子宫动脉导管ppt课件

.,COOK先進介入醫學產品Vascular&Non-Vascular,中國縂代理富江微創醫療器材有限公司HONESTMEDICALCO.,LTD800-830-9883,富江微创医疗HONESTMEDICAL,COOK,.,全国销售网络分布,16个公司及办事处,富江微创医疗HONESTMEDICAL,COOK,.,COOK-世界领先介入医学器材供应商,美国COOK集团创立于1963年，是一家最著名的微创医学医疗器材供应商。20世纪70年代以来，COOK将微创医学产品扩展到除放射介入、心脏介入以外的消化，泌尿外科，重症医学，试管婴儿，生物产品等新领域基于满足临床需求多样性的原则，COOK生产出数以万计的不同产品COOK网址,COOK,.,COOK,腹主动脉支架,防返流食道支架,超滑黑头造影管,PVA,化疗药盒,.,COOK,椎体成型术器械,胆道支架,球囊导管,.,COOK新产品介绍,罗伯特子宫动脉导管,COOK,富江微创医疗HONESTMEDICAL,COOK子宫肌瘤介入治疗的新产品,罗伯特子宫动脉导管,新产品,420?元/根,.,COOK子宫肌瘤介入治疗的新产品,罗伯特子宫动脉导管RUC,COOK,您应该试一试新的COOK,富江微创医疗HONESTMEDICAL,.,COOK子宫肌瘤介入治疗的新产品,您将发现它的确能给您带来方便,富江微创医疗HONESTMEDICAL,COOK,DEMONSTRATIONOFROBERTSUTERINEARTERYACCESSCATHETER,COOK,罗伯特子宫动脉导管介绍,富江微创医疗HONESTMEDICAL,新产品,IntendedUseUsedforgainingaccesstotheuterineartery,aswellasforembolizingvesselsinthepelvicregion.,用于选择性进入子宫动脉，或是用作其它盆腔动脉的栓塞,COOK,这个导管可以非常容易的进入同侧以及对侧髂内动脉。导管头端采用专利的BeaconTip不透X线材料，由此增强了X线下的可视性。有一个不透X线金属标记位于导管转弯部位，非常方便导管在髂动脉分叉处的操作。导管头端由5F渐变细为4F,利于插管。导管最大流量为12CC/SEC（1200PSI下）,Advantages,优势,COOK,ORDERNUMBER,TORCONNBADVANTAGECATHETERBeaconTipstainlesssteelbraidednylon,FrenchSize,5.0,WireGuideDiameter.035inch,Length90,TipConfigurationRUC,HNBR5.0-35-90-P-NS-RUC,RADIOPAQUEMARKER,ROBERTSUTERINEARTERYACCESSCATHETER,罗伯特子宫动脉导管,COOK,ViewofpelvicarteriogramshowsaVarrelcontralateralflushcatheterusedforpositioningofwireoverthebifurcation.,COOK,AwireguideisplacedthroughtheVarrelcontralateralflushcatheterandpositionedinthecontralateraliliacartery.,导管在导丝导引下进入对侧髂动脉！,TheVarrelcontralateralflushcatheterisremovedandtheRobertsUterineArteryCatheterisadvancedoverbifurcation.,罗伯特子宫动脉导管越过髂动脉分叉进入对侧髂动脉,Markerpositionedatthetopofbifurcation(magshot).,导管金属标记到达髂动脉分叉处,Catheterisnowreadytobereformed.,导管准备塑性，以进入对侧髂内动脉,COOK,Wireguideisnowpulledbackonothersideofradiopaquemarker.TheRobertsUterineArteryCatheterisbeingpusheduptoreformloop.,导丝退回到同侧导管中，开始向上推并扭转导管，准备成圈,Catheterreformingupfromrightgroin.,扭控导管，使对侧导管头端指向髂内动脉,COOK,Cathetermostlyreformed,导管在扭控中,COOK,Catheterreformed.Startingtosearchfortheleftinternaliliac.,导管开始进入左侧髂内动脉,COOK,Catheternowintheoriginoftheleftinternaliliacartery.Catheterisbeingpulleddownattherightgroin.,导管进入左侧髂内动脉起始部，开始从右侧向下拉导管，以使导管深入髂内动脉,Cathetertipattheoriginoftheleftuterineartery(continuingtopulldown).,导管头端进入左侧子宫动脉起始部（继续向下拉导管，以深入子宫动脉）,COOK,Catheterisnowwellintotheleftuterineartery.Readytostartembolizing.,导管到达子宫动脉合适位置，准备做栓塞治疗,COOK,Post-embolizationoftheleftuterineartery,左侧栓塞结束,COOK,Catheterhasbeenpushedupintotheaorta,thetiptwisted,andtherightcommoniliacarteryengaged.,导管被推到主动脉中，准备做右侧髂内动脉选择性插管,Catheternowbeingpulleddown,bringingtipintotheiliacvesselsearchingforinternaliliacartery.,导管扭转后被拉入右侧髂动脉,COOK,Note:Theadvantageofthiscatheteristhatitallowsforcontrasttobeinjectedwithouthavingtocontinuallymanipulatethewireinandoutinordertomovethecatheter(asyouwouldneedtodowithaCobraCatheter).,使用罗伯特子宫动脉导管，可以极为容易的做双侧子宫动脉插管，缩短手术时间（即使只有基本导管导丝操作经验的医生，也能很快掌握RUC导管）,Catheterhasnowengagedrightinternaliliacartery,导管进入右侧髂内动脉,Catheterpositionedinrightuterineartery,导管进入右侧子宫动脉,COOK,Postuterinearteryembolizationofrightuterineartery,栓塞结束,COOK,Note:Whengettingreadytoremovecatheter,becarefuloftwiststhatmayhavebuiltupinthecatheterandmaymakeitpronetoknotting.Catheterispositionedbackovertheleftiliacsystem,andoncethemarkerispulleddowntothebifurcationonecankeeppullingthecatheterandpullitthroughthesheath.Ihavealwaysusedasheathinthegroinwiththesecases.AnneC.Roberts,M.D.ProfessorofRadiologyChiefofVascular&InterventionalRadiologyUCSDMedicalCenterLaJolla,CA,撤出导管的时候应该注意防止导管打结，您只需将导管头端重新送回到对侧髂动脉，即可顺利撤出导管。另外您应该使用动脉血管鞘，以方便导管进出。,COOK,.,感谢！AnneC.Roberts,M.D.ProfessorofRadio