北京大学国际医院 心内科 王光亮 GAIA 与 XT 系列导丝的使用区别

ForASAHIDistributorsGAIA与XT系列导丝的使用区别北京大学国际医院心内科王光亮©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K13107CompetitorBCompetitorCCompetitorECompetitorDCompetitorAUB31XT-AASAHIGaiaFirstASAHIGaiaSecondMiracle6ASAHIGaiaThirdMiracle12ConquestPro12ConquestProXT-RProductPositioning在完全闭塞病变导丝系列中的产品定位导丝头端的硬度有微通道有残端无残端硬的斑块严重钙化©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K131071.闭塞病变内的Step-up＆Step-down～Withstumpµchannel2XT-A／XT-RAsahiGaiaFirstAsahiGaiaSecondAsahiGaiaThirdConquestProPro12©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K131073AsahiGaiaFirstAsahiGaiaSecondAsahiGaiaThirdConquestProPro122.闭塞病变内的Step-up＆Step-down～Nostump&Nomicrochannel©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K13107AsahiGaia？还是ConquestPro？4Plaque/斑块=intima/内膜下LumenToughtissue硬的组织AsahiGaia：利用导丝的操控性避开斑块ConquestPro：利用导丝的穿透力通过©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K131075AsahiGaiaFirstAsahiGaiaSecondAsahiGaiaThirdConquestProPro12侧枝的闭塞病变3.闭塞病变内的Step-up＆Step-down～分支入口部的病变©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K1310764.导丝无法进入闭塞病变内的原因：在分支入口部的闭塞病变：利用血管壁对导丝行成的支撑使导丝的头端在病变与血管壁之间形成一个弧度©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K13107刚性不足74.导丝无法进入闭塞病变内的原因：在分支入口部的闭塞病变：推送导丝，由于导丝刚性不足导丝无法进入病变©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K1310784.导丝无法进入闭塞病变内的原因：如果使用高刚性导丝…头端刚性高的导丝，推送导丝时容易保持着进入闭塞病变时的方向不易改变©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K131079针对分支入口部的病变刚性高的导丝的推送力相对较强，容易进入闭塞病变Gaia系列的特点：在闭塞病变内也保持其操控性©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K1310705101520GaiaSecondGaiaThird10Theabovedatawasobtainedbycompanystandardizedtest,whichmaydifferfromindustrystandardizedtests.Theabovedatadoesnotprovethatalldeviceshaveexactlythesameperformancewiththesamplesusedforthesetests.头端部分刚性设计从头端开始的距离mmGaia3头端部分10mm以内加强刚性设计，操作时推送力更容易传达。©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K1310711两倍速GaiaSecond：无法进入病变4.导丝进入分支入口部病变头端较软导丝©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K13107124.导丝进入分支入口部病变头端较硬的导丝ConquestPro：可以进入病变但在血管迂曲部分很难操控导丝两倍速©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K13107134.导丝进入分支入口部病变两倍速GaiaThird：可以轻松进入病变，在血管迂曲部分导丝也能保持操控性并且顺利通过了病变©ASAHIINTECCCO.,LTD2013Thisdocumentisintendedonlyfortrainingsalesstaffandcontainsconfidentialorprivilegedinformation.Anydistribution,copyingorforwardingisstrictlyprohibited.AMC-K131075mm平缓些角度大一些145.导丝进入分支入口部病变时所需要的塑形对于ETOSS模拟病变加藤修医建议的导丝塑形角度：*下图角度仅适用于ETOSS分歧部模拟病变，实际手术中请按照实际血管走向的角度塑形