CarotidSolution07

Carotid SolutionJuly 2011BeiJing,2,概述,脑卒中：脑卒中又称脑中风，通常指脑血管破裂或阻塞导致的疾病状态。欧美国家脑卒中的年发病率为200/10万出血性脑卒中：因血管破裂导致脑出血缺血性脑卒中：因血管狭窄或闭塞导致脑缺血（占所有卒中的83%）所有缺血性脑卒中半数存在着同侧颅外段颈动脉狭窄，在所有脑卒中超过20%25%中风的发生与颈总动脉分叉处动脉粥样硬化病变有直接的关系颈动脉狭窄：作为血液由心脏通向脑和头其它部位的主要血管的颈动脉，出现狭窄的症状。颈动脉狭窄多是由于颈动脉的粥样斑块导致的颈动脉管腔的狭窄，其发病率较高，在60岁以上人群中患颈动脉狭窄者约占9%，多发生于颈总动脉分叉和颈内动脉起始段。,3,颈动脉狭窄的类型,动脉粥样硬化大动脉炎肌纤维发育不良其他病因：外伤、动脉扭转、先天性动脉闭锁、肿瘤、动脉或动脉周围炎、放疗后纤维化等较少见。,4,颈动脉狭窄的致病机制及临床表现,症状性颈动脉狭窄：1.长期慢性缺血造成脑损害：头昏、视力下降、智力和社会功能的下降等；2.狭窄部位可形成动脉粥样硬化斑块或附壁血栓，斑块或血栓脱落阻塞下游脑血管：轻者：短暂性脑缺血发作（TIA）：突然发生头昏目眩，一侧眼暂时性发黑，胳膊、腿发麻无力，言语不清，一侧肢体无力，持物不稳，口角歪斜等，常于24小时内恢复重者：导致急性脑梗塞，引起永久性的偏瘫、偏身感觉、偏盲及语言功能的障碍无症状性颈动脉狭窄：,5,颈动脉狭窄的危险因素及高危人群,危险因素：1.高胆固醇血症；2.高血压；3.糖尿病；4.吸烟；5.肥胖；6.生活方式：精神紧张，高热量饮食，缺乏运动等；7.其它：老龄化，男性多于女性高危人群1.TIA 和缺血性卒中患者2.下肢动脉硬化闭塞症患者3.冠心病(尤其是需要做冠状动脉搭桥或介入治疗)患者4.体检中发现颈动脉血管杂音者。,6,颈动脉狭窄的诊断,彩色多普勒超声检查CTA（CT血管造影）MRA（磁共振血管造影）DSA(数字减影血管造影)。,7,颈动脉狭窄的治疗,药物治疗颈动脉内膜切除手术治疗颈动脉狭窄介入支架治疗*创伤小，相对也更安全*可治疗的狭窄部位范围广，甚至可用于颅内动脉狭窄的治疗*介入支架治疗的费用较手术昂贵*远期疗效也有待更全面的评估动脉粥样硬化,8,颈动脉支架置入术的适应证及禁忌症,适应证：动脉硬化性颈动脉狭窄 无症状者，血管管径狭窄程度80， 有症状者（TIA或卒中发作），血管管径狭窄程度50 血管管径狭窄程度50，但有溃疡性斑块形成。外伤性、医源性颈动脉狭窄颈动脉夹层动脉瘤动脉内膜切除术治疗后再狭窄者颈动脉血栓闭塞脉管炎颈动脉内膜纤维组织形成不良肿瘤压迫性颈动脉狭窄。,9,禁忌证: 3个月内有颅内出血，2周内有新鲜脑梗死灶者不能控制的高血压者对肝素、阿司匹林或其他抗血小板聚集类药物禁忌者对造影剂过敏者颈内动脉完全闭塞者伴有颅内动脉瘤，且不能提前或同时处理者在30 d内，预计有其他部位外科手术者2周内曾发生心肌梗死者严重心、肝、肾疾病者。,颈动脉支架置入术的适应证及禁忌症,10,颈动脉狭窄介入手术流程（.014” Monorail Procedural System）,Carotid Wallstent StentEncore 26 Inflation Device Sterling Monorail Pre-Dilatation BalloonFilterwire EZ Distal Protection Mach 1 Guide CatheterImager II Diagnostic CatheterAmplatz Zipwire Exchange GuidewireSuper sheath Introducer Sheath Entry Needle,Amplatz Super Stiff Guide Wire Amplatz Super Stiff 超硬导丝,12,Amplatz Super Stiff Guide Wire 产品定位,A stiff, secondary (non-starter) wire when strength and stability are required for catheter placement and exchange.硬度更高，具有更高的强度和稳定性，用于放置和更换导管,13,Amplatz Super Stiff Guide Wire 适应症,INDICATIONS:The Amplatz Super Stiff Guide Wire facilitates catheter placement and exchange during diagnostic or interventional procedures. It is not intended for use in coronary arteries.Amplatz Super Stiff超硬导丝用于在诊断性和治疗性介入手术中放置和更换导管。不适用于冠脉手术。,14,Amplatz Super Stiff Guidewire,Super stiff wire body with an atraumatic tip for catheter placement and exchange in uroradiology, biliary drainage, abscess drainage and vascular procedures. 具有良好硬度的杆身和无创性头端，可用于在泌尿系统、胆道引流、脓肿引流和血管介入手术中放置和更换导管。PTFE Coating helps to reduce friction and allows for easy catheter passage PTFE涂层减少了摩擦力，便于推进导管。,在具有出色的硬度、强度、稳定性的同时柔软的无创伤头端有良好的安全性,15,Amplatz Super Stiff Guide Wire特点及益处,16,Amplatz Super Stiff Guide Wire 产品规格,Note: See Guide Wire brochure or price book for all available combinations.