Turns和Corsair微导管的区别

DifferencebetweenTornusandASAHICorsairMarch2013AICinternaltrainingProhibittodeliverDifferencebetweenTornusandASAHICorsairTornusistheresealweaponforthetreatmentofCTO.1)passesthroughtightlesionsbyrotationmovement2)providesanchoreffecttostabilizeguidingcatheterandguidewireonceTornusentersthelesion1)Providessuperiortipflexibilitywhichenablessmoothapproachestonarrow,tortuousvesselsandmicro-channels.2)Easeincrossinganddilatingmicro-channelsorlesionsCorsairisthefirstchoicesupportdeviseforthetreatmentofCTOandcomplexcases.ShaftFullmetalshaftwithouthydrophilicMetalshaftcoveredwithhydrophilicpolymercoatingDiameter2.1Fr&2.6Fr.(Tapered:Tip2.1Fr.)2.6Fr.(Tapered:TipO.D0.016’’)Length135cm135cm&150cmDimensionΦ0.64mmΦ0.88mm8wirestwistedΦ0.87mmΦ0.45mm8thinnerwirestwistedwith2largerones,InsidewithtungstenbraidingDifferencebetweenTornusandASAHICorsairJapaneseusageofTornus&Corsair201001,0002,0003,0004,0005,0006,0007,000TornusCorsair150Corsair135Tornus:UsedforCTOantegradeapproachCorsair150:UsedforCTOretrogradeapproachCorsair135:UsedforantegradecomplexcasespcsDifferencebetweenTornusandASAHICorsairProductpositioninggraphofTornus&CorsairTornusCorsairHardtipforbetterpenetrationFlexibletipforslidingtechniqueSupportGWExchangeGWSuperselectiveinjectionSmoothchanneldilationCoveredtubewithhydrophiliccoatingforsafemovementFullmetalshaftforsmoothtorqueTransmissionandGCsupportPenetrationcatheterMicrocatheterDifferencebetweenTornusandASAHICorsairTwistedpitchforahardplaqueCrossability(hardlesion)Flushing(Nanto)(Tipinjection)TrackabilityGuidewireSupportVisibilityGuidewireexchangeSmoothseptaldilatationTornusADBABACCorsairBAAAAAAOTWBalloonCACBBACDifferencebetweenTornus,ASAHICorsairandOTWballoonA=GoodforB=PossibleC=NotrecommendedD=DifficultCorsairCautionsMaximumrotationwithtiptrapped:10timesFlushingtechniqueandtrappingtechniqueareusefultoremoveTornusMaximumrotationwithtiptrapped:20timesExtensionwireisneededtoremoveToadvance=CounterclockwiseToremove=ClockwiseInsideofthelesionOutsideofthebodySoakinsalineToadvance=SoftrotationToremove=SoftrotationInsideofthelesionOutsideofthebodyFlushwithsalineCasesforTornusKeyword:Wirepassedbutotherdevicecannotpass.CasesforTornusKeyword:Wirepassedbutotherdevicecannotpass.CasesforTornusKeyword:Wirepassedbutotherdevicecannotpass.CasesforASAHICorsairKeyword:SuperbsupportforsoftwiresAfterASAHICorsaircametotheCTO-PCI,themoresoftwiresstartedtouse.SuperbsupportofASAHICorsairCasesforASAHICorsairKeyword:SuperbsupportforsoftwiresData:Dr.O.KatohCIT2012EffectivesupportRecommendedusageforbothdevices(Incaseofantegrade)Specializedforguidewiresupportforantegradeapproachthanothermicrocatheter.Goodfortheloosetissuetracking.(Prohibitedtouseforcalcifiedlesion)Positionedasaresealweaponinthecathlabforthecasethatnootherdevicesfollowaguidewire.Additionalslides:ASAHICorsairandFielderXTpromotionalpointAICCorsairandXTSalessituation.(FY35–FY37actual)02004006008001,0001,2001,4001,6001,800FY351QFY352QFY353QFY354QFY361QFY362QFY363QFY364QFY371QFY372QFY373Q01,0002,0003,0004,0005,0006,0007,0008,000CORSAIR150CORSAIR135FIELDERXTPCImarketforAIC:China=365,000cases,Taiwan&HongKong=55,000TotalPCI=420,000cases,CTO5%=21,000cases+SubtotalcasesCorsairandXTusageforAntgradeCTO15LooseatheromatrackingwithCorsairSoftlayerMediumlayerHardlayer•ThebackupsupportthatCorsairdeliverswhilstinsidethelesionishighlysuperiortoamicrocatheter.•AftercrossingthelesionwiththesoftpolymerwireCorsaircantrackonthewireintothelesion.•ThesafetyoftheprocedurehasincreasedwiththisCorsair+Polymerwireset.WhysofttaperedGW?0.014”guidewire=360μm0.009”guidewire=230μmTaperedsmalltipentersmicrochannelFrompathologydataofCTOs,average200μmofmicrochannelexistinsomelesions.Tubediameter1.0mm0.5mm0.014inch(=0.36mm)GW0.009inch(=0.23mm)GWWhysofttaperedGW?Tubehole=TipsbeforeGWStep-up-Back-upwithCorsairDeliveringtheCorsairclosertoguidewiretip,pushforceofsoftfloppyguidewirewillbeimproveduptointermediatetype.TestmodelTubeSpanASpan(1/2)xAGW1.01.31.94.20.01.02.03.04.05.0(1/4)×A(1/2)×A(3/4)×AADistanceofguidewireoutofthetuberateofincreasedload*assumetheloadforAas1.0Testmodel:FielderXTClosertoguidewiretipPriorgradingoflesiondifficultyMorinoetal.JACCInterv2011;4:213-21Entryshape:Tapered(0),Blunt(1)Lesioncalcification:no(0),yes(1)Bending45ofCTO:no(0),yes(1)Occlusionlength:20mm(0),20mm(1)Re-trylesion:no(0),yes(1)TotalPoints•easy:0•intermediate:1•difficult:2•verydifficult:3PriorgradingoflesiondifficultyJ-CTOScoreMorinoetal.JACCInterv2011;4:213-21IfJ-CTOScoreis[0=Easy]87.7%ofprocedurecanpenetrateGWwithin30minutes.20%intotalCTOcanbefinishedwithin30minutesand35%intotalCTOcanbepenetratewithslidingtechnique.