教育不是灌输,而是点燃火焰.ppt

教育不是灌输， 而是点燃火焰。,【古希腊】苏格拉底,Education is not the filling of a vessel, but the kindling of a flame. Socrates，BC 470399,CTO Strategies after Retrograde Wire Crossing,葛 均 波,Retrograde Kissing wire technique,Case 1 (TCT 2005),Retrograde Kissing wire technique,Case 1 (TCT 2005),Retrograde Kissing wire technique,Microcatheter + Runthrough,RCA-PDA-SEPT-LAD,Retrograde Kissing wire technique,Antegrade: Crosswire NT,Retrograde Kissing wire technique,Wire kissing,Retrograde Kissing wire technique,Stent Implantation and Final Result,010197(2),Male, 76 yrs, Stable angina,Retrograde Kissing wire technique,If antegrade wire can not access,you may try ,Microcatheter + Runthrough and Crosswire NT,010197(2),Retrograde wire trapping technique,010197(2),Retrograde wire trapping technique,Snare,010197(2),Retrograde wire trapping technique,010197(2),Hyate 2.5*15mm,Retrograde wire trapping technique,010197(2),Retrograde wire trapping technique,010197(2),Hyate balloon: LAD-Sept Microcatheter: RCA-PDA-Sept,Changing GW,As close as possible!,Retrograde wire trapping technique,010197(2),Final Result,Retrograde wire trapping technique,Kissing wire technique （导引钢丝对吻技术） Retrograde wire trapping technique（逆行导引钢丝捕获技术） Knuckle wire technique（爪扣导引钢丝技术） Controlled Antegrade and Rretrograde subintimal Tracking，CART（定向前向和逆行导引钢丝内膜下寻径技术） Reverse CART （反向CART技术） Retrograde wire crossing technique （逆行导引钢丝通过技术） Back-End ballooning + MC reversal （反向微导管及正向球囊扩张技术）,Retrograde Techniques,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,Contemporary Treatment of Chronic Total Occlusions,Case 3：Male, 60 yrs, Recurrent Chest Pain for 4 mons,021567,Contemporary Treatment of Chronic Total Occlusions,021567,Contemporary Treatment of Chronic Total Occlusions,021567,Attempted to open CTO with the antegrade approach, but failed.,7FEBU 3.75 Crosswire NT 2.0F Progreat,Contemporary Treatment of Chronic Total Occlusions,021567,6F JR4 GC; 2.0F Progreat MC; Fielder GW,Retrograde GW could not access into the antegrade GC,Contemporary Treatment of Chronic Total Occlusions,021567,Reversal Wire Trapping Technique,Amplatz Goose Neck（ev3， Plymouth, Minnesota）,Contemporary Treatment of Chronic Total Occlusions,021567,Reversal Wire Trapping Technique,Contemporary Treatment of Chronic Total Occlusions,021567,Contemporary Treatment of Chronic Total Occlusions,021567,Runthrough GW,Contemporary Treatment of Chronic Total Occlusions,021567,Predilatation,Rinato in LCX; Sapphire 2.5*20 mm,Contemporary Treatment of Chronic Total Occlusions,021567,Stenting,Partner 3.0*36mm,Contemporary Treatment of Chronic Total Occlusions,021567,Contemporary Treatment of Chronic Total Occlusions,021567,Final Results,Contemporary Treatment of Chronic Total Occlusions,Retrograde wire trapping technique,Contemporary Treatment of Chronic Total Occlusions,Step 1,Step 2,Step 3,Step 4,Reversal wire trapping technique,Ge JB, et al. CCI 2009 (Online ),葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,病例 1：男性，69岁，因反复胸闷胸痛三月入院（CTOCC 2008）,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,AL 0.75 Crosswire NT,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,Tip Injection,Channel Dilator,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,Fielder FC,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,Channel Dilator,Conquest Pro,IVUS,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,Reverse CART,Ryujin 球囊（2.0*15mm）4-6 atm,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,逆行导引钢丝捕获技术、反向微导管及正向球囊扩张技术,Amplatz Goose Neck（ev3， Plymouth, Minnesota）,Channel Dilator,300cm Fielder FC,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,反向微导管及正向球囊扩张技术,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,Ruyjin（2.0*15mm）,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,Cypher Select Plus 3.5*33mm,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,2.0F Progreat微导管,Channel Dilator,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,更换Rinato导引钢丝,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,Ruyjin（2.5*15mm）,CTO Angioplasty: Antegrade and Retrograde Technique Selection, and How to Approach?,葛均波 冠状动脉慢性完全闭塞病变介入治疗（人民卫生出版社，2009）,Cypher Select Plu