注意：请参见相关产品彩页或手册了解所有的产品型号,17,Amplatz Super Stiff Guide Wire临床应用领域,Aortic bifurcation area主动脉分叉,Carotid/aortic arch area颈动脉/主动脉弓,ZIPwire Hydrophilic Guide WiresZIPwire 亲水性导丝,ZIPwire Guide Wire,19,ZIPwire Guide Wire产品定位,A family of hydrophilic guide wires designed for smooth passage through tortuous anatomy.设计用于流畅的通过迂曲的解剖结构,20,ZIPwire Guide Wire适应症,INDICATIONS: The ZIPwire Hydrophilic Guide Wire is intended to facilitate the placement of devices during diagnostic and interventional procedures.ZIPwire 亲水性导丝用于在诊断性和治疗性介入手术中协助置入器械。,21,ZIPwire Guide Wire,A polymer jacket is extruded over a kink-resistant nitinol core. 聚合物外壳覆盖在抗扭曲的镍钛诺合金轴芯表面Hydrophilic coating is bonded to the polymer jacket.亲水性涂层粘合在聚合物外壳上,Radiopaque Polyurethane Jacket 不透X线的聚亚安酯外壳,Nitinol Core镍钛诺轴芯,Hydrophilic Polymer Coating亲水性聚合物涂层,The manufacturing process enhancements treated the surface of the polyurethane jacket for consistent adhesion of the hydrophilic coating.,22,ZIPwire Properties,Kink-resistant抗扭曲性The nitinol metal alloy core provides the strength necessary to make the ZIPwire guidewire kink-resistant. 镍钛诺合金材质的导丝轴芯使ZIPwire导丝具有良好的抗扭曲性能。Steerable操控性Single piece construction and atraumatic tip allow excellent steerability. 一体式结构和无创性头端使其具有优异的操控性。The unique alloy core and polyurethane jacket of the ZIPwire guidewire provide a true 1:1 torque response. 独特的合金轴芯和聚亚安酯外壳实现了1:1扭控反应。Frictionless光滑度The hydrophilic coating makes the ZIPwire guidewire virtually frictionless when wet. The ZIPwire guidewire slides easily into place and smoothly guides catheters. 亲水性涂层在水化后变得非常光滑，易于到达病变部位和推送导管。,23,ZIPwire Properties,Low Thrombogenicity (tendency to produce blood clots)低血栓性（产生凝血块的趋势）The frictionless coating results in low potential for the formation of blood clots on the surface of the ZIPwire guidewire. 光滑的亲水涂层有效减少了在导丝表面形成血凝块的危险。Radiopaque显影性The polyurethane is impregnated with tungsten, a radiopacifier for enhanced visibility. 聚亚安酯外壳中含有钨，在X线下具有良好的可视性。Atraumatic无创性The various cores result in soft, flexible tip configurations. 不同的轴芯 各种类型的柔软而富有弹性的头端。,24,ZIPwire Guide Wire特点及益处,25,ZIPwire Guide Wire产品技术参数,ZIPwire is a trademark of Boston Scientific Corporation or its affiliates. Glidewire is a trademark of Terumo Corporation.,Note: See Guide Wires brochure or price book for all available combinations.注意：请参见相关产品彩页或手册了解所有的产品型号,26,ZIPwire Guide Wire临床应用领域,Aortic bifurcation area腹主动脉分叉,Carotids颈动脉,HAM血透通路,Crossing CTOs通过完全阻塞的病变Subintimal Angioplasty内膜下血管成形术,27,28,Imager II 产品定位,The Imager II Catheter provides the latest in angiographic catheter technology by combining the strength, control, and radiopacity required for successful procedural outcomes. 结合了最新的技术提供最好的支撑，操纵，显影以及临床效果Additionally, the Imager II Catheter completes the Medi-tech product line as the broadest offering currently available for peripheral vascular interventionalists. 