子宮動脈導(dǎo)管ppt課件

1、1COOK 先進介入醫(yī)學(xué)產(chǎn)品先進介入醫(yī)學(xué)產(chǎn)品Vascular & Non-Vascular中國縂代理富江微創(chuàng)醫(yī)療器材有限公司HONEST MEDICAL CO.,LTD800-830-9883富江微創(chuàng)醫(yī)療HONEST MEDICALCOOK2全國銷售網(wǎng)絡(luò)分布全國銷售網(wǎng)絡(luò)分布16個公司及辦事處富江微創(chuàng)醫(yī)療HONEST MEDICALCOOK3COOK-世界領(lǐng)先介入醫(yī)學(xué)器材供應(yīng)商 美國COOK集團創(chuàng)立于1963年，是一家最著名的微創(chuàng)醫(yī)學(xué)醫(yī)療器材供應(yīng)商。 20世紀(jì)70年代以來，COOK將微創(chuàng)醫(yī)學(xué)產(chǎn)品擴展到除放射介入、心臟介入以外的消化，泌尿外科，重癥醫(yī)學(xué)，試管嬰兒，生物產(chǎn)品等新領(lǐng)域 基于滿足

2、臨床需求多樣性的原則，COOK生產(chǎn)出數(shù)以萬計的不同產(chǎn)品 COOK網(wǎng)址 COOK4COOK腹主動脈支架防返流食道支架超滑黑頭造影管PVA化療藥盒5COOK椎體成型術(shù)器械膽道支架球囊導(dǎo)管6COOK新產(chǎn)品介紹新產(chǎn)品介紹羅伯特子宮動脈導(dǎo)管COOK富江微創(chuàng)醫(yī)療HONEST MEDICALCOOK子宮肌瘤介入治療的新產(chǎn)品羅伯特子宮動脈導(dǎo)管新產(chǎn)品420?元/根7COOK子宮肌瘤介入治療的新產(chǎn)品子宮肌瘤介入治療的新產(chǎn)品羅伯特子宮動脈導(dǎo)管RUCCOOK您應(yīng)該試一試新的您應(yīng)該試一試新的COOK富江微創(chuàng)醫(yī)療HONEST MEDICAL8COOK子宮肌瘤介入治療的新產(chǎn)品子宮肌瘤介入治療的新產(chǎn)品 您將發(fā)現(xiàn)它的確能給您帶

3、來 方便富江微創(chuàng)醫(yī)療HONEST MEDICALCOOK9DEMONSTRATION OF ROBERTS UTERINE ARTERY ACCESS CATHETERCOOK羅伯特子宮動脈導(dǎo)管介紹富江微創(chuàng)醫(yī)療HONEST MEDICAL新產(chǎn)品10Intended UseUsed for gaining access to the uterine artery, as well as for embolizing vessels in the pelvic region.用于選擇性進入子宮動脈，或是用作其它盆腔動脈的栓塞COOK11 這個導(dǎo)管可以非常容易的進入同側(cè)以及對側(cè)髂內(nèi)動脈。導(dǎo)管頭端采用

4、專利的Beacon Tip 不透X線材料，由此增強了X線下的可視性。有一個不透X線金屬標(biāo)記位于導(dǎo)管轉(zhuǎn)彎部位，非常方便導(dǎo)管在髂動脈分叉處的操作。導(dǎo)管頭端由5F漸變細為4F,利于插管。導(dǎo)管最大流量為12CC/SEC（1200PSI下）優(yōu)勢COOK12ORDER NUMBERTORCON NB ADVANTAGE CATHETERBeacon Tip stainless steel braided nylon French Size5.0Wire GuideDiameter.035 inchLength90TipConfigurationRUCHNBR5.0-35-90-P-NS-RUCRADIOP

5、AQUEMARKERROBERTS UTERINE ARTERY ACCESS CATHETER羅伯特子宮動脈導(dǎo)管COOK13View of pelvic arteriogram shows a Varrel contralateral flush catheter used for positioning of wire over the bifurcation.COOK14A wire guide is placed through the Varrel contralateral flushcatheter and positioned in the contralateral ilia

