子宫动脉导管ppt课件

1、1COOK 先進介入醫學產品先進介入醫學產品Vascular & Non-Vascular中國縂代理富江微創醫療器材有限公司HONEST MEDICAL CO.,LTD800-830-9883富江微创医疗HONEST MEDICALCOOK2全国销售网络分布全国销售网络分布16个公司及办事处富江微创医疗HONEST MEDICALCOOK3COOK-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

2、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 COOK4COOK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5COOK椎体成型术器械胆道支架球囊导管6COOK新产品介绍新产品介绍罗伯特子宫动脉导管COOK富江微创医疗HONEST MEDICALCOOK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7COOK子宫肌瘤介入治疗的新产品子宫肌瘤介入治疗的新产品罗伯特子宫动脉导管RUCCOOK您应该试一试新的您应该试一试新的COOK富江微创医疗HONEST MEDICAL8COOK子宫肌瘤介入治疗的新产品子宫肌瘤介入治疗的新产品 您将发现它的确能给您带

3、来 方便富江微创医疗HONEST MEDICALCOOK9DEMONSTRATION OF ROBERTS UTERINE ARTERY ACCESS CATHETERCOOK罗伯特子宫动脉导管介绍富江微创医疗HONEST MEDICAL新产品10Intended UseUsed for gaining access to the uterine artery, as well as for embolizing vessels in the pelvic region.用于选择性进入子宫动脉，或是用作其它盆腔动脉的栓塞COOK11 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

4、专利的Beacon Tip 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）优势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罗伯特子宫动脉导管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. 导管在导丝导引下进入对侧髂动脉！15The Varrel contralateral flush catheter is removed and the Roberts Uterine Artery Catheter is advanced over bifurcation.罗伯特子宫动脉导管越过髂动脉分叉进入对侧髂动脉16Marker positioned at the top of bifurcation (mag shot). 导管金属标记到达髂动脉分叉处17Catheter is now ready to be reformed.导管准备塑性，以进入对侧髂内动脉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.导丝退回到同侧导管中，开始向上推并扭转导管，准备成圈19Catheter reforming up from right groin.扭控导管，使对侧导管头端指向髂内动脉COOK20Catheter mostly reformed导管在扭控中COOK21Catheter reformed. Starting to se

8、arch for the left internal iliac.导管开始进入左侧髂内动脉COOK22Catheter now in the origin of the left internal iliacartery. Catheter is being pulled down at the right groin.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23Catheter tip at the origin of the left uterine artery(continuing to pull down).导管头端进入左侧子宫动脉起始部（继续向下拉导管

9、，以深入子宫动脉）COOK24Catheter is now well into the left uterine artery.Ready to start embolizing.导管到达子宫动脉合适位置，准备做栓塞治疗COOK25Post-embolization of the left uterine artery左侧栓塞结束COOK26Catheter has been pushed up into the aorta, the tip twisted, and the right common iliac artery engaged.导管被推到主动脉中，准备做右侧髂内动脉选择性插管

10、27Catheter now being pulled down, bringing tip into the iliac vessel searching for internal iliac artery. 导管扭转后被拉入右侧髂动脉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). 使用罗伯特罗伯特子宫动脉导子宫动脉导管管，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）29Catheter has now engaged right internal iliac artery导管进入右侧髂内动脉30Catheter positioned in right uterine artery导管进入右侧子宫动脉COOK31Post uterine artery embolization of right uterine art

12、ery栓塞结束