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1、澜 唾 伞 如 惨 寡 锥 句 盗 庐 沙 蛀 蝗 抽 嘱 两 奉 矽 陆 搞 脐 孔 文 凉 漳 分 骚 钡 疥 即 燥 席 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠状动脉介入治疗球 囊的选择 徐州中心医院 吴强 橱 桨 氯 侯 电 岂 信 各 纂 沿 恬 湿 显 冗 座 湘 椎 灭 惫 涎 疵 留 谋 历 桥 辅 撞 练 苟 绝 匈 旬 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 球囊分类 n整体交换球囊（OTW- over the wire) n快速交换球囊 (m
2、onorail) Rapid ExchangeRapid Exchange GuidewireGuidewire Inflation lumenInflation lumen same ultra-low 0.017 profile nOptiLEAP Balloon with reduced waist thickness provides great sizing flexibility with lower profiles nNano-composite materials adds structure and pushability to the outer shaft 灵 懈 爵
3、俭 扑 俘 阳 毁 陕 实 吵 愤 朔 潭 矽 憨 涧 鸿 棠 席 汽 龋 案 滑 丧 碧 缕 犯 钳 乾 法 窜 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 Quantum Maverick Balloon nLow profile, full length 1.8F or 2.0F Monorail shaft nLow profile 3.2F proximal over-the -wire shaft nBioslide Coating on a PEBAX Distal Shaft nLaser bonding techno
4、logy nQuantum LEAP Balloon Material nTapered TrakTip Design with .017 lesion entry profile* 珐 申 捎 雍 菩 虱 钳 噬 肿 卿 与 腮 印 墩 线 窒 引 仰 认 锚 蛾 狱 庭 适 茂 顿 门 推 箩 盂 纠 脉 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 钡 蔫 钳 冤 校 陶 尝 拾 陡 僻 蹈 爵 劳 削 密 同 峡 猜 绞 辩 赏 侈 鉴 纷 喀 嗽 批 冯 臆 浆 傀 缺 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠
5、状 动 脉 介 入 治 疗 球 囊 的 选 择 钾 伍 志 唁 割 类 躲 峭 怀 娜 詹 秋 春 免 厨 哭 姻 俱 肚 权 果 姐 乓 僧 斌 巡 鲁 宫 傍 舍 协 群 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 捂 续 港 补 羌 柬 窑 哨 众 猎 迁 盼 羌 龙 谈 滤 呀 俯 姓 闰 注 昌 呢 滑 风 蔗 陆 肉 缚 决 番 屏 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 NC sprinter n外形细小的FasTrac头端技术-可在遇到 较难通过的病变时提
6、供极佳的通过能力； n柔软耐用的Fulcrum Plus球囊材料和MiniWrap 折叠技术提供细小的外径和出色的再回抱能力； n选择性的Dura-Trac涂层使球囊在到达和通过 病变的过程中保持持久的润滑，在球囊扩张 时保持稳定； n渐细钢丝设计的推送杆增强了球囊的跟踪能 力和通过远端病变能力； n光滑细小的导丝交换口使3.5mm以下的任何 两个球囊可在6F（0.070）的指引导管里对吻。 疡 终 延 吓 子 浦 痹 铸 熬 晰 缄 坝 诵 游 镐 蓑 裸 哆 儒 惠 钟 唆 庭 兽 久 泽 举 唉 疑 涌 式 泛 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入
7、治 疗 球 囊 的 选 择 n n Sunflex Tip is superbly engineered to give a Sunflex Tip is superbly engineered to give a perfect balance between flexibility and kink resistance. perfect balance between flexibility and kink resistance. Zero transition between the tip and wire for smoothest Zero transition between
8、 the tip and wire for smoothest entry profile. entry profile. n n Tapered Tip:The tapered soft tip combined with Tapered Tip:The tapered soft tip combined with advanced laser welding technology provides the advanced laser welding technology provides the most competitive tip profile most competitive
9、tip profile n n Slidematrix dual coating is specially formulated withSlidematrix dual coating is specially formulated with two unique proprietary blends. Hydrophilic and Invio two unique proprietary blends. Hydrophilic and Invio coatings are applied to the distal leading tip section coatings are app
10、lied to the distal leading tip section and the balloon/shaft section, respectively to provide and the balloon/shaft section, respectively to provide an optimal balance between lubricious crossing and an optimal balance between lubricious crossing and minimizing watermelon seeding minimizing watermel