广泛的产品线提供给介入大夫更多的选择,29,Imager II 产品规格,Selective 选择性造影: 4 & 5Fr Cerebral 脑部 - 23 ShapesVisceral 内脏 - 17 ShapesFlush 非选择性造影: 4 & 5Fr4 Shapes,30,Imager II 选择性造影导管,One end hole 末端一孔No side holes - for direct contrast injection 无侧孔Shaped for wire access to vessel 适当的形状,31,Selective Catheters Cerebral选择性导管 脑部,Headhunter (H1-H3-H1H-H3H)A series of tip shapes designed for carotid, innominant and subclavian access.Simmons (SIM1-SIM2-SIM3-SIM 4)Similar to the Shepherds Hook in shape, access is achieved by “backing” the catheter into the ostium:Common CarotidSubclavianRenalContralateral Common Iliac,Designed for gaining wire access into vessels to the head as well as imaging those vessels. Low flow rate.,32,Mani (MANI)Another double curve configuration for Great Vessel accessStraight (ST)As named, for the “straight-shots” into vessels, particularly suited for subclavians, but more often used to for the “Dottering” technique in severe stenoses or occlusions.,Selective Catheters Cerebral选择性导管 脑部,33,Weinberg (WEIN)For tight, difficult access.Barnhart (BARN)Also called an “MP” or “Multi-purpose”, this catheter is commonly used as a first off the shelf shape. Similar to the BERN but with a longer tip.,Selective Catheters Cerebral选择性导管 脑部,34,Berenstein (BERN) A very popular tip shape used not only for accessing the great vessels but for guidewire support through tight stenosis, particularly in HAM cases.Gensini (GEN)A “GENtle” curve.,Selective Catheters Cerebral选择性导管 脑部,35,Imager II 非选择性造影导管,One end hole 末端一孔Multiple side holes for bolus injection - (circumfrential spray) 许多侧孔Curved shape for back pressure = greater spray 喷射更多Some shaped for back pressure and contralateral iliac access - (i.e., contralateral / TR / Pigtail) 对侧髂,36,The Ideal Angiographic Catheter 理想的造影导管,Radiopaque 非透射性 Atraumatic tip 无损伤头 Torqueable 扭矩 Trackable 行径性 High flow rates 高流量 Lubricious 光滑的 Large selection 多选择性,37,Imager II 特征和益处,Tungsten layering 钨压制而成Soft tapered tip 头端渐变柔软Smooth tip-to-wire transition 头端-导丝光滑过渡Proprietary Medi-Glide coating 专利亲水涂层,Excellent radiopacity 显影性好Atraumatic vessel entry 无损血管Tracking/sheathless insertion smooth crossing profile 通过性好Easing sheathless insertion enhancing trackability 行径性好,FEATURE 特征,INTENDED BENEFIT 益处,38,Imager II Radiopacity 显影性,Tungsten 钨Layered Tip,Radiolucent Shaft,39,Imager II 头端,Smooth tip-to-wire transition 光滑的头端-导丝过渡Flexible: atraumatic 柔顺性好：无损伤Firm: stable during injections 稳固：稳定注射Superb tracking 行径性好,40,Imager II Flow Rates,SELECTIVECATHETER TYPE,IMAGER II DEVICEFLOW RATE,HIGHESTCOMPETITOR,SIZE,Bern, Barn, Gen, Str, C1,C2, C3, Sim1, Sim2, Sim3, Duck, JB1, JB2, JB3, H1, H1H, H3, RDC,40 & 65cm,20,Bern, Barn, Gen, Str,100cm,18,C1,C2, C3, Sim1, Sim2,Sim3, Duck, JB1, JB2,JB3, H1, H1H, H3, RDC,100cm,12,HN1, HN2, HN3, HN4, HN5,H3H, Mik, Man, Van, Ck,Chuang 