波士顿科学弓上介入产品介绍-纪强

1BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally波士顿科学脑血管缺血疾病解决方案产品专员纪强Call：186120961902014.8.132BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally波士顿科学脑血管缺血整体解决方案颈动脉颅外血管介入椎动脉锁骨下动脉导丝ZipwirePT2导管ImagerⅡ/MachⅠ球囊SterlingMR/USSV支架CarotidWallstent保护伞FilterwireEZ导丝ZipwireThruway/V18导管ImagerⅡ/MachⅠ球囊SterlingMR/USSV支架ExpressSD导丝ZipwireAmplatz/V18导管ImagerⅡ/MachⅠ球囊Mustang/SterlingMR支架ExpressLD3BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally议程•波士顿科学颈动脉狭窄解决方案•波士顿科学锁骨下动脉狭窄解决方案•波士顿科学椎动脉狭窄解决方案4BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally波士顿科学颈动脉狭窄解决方案5BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally•CarotidWallstent闭环支架•FilterwireEZ保护伞•SterlingMonorail球囊•闭环支架相关临床研究6BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyCarotidWallstent7BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally•临床有效性•闭环设计•高输送性•可回收•显影性•血管适应性CarotidWallstent™要点8BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally支架输送系统–Monorail™导管设计，0.014“导丝输送系统；–5F(6&8mm)和6F(10mm)低外廓，高柔顺性；高输送性*–高柔顺性的支架输送系统，具有良好的跟踪性易于通过迂曲的解剖结构；ImagepropertyofBSC.CarotidStenting性能9BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally闭环设计–结构更致密，具有优异的病变覆盖能力、保护斑块和血管造影结果，血栓保护装置回收更容易；*显影性–出色的显影性，在X线下具有比其他支架更佳的可视性，放置准确；*可回收–支架释放50%时仍可被回收后重新定位再次释放，支架放置更准确；*ImagepropertyofBSC.CarotidStenting性能10BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally尺寸CarotidWallstent完全展开直径完全展开长度植入血管植入长度血管直径植入长度SCH-647016mm22mm5mm30mm4mm36mmSCH-647078mm21mm7mm30mm6mm36mmSCH-647088mm29mm7mm40mm6mm48mmSCH-647098mm36mm7mm50mm6mm62mmSCH-6471210mm24mm9mm30mm8mm36mmSCH-6471310mm31mm9mm40mm8mm49mmSCH-6471410mm37mm9mm50mm8mm59mm11BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally盒子上的支架尺寸和植入后的尺寸不同…我有些糊涂了!CarotidWallstent™Monorail™12BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyCarotidWallstent的尺寸选择选择Wallstent根据:•靶血管的最大直径•支架植入部位的长度13BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally•Wallstent的完全释放直径要比靶血管的最大直径至少大1mm•支架覆盖病变两侧的正常组织，至少各长5mm尺寸选择原则14BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallySCH-647016mm22mm5mm30mm4mm36mmSCH-647078mm21mm7mm30mm6mm36mmSCH-647088mm29mm7mm40mm6mm48mmSCH-647098mm36mm7mm50mm6mm62mmSCH-6471210mm24mm9mm30mm8mm36mmSCH-6471310mm31mm9mm40mm8mm49mmSCH-6471410mm37mm9mm50mm8mm59mm30mm8mm5.4mm应选择何种直径的CarotidWallsetent?9mm40mm10x31应选择何种长度的CarotidWallsetent?应选择哪个型号的CarotidWallsetent?SCH-6471310mm31mm9mm40mm8mm49mmCarotidWallstent尺寸选择15BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally完全释放的长度:24mm植入在8mm血管中的支架长度:36mm支架释放前的长度:51mm植入在锥形血管中的支架?CarotidWallstent尺寸选择16BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally16FilterWireEZ栓子保护系统17BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyFilterWireEZ™血栓保护系统PEBAXisaregisteredtrademarkofAtofinaCorporation•无创的3cm、铂金、螺旋线圈包绕柔软头端–不透射线增强可视性–可塑型头端增强操控性•6.0mmPEBAX®鼻锥–从螺旋头端到输送鞘的柔软过渡，提供良好的输送性能–提供外廓平滑过渡，减少在系统输送过程中碎屑栓塞的风险18BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally•聚亚胺脂滤网膜网孔为110微米–栓子碎屑的高捕获率，降低栓子相关风险–血流可持续通过滤网，提高患者安全性和舒适度–血流可持续，允许手术过程中的造影剂注射FilterWireEZ™血栓保护系统19BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally5.5mm4.5mm3.5mm•浮动的含铂金丝的镍钛过滤环–高度可视，保证精确释放及良好的血管贴壁–自动调整以适应血管形态及尺寸–一个尺寸即可满足3.5mm-5.5mm的血管，手术中不必猜想或估计，同时降低库存/备货负担–独特的浮动设计提供持续和一致的血管贴壁性能，最小化栓子碎屑从保护伞和血管壁间缝隙溜走的可能FilterWireEZ™血栓保护系统20BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally滤环悬臂允许滤环可以独立移动以适应血管尺寸，不管在直或弯曲血管中都可达到更好的贴壁在直或弯曲血管中都可以使用，简化对LandingZone的要求•无需从2个角度去评估虑环的贴壁情况FilterWireEZ™血栓保护系统21BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally•旋转管在虑环后面–允许导丝可以在输送鞘独立旋转，使整个系统具有良好的操控性能•0.014”PTFE涂层的不锈钢导丝–190cm和300cm两种长度可选*Note:A0.013”ODpart5mmproximaltothecatheterstopmayalsobevisiblewithsomeequipment.Thispartkeepsthespinnertubeinplace,butletscathetertipspassover.FilterWireEZ™血栓保护系统22BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallySterlingMR23BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallySterlingMonorailSterling™Monorail®BalloonDilatationCatheterU.S.市场上第一个获批用于预扩和后扩治疗颈动脉血管的球囊。Sterling™Over-The-WireBalloonDilatationCathetersarenotindicatedforuseinthecarotids24BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally产品规格Sterling™OTWSterling™Monorail®SterlingSLMonorail球囊直径4-10mm3-8mm(½sizes)2-4mm球囊长度2,3,4,6,8,10cm1,1.5,2,3,4,6cm8,10,12,15cm导管长度40,80,135cm80,135cm90,150cm25BostonScientificConfidential--ForInternalUseOnly.DoNotCopy