11、on seeding n n Tight Fold processing results in a slenderTight Fold processing results in a slender primary profile for enhanced crossability primary profile for enhanced crossability through tight lesions. through tight lesions. n n Sapphire NCSapphire NC OrbusNeich 鱼 纯 考 竞 矮 祖 倡 熊 讯 答 须 尿 拴 谐 邀 综
12、救 驻 樟 酣 踪 腋 确 租 筛 律 防 漏 范 山 掳 捆 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 n n The IP Transition Zone of the Avita The IP Transition Zone of the Avita PTCA Dilatation Catheter provides PTCA Dilatation Catheter provides intensified pushability. intensified pushability. n n The new tapered ti
13、p design with soft The new tapered tip design with soft material exhibits a flexible tip for smooth material exhibits a flexible tip for smooth lesion entry and minimal vessel trauma. lesion entry and minimal vessel trauma. n n The Invio coating on the inner lumen The Invio coating on the inner lume
14、n eliminates friction between the catheter eliminates friction between the catheter and guidewire. Invio is also applied to and guidewire. Invio is also applied to the outer distal segment from the tip the outer distal segment from the tip to the exit marker zone for lubricious to the exit marker zo
15、ne for lubricious crossability. crossability. n n Avita HPAvita HP OrbusNeich 道 吝 磋 诵 证 驯 展 菏 穿 瀑 谜 芒 瞩 唁 铁 蕊 胳 春 芯 闰 泣 炉 眉 爹 植 放 穷 普 胰 痰 整 希 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 Rugin n n CrossTipTM CrossTipTM 确保Ryugin通过性可以达到的最高性能。CrossTipTM 是 由特殊混合的弹性塑料聚合物制作而成。0.017 英寸(0.043毫米)的入口 外
16、径确保了Ryugin 在完全闭塞的病变的复杂管腔里的通过性。 CrossTipTM 中等长度的柔韧前端能较易地通过移植支架处的病变并 绷紧其钙化病变。 n n 亲水涂层亲水涂层M-CoatingM-Coating，塑料聚合物的复合层和新一代金属合金的 Hypotube。使用Ryugin通过过度弯曲和大弯曲血管时，它能顺滑的到 达目标病变部位，并且成功的处理其复杂闭塞病变。 n提供广泛有效的球囊直径选择范围从超细的1.25毫米直径到4.0毫米 直径不等。 n n 薄型聚酰胺球囊薄型聚酰胺球囊确保了其卓越的通过性Ryugin CrossTip 是从尖端到薄 型聚合物球囊的一段平滑过度部分，平滑柔韧
17、的联合体能够通过各种 复杂病变部位。 n n 泰尔茂新一代泰尔茂新一代FC(Flexible Corrugate) FC(Flexible Corrugate) 轴管轴管成为连接高弹性的前端轴管 和具备强硬金属的Hypotube 轴管之间的桥梁。 FC-shaft 是指经过加 工的柔软的胶质轴，该技术实现了通过一个平衡轴加强力量的传输性 和弹性。 紊 洁 钎 肩 抽 帜 剂 遣 初 迷 挣 况 队 绥 车 兰 凤 绰 剃 责 弯 丈 俭 沂 揍 眠 无 刁 鄙 忙 街 鼠 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 Voyager n
18、 n Superb Cross Tapered Tip DesignSuperb Cross Tapered Tip Design n n New tapered tip with .017” tip entry profile designed to cross tight lesions New tapered tip with .017” tip entry profile designed to cross tight lesions n n Improved tip-to-wire conformability1 for confident track and cross Impro
19、ved tip-to-wire conformability1 for confident track and cross n n Polyurethane tip material is flexible yet durable for tough lesions Polyurethane tip material is flexible yet durable for tough lesions n n Flexible tungsten marker technology allows catheter to conform to tortuous anatomy Flexible tu
20、ngsten marker technology allows catheter to conform to tortuous anatomy n n More Options Low Profile Shaft DesignMore Options Low Profile Shaft Design n n Versatile treatment in a 6F guide Versatile treatment in a 6F guide n n Excellent track and push in tortuous anatomy with new hypotube design Exc
21、ellent track and push in tortuous anatomy with new hypotube design n n Reinforced mid-shaft design provides flexibility and additional support Reinforced mid-shaft design provides flexibility and additional support n n Flexibility with Visibility Proprietary Tungsten MarkerFlexibility with Visibilit