6、c artery. 導(dǎo)管在導(dǎo)絲導(dǎo)引下進入對側(cè)髂動脈！15The Varrel contralateral flush catheter is removed and the Roberts Uterine Artery Catheter is advanced over bifurcation.羅伯特子宮動脈導(dǎo)管越過髂動脈分叉進入對側(cè)髂動脈16Marker positioned at the top of bifurcation (mag shot). 導(dǎo)管金屬標(biāo)記到達髂動脈分叉處17Catheter is now ready to be reformed.導(dǎo)管準(zhǔn)備塑性，以進入對側(cè)髂內(nèi)動脈CO

7、OK18Wire guide is now pulled back on other side of radiopaque marker. The Roberts Uterine Artery Catheter is being pushed up to reform loop.導(dǎo)絲退回到同側(cè)導(dǎo)管中，開始向上推并扭轉(zhuǎn)導(dǎo)管，準(zhǔn)備成圈19Catheter reforming up from right groin.扭控導(dǎo)管，使對側(cè)導(dǎo)管頭端指向髂內(nèi)動脈COOK20Catheter mostly reformed導(dǎo)管在扭控中COOK21Catheter reformed. Starting to se

8、arch for the left internal iliac.導(dǎo)管開始進入左側(cè)髂內(nèi)動脈COOK22Catheter now in the origin of the left internal iliacartery. Catheter is being pulled down at the right groin.導(dǎo)管進入左側(cè)髂內(nèi)動脈起始部，開始從右側(cè)向下拉導(dǎo)管，以使導(dǎo)管深入髂內(nèi)動脈23Catheter tip at the origin of the left uterine artery(continuing to pull down).導(dǎo)管頭端進入左側(cè)子宮動脈起始部（繼續(xù)向下拉導(dǎo)管

9、，以深入子宮動脈）COOK24Catheter is now well into the left uterine artery.Ready to start embolizing.導(dǎo)管到達子宮動脈合適位置，準(zhǔn)備做栓塞治療COOK25Post-embolization of the left uterine artery左側(cè)栓塞結(jié)束COOK26Catheter has been pushed up into the aorta, the tip twisted, and the right common iliac artery engaged.導(dǎo)管被推到主動脈中，準(zhǔn)備做右側(cè)髂內(nèi)動脈選擇性插管

10、27Catheter now being pulled down, bringing tip into the iliac vessel searching for internal iliac artery. 導(dǎo)管扭轉(zhuǎn)后被拉入右側(cè)髂動脈COOK28Note: The advantage of this catheter is that it allows for contrast to be injected without having to continually manipulate the wire in andout in order to move the catheter (a

11、s you would need to do with a Cobra Catheter). 使用羅伯特羅伯特子宮動脈導(dǎo)子宮動脈導(dǎo)管管，可以極為容易的做雙側(cè)子宮動脈插管，縮短手術(shù)時間（即使只有基本導(dǎo)管導(dǎo)絲操作經(jīng)驗的醫(yī)生，也能很快掌握RUC導(dǎo)管）29Catheter has now engaged right internal iliac artery導(dǎo)管進入右側(cè)髂內(nèi)動脈30Catheter positioned in right uterine artery導(dǎo)管進入右側(cè)子宮動脈COOK31Post uterine artery embolization of right uterine art

12、ery栓塞結(jié)束COOK32Note: When getting ready to remove catheter, be careful of twists that may have built up in the catheter and may make it prone to knotting. Catheter is positioned back over the left iliac system, and once the marker is pulled down to the bifurcation one can keep pulling thecatheter and

13、pull it through the sheath. I have always used a sheath in the groin with these cases.Anne C. Roberts, M.D.Professor of RadiologyChief of Vascular & Interventional RadiologyUCSD Medical CenterLa Jolla, CA撤出導(dǎo)管的時候應(yīng)該注意防止導(dǎo)管打結(jié)，您只需將導(dǎo)管頭端重新送回到對側(cè)髂動脈，即可順利撤出導(dǎo)管。另外您應(yīng)該使用動脈血管鞘，以方便導(dǎo)管進出。COOK33感謝！Anne C. Roberts, M.D.Pr