Express SD-右侧椎动脉开口狭窄右侧椎动脉开口狭窄Confidential information of Boston Scientific Corporation.Do not copy or

37、 distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.p性别性别：女：女p年龄：年龄：5858岁岁p诊断诊断：1 1.双双侧肾动脉狭窄侧肾动脉狭窄 2.2.肠系膜上动脉狭窄肠系膜上动脉狭窄 2.Express SD2.Express SD双侧肾动脉开口狭窄双侧肾动脉开口狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidenti

38、al information of Boston Scientific Corporation.Do not copy or distribute.BSC Express SD 6mm*14mm右肾，右肾，5mm*20mmSterling MR预扩预扩2.Express SD2.Express SD双侧肾动脉开口狭窄双侧肾动脉开口狭窄Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Co

39、rporation.Do not copy or distribute.左肾，左肾，5mm*20mmSterling MR预扩预扩BSC Express SD 6mm*14mm2.Express SD2.Express SD双侧肾动脉开口狭窄双侧肾动脉开口狭窄42Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.

40、术后即刻造影术后即刻造影2.Express SD2.Express SD双侧肾动脉开口狭窄双侧肾动脉开口狭窄43Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.44Confidential information of Boston Scientific Corporation.Do not copy or distribute.Confidential information of Boston Scientific Corporation.Do not copy or distribute.45