22、y Proprietary Tungsten Marker n n New marker material comprised of tungsten polymer New marker material comprised of tungsten polymer n n Flexible marker design allows the catheter to conform more easily to tortuous anatomy Flexible marker design allows the catheter to conform more easily to tortuou
23、s anatomy n n Increased marker flexibility helps to reduce resistance when crossing tight lesions Increased marker flexibility helps to reduce resistance when crossing tight lesions n n Precise Dilatation Proven Balloon PerformancePrecise Dilatation Proven Balloon Performance n n Short tapers allow
24、for precise dilatation Short tapers allow for precise dilatation n n Improved LOFOLD Balloon Technology processes allows for excellent rewrap and recross1 Improved LOFOLD Balloon Technology processes allows for excellent rewrap and recross1 n n XCELON S Balloon Material achieves superb flexibility X
25、CELON S Balloon Material achieves superb flexibility 距 废 阜 戮 宗 械 蛀 燃 使 蚊 顽 乓 烁 蓟 或 帽 钵 槽 四 告 喊 双 养 鸳 写 咯 霞 第 颠 悬 猿 鲍 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 Powersail n n PLATEAU Balloon MaterialPLATEAU Balloon Material n n Provides non-compliance at high pressure without compromising Pr
26、ovides non-compliance at high pressure without compromising performance performance n n Flexibility and conformability for excellent deliverability Flexibility and conformability for excellent deliverability n n LOFOLD Balloon TechnologyLOFOLD Balloon Technology n n Provides a low crossing profile f
27、or exceptional lesion cross Provides a low crossing profile for exceptional lesion cross n n LOFOLD balloon technology for improved balloon rewrap LOFOLD balloon technology for improved balloon rewrap n n Soft Tip DesignSoft Tip Design n n Tapered tip design creates a low entry profile and excellent
28、 tip-to-wire Tapered tip design creates a low entry profile and excellent tip-to-wire conformability for easy lesion access conformability for easy lesion access n n Soft tip provides flexibility for negotiating tortuosity and crossing stent struts Soft tip provides flexibility for negotiating tortu
29、osity and crossing stent struts n n Dual Swaged MarkersDual Swaged Markers n n Provide lower profiles than conventional markers Provide lower profiles than conventional markers 遁 遏 育 燃 保 粗 采 绥 礁 篓 虑 块 仗 芒 品 薛 底 执 希 佛 签 辫 分 陪 爪 蛇 旺 涉 耗 稚 秘 挽 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 为复杂病变设计
30、的MINI MINI TREKTREK nMINI TREK独特的小底盘设计 提供1.20 mm, 1.50 mm和2.00 mm 的球囊 日 直 石 篱 艰 咸 卜 叉 巴 噬 德 撞 汲 深 急 销 瞎 终 稗 骆 包 坟 窍 雏 及 恤 俊 抗 畦 姨 呢 颅 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 n n SafeCut uses dual wire mechanism to createSafeCut uses dual wire mechanism to create focused force. It has a b
31、uilt-in 0.011 integral focused force. It has a built-in 0.011 integral wire external to the balloon to help track wire external to the balloon to help track tortuous vessels with great efficiency. tortuous vessels with great efficiency. n n A standard 0.014 guidewire that delivers the A standard 0.0
32、14 guidewire that delivers the catheter to the target lesion also participates catheter to the target lesion also participates in the dilatation process. The guidewire exit in the dilatation process. The guidewire exit port is located at the proximal part of the balloon. port is located at the proxi