2.5, B, & C, Contra2,65 & 100cm,10,10,10,11,10,* DATA FROM PRODUCT LABELING, ACTUAL VALUES MAY DIFFER,41,Imager II Flow Rates,FLUSHCATHETER TYPE,IMAGER II DEVICEFLOW RATE,HIGHESTCOMPETITOR,SIZE,65cm,32,32,5Fr All types,29,100cm,12,65cm,20,NA,NA,20,5Fr All types,90cm,5Fr All types,4Fr All types,4Fr All types,90 & 100cm,17,NA,* DATA FROM PRODUCT LABELING, ACTUAL VALUES MAY DIFFER,42,Sterling 球囊Monorail PTA Balloon*,FilterWire EZ保护伞,Carotid Wallstent Monorail颈动脉支架,Mach1 指引导管,颈动脉解决方案 - Carotid Solutions,Peripheral Guide Catheters 外周指引导管,44,Mach 1 Guide CatheterInstructions for Use 用途,Boston Scientific Guide Catheters are intended for use in general intravascular. They provide a pathway through which medical instruments, such as balloon dilatation catheters, guide wires or other therapeutic devices may be introduced. 建立通道- Used when extra support is needed and/or tortuous anatomy must be navigated (especially with Monorail catheters). 支撑力Used to guide other catheters. 指引作用,45,Mach 1 Guide Catheter,Round, double wire braid 圆形双编织Torque / tip controlKink resistanceShaft radiopacityPolyether-ester polymer 外层聚醚涂层Curve retentionBack-up supportPTFE liner 内层涂料Lubricious inner linerEasy device passage,46,Mach 1 Guide CatheterTip Design,Radiopacity 显影性Entire catheter tip is loaded with radiopaque additiveAids in ostial engagementAtraumatic Tip 头端Soft tip design that is similar to the Schneider Guider guide catheter platformPTFE Liner 头端涂层Located into the catheter tipSmooth device passage,47,Mach 1 Guide Catheter Product Positioning 产品定位,Some of the largest inner diameters in the industry 大腔导管Widest range of options - 18 interventional shapes, 3 diameters and 2 lengths 选择范围广泛Superior backup support and shape retention 后支撑和形状的保持Excellent radiopacity with tungsten weave and added radiopacifier in tip 显影性好Soft, atraumatic tip 头端柔软，无创Great compliment to Monorail balloon / stent technology platforms 卓越的支架/球囊平台,48,Mach 1 Guide Catheter产品规格,Material 材质Nylon derivative (Arnitel 一种尼龙的衍生物)6 - 8FrLength 长度55 and 90cm Shapes 形状Straight (ST), Renal Double Curve (RDC), Renal Double Curve 1(RDC 1), Multipurpose (MP), Hockey Stick (HS),Left Internal Mammoge (LIMA), RE S, RE SS, Cobra 1 (C1), Cobra 2 (C2), RE L, CROSS,49,Mach 1 Guide Catheter产品规格,Double-wire, over-under braid (stainless steel and tungsten)不锈钢和钨双编织PTFE inner liner 聚四氟乙烯Competitive diameters (in thousandths of an inch) 较大内径（大腔导管） 6Fr = .070” 7Fr = .081” 8Fr = .091”Catheters are measured in French (3Fr = 1mm; indicates outer diameter of catheter),50,Mach 1 Guide Catheter Competitive Summary,6 French0.0640.0700.0670.0680.0600.0707 French0.0730.0810.0780.0780.0730.0818 French0.0860.0860.0910.0880.0880.0860.0919 French0.0990.0990.0980.099Lengths55, 10055, 65, 9055, 9055, 905055, 80, 9055Outer LayerNylonNylonArnitelNylonNylonNylonNylonBraidSSSSSS/TungstenSSSSSSSSBraid TypeRound, SingleRound, SingleRound, DoubleRound, SingleRound, SingleRound, SingleFlat, SingleInner LayerPTFEPTFEPTFEPTFE PTFENoSilicon# of segments44554NANADilatorNoNoNoNo.022.038No# of Shapes11121817584List Price$103$125$125$110 - $124 $125$113 - 123 NA,CYBERSCHNEIDERMACH 1CORDISGUIDANTCOOKMEDTRONICGUIDESOFTIPVISTAVERIPATHLUMAXZUMABRITE,SS = Stainless Steel,51,FilterWire EZ 栓子保护系统,The FilterWire EZ 系统是BSC第二代栓子保护装置: 这是治疗时在病变部位远端放置的血管内临时保护系统 主要是在血管介入治疗时捕获并去除游离的栓子 并在介入治疗过程中起到导引导丝的作用,52,FilterWire EZ产品描述,一根附有滤网的导丝 & 输送鞘 为减少栓子脱落在血管成形术和支架手术中所造成的影响,提供了一种简单易行,经济有效的方法,“Predictable protection made easy*”,导丝+滤网,输送鞘,53,FilterWire EZ产品特点,一根简单的附有滤网的导丝 & 输送鞘,更容易使用 输送装置外轮廓更低最高的抓栓率更好的血管贴壁性最好的经济效价,54,FilterWire EZ 栓子保护系统,防止损伤的弹簧壮头端设计, 30mm白金涂层, 柔软灵活更好的显影性更好的跟踪能力和通过病变部位能力头端可塑性能加强操控性6.0mm PEBAX 鼻翼部 使从头端倒输送鞘更光滑, 在总体上更完善了输送能力更平滑的外形在系统导入过程中将栓塞碎片脱落的危险降到最低,55,安置于保护伞下的可微调管使导丝能独立于输送鞘而旋转, 加强系统的可操作性.030” 近端停止装置和显影标志提供了屏障来预防治疗器械压坏保护伞的框架一定的显影性可帮助器械的定位,FilterWire EZ 栓子保护系统,56,.014” PTFE涂层的不锈钢导丝能够于.014系统兼容PTFE涂层导丝可以同任何其他导丝相媲美有190和300cm两种长度190cm导丝和BSC的延长线能够在术中很容易转换到 OTW系统110m小孔的滤网捕获碎片一降低栓塞导致的相关事件的风险同时保障血液的正常流通流通的血液能让照影剂通过一提供显影性逐渐变细的远端保证血流动力学,FilterWire EZ 栓子保护系统,57,网眼的比较,58,Effective positioning in tortuous, curved anatomy with reliable vessel wall apposition (contd),New !,HIGH CAPTURE EFFICIENCY,BSC internal bench testing. Data on file.,Data collected using 4.5mm lumen on a bend,FilterWire EZ 栓子保护系统,59,白金缠绕的滤网环最好的显影性能帮助滤网的放置, 保证最好的贴壁性一个装置就能适用于3.5到5.5mm的血管自动调节以适应不同的血管直径,FilterWire EZ 栓子保护系统,很高的抓取率,独特的环状设计: 根据各种压力改变椭圆形和角度,以适应血管壁的变化,60,悬浮的滤网环能使滤网独立于导丝而移动, 能提供最好的血管贴壁性, 特别是在弯曲的血管里,FilterWire EZ 栓子保护系统,61,保护导丝远端20cm处有硅胶涂层在释放滤网时减少所用的力在回收滤网时减少所用的力,FilterWire EZ 栓子保护系统,62,FilterWire EZ 输送鞘,150cm长PEBAX 鞘有100 cm可剥落的交换长度长交换长度可以防止导丝在准备和输送过程中缠绕输送鞘在输送过程中剥落鞘可以提供类似monorail的操控远端鞘的颜色从蓝色变为白色时表示可剥落的终端1.1mm (3.2F) 外廓最大限度提高通过能力,63,FilterWire EZ 输送鞘,近端显影标志在离头端90和100cm处可以快速将输送系统推送到导引导管末端与保护导丝一起预装在输送鞘中使用更方便, 减少操作步骤,64,SterlingBalloon Dilatation Catheter,Sterling Monorail 球囊导管,65,Sterling Monorail 球囊导管,Sterling MonorailBalloon Dilatation Catheter,Sterling Over-The-Wire Balloon Dilatation Catheters are not indicated for use in the carotids,66,Sterling Monorail 球囊导管性能优势,67,Sterling Monorail 球囊导管通过性,Proximal,Mid-Balloon,Distal Balloon,Lesion Entry,小外径设计满足最大的病变通过性,C,Sterling Balloon Dilatation Catheter,68,Sterling Monorail 球囊导管头端,Sterling Monorail Balloon Catheter,头端,激光成型的头端是渐细的外形无缝渐细的设计降低通过病变时阻力超小的 .022”病变进入外径有利于进入高度狭窄病变,*Testing completed by Boston Scientific Corporation. Data on file.,Photo is property of Boston Scientific Corporation,Illustrations by Boston Scientific Corporation. Illustrations not to scale,69,Sterling Monorail 球囊导管通过性,激光成型的头端渐细,All photographs taken by Boston Scientific Corporation. Bench test results may not necessarily be indicative of clinical performance.Slalom is a registered trademark of Cordis Corporation Rx Viatrac is a trademark of Advanced Cardiovascular Systems Inc.,70,Sterling Monorail 球囊导管球囊,Balloon,半顺应性Pebax 球囊材料Bioslide 亲水涂层有利于通过复杂病变出色的回裹; 5-折叠设计防止刮擦和刺破,Photo is property of Boston Scientific Corporation,Illustrations by Boston Scientific Corporation. Illustrations not to scale,Sterling Monorail Balloon Catheter,Pebax is a trademark of Arkema,71,Sterling Monorail 球囊导管通过性,出色的通过性能,Sterling Balloon Dilatation Catheter,Up through a 8mm x 40mmthrough a 4F sheath!,72,Sterling Monorail 球囊导管标记带,Marker Bands,两个可视性高的内嵌的黄金RO标记带扩张区域指标记带的外端之间的长度,Marker Band,Photo is property of Boston Scientific Corporation,Illustrations by Boston Scientific Corporation. Illustrations not to scale,Sterling Monorail Balloon Catheter,73,Sterling Monorail 球囊导管激光焊接,Laser Bonding,球囊的近端和远端均采用激光焊接技术，提供平滑的转换和强化的灵活性,Wrapped Balloon,Laser Bond,Marker Band,Photo is property of Boston Scientific Corporation,Illustrations by Boston Scientific Corporation. Illustrations not to scale,Sterling Monorail Balloon Catheter,74,Sterling Monorail 球囊导管点焊,Tack Weld,距离球囊近端 4cm 接合内外推送杆增强推送杆支撑力，有利于通过复杂的解剖结构,Photo is property of Boston Scientific Corporation,Illustrations by Boston Scientific Corporation. Illustrations not to scale,Tack Weld,Sterling Monorail Balloon Catheter,75,Sterling Monorail 球囊导管推送性: 点焊,接合内外推送杆提供支撑,Tack Weld,76,Sterling Monorail 球囊导管导丝出口,Guide Wire Port,25 cm 交换长度激光成型的出口所有的Sterling Monorail Balloon Catheters都有贯穿全长的渐细的核心丝， 强化支撑，推送和抗折性,Tapered Core Wire,Guide Wire,Guide Wire Port,Photo is property of Boston Scientific Corporation,Illustrations by Boston Scientific Corporation. Illustrations not to scale,Sterling Monorail Balloon Catheter,77,Sterling Monorail 球囊导管推送杆,Shaft,同轴推送杆推送杆没有涂层，便于操控出口标记: 40 cm 推送杆: 没有80 cm 推送杆: 1 50 cm and 2 60 cm135 cm 推送杆: 1 90 cm and 2 100 cm,Exit markers,Photo is property of Boston Scientific Corporation,Illustrations by Boston Scientific Corporation. Illustrations not to scale,Sterling Monorail Balloon Catheter,Outer Shaft (clear),Inner Shaft (blue),78,Sterling Monorail 球囊导管推送杆:,远端推送杆Tri-layer inner (蓝色): 高密度PE减低摩擦力，保证导丝顺滑通过粘合层连结光滑的内层和坚实的外层Pebax 外层Pebax (透明)近端推送杆尼龙贯穿全长的渐细的核心丝,Illustrations by Boston Scientific Corporation. Illustrations not to scale,Pebax is a trademark of Arkema,Sterling Monorail Balloon Catheter,79,Sterling Monorail 球囊导管鞘兼容性,80,Sterling Monorail 球囊导管产品规格,81,Sterling Monorail 球囊导管产品规格,Data on file at BSC.,82,Sterling Monorail 球囊导管临床应用范围,SFA,Renal,Carotid*,* Carotid indication is for the Sterling Monorail Balloon Catheter only.,83,Carotid Wallstent M