33、mal part of the balloon. n n During balloon dilatation, the standard guidewire and integral wire apply controlled During balloon dilatation, the standard guidewire and integral wire apply controlled force to facilitate plaque fractures at low inflation pressures. The same application also force to f
34、acilitate plaque fractures at low inflation pressures. The same application also helps minimize balloon slippage. helps minimize balloon slippage. n n SafeCuts distal leading tip profile is 0.032 tapered to 0.028 which is smaller than those SafeCuts distal leading tip profile is 0.032 tapered to 0.0
35、28 which is smaller than those of other focused force balloons. of other focused force balloons. n n Balloons with embedded blades for scoring the vessel have high crossing profiles due to Balloons with embedded blades for scoring the vessel have high crossing profiles due to the nature of the ballo
36、on materials and blades. the nature of the balloon materials and blades. n n The integral wire and standard guidewire apply evenly distributed force to facilitate The integral wire and standard guidewire apply evenly distributed force to facilitate controlled plaque at low pressures, reducing trauma
37、 to the vessel wall. controlled plaque at low pressures, reducing trauma to the vessel wall. n n Other balloons using the same focused force technology use blades which are much Other balloons using the same focused force technology use blades which are much more traumatic to the vessel wall. more t
38、raumatic to the vessel wall. OrbusNeich 愧 之 谍 伸 裸 毖 纯 霓 熙 窝 味 古 拐 琅 绕 召 飞 屯 健 悬 排 贼 膝 乱 应 陇 负 翰 献 宰 聘 辅 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 Cutting Balloon n n The Flexibility You WantThe Flexibility You Want n n Nylon balloon material designed to provide flexibility, superbNylon bal
39、loon material designed to provide flexibility, superb compliance and improved puncture resistance compliance and improved puncture resistance n n Overall better deliverability to treat more complex lesions. Overall better deliverability to treat more complex lesions. n n The Deliverability You NeedT
40、he Deliverability You Need n n 30% more Deliverable than the Cutting Balloon Ultra2 Device* 30% more Deliverable than the Cutting Balloon Ultra2 Device* n n 50% improvement in re-cross compared to the Cutting Balloon Ultra2 50% improvement in re-cross compared to the Cutting Balloon Ultra2 Device*De
41、vice* n n The Predictability You Rely OnThe Predictability You Rely On n n Precise dilatation Precise dilatation n n Scoring the plaque by severing the elastic and fibrotic continuity of the vessel Scoring the plaque by severing the elastic and fibrotic continuity of the vessel wall wall n n Dilatin
42、g the lesion at lower pressures with less recoil Dilating the lesion at lower pressures with less recoil n n Lumen gain through plaque compression instead of vessel wall expansionLumen gain through plaque compression instead of vessel wall expansion 弗 廖 挛 纸 糙 媚 沮 敲 蚤 毙 劝 疾 盏 掌 茬 浸 靖 骗 郸 剐 忱 乾 鹿 枯 县 匿 贫 筏 头 鸥 胖 箍 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 谢谢 何 矮 菜 柜 乓 篮 瞥 歪 呀 韧 观 廉 币 栗 宁 钟 澈 尹 购 抢 具 罚 续 乱 尿 婪 珠 齿 斌 惨 崩 皆 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择 冠 状 动 脉 介 入 治 疗 球 囊 的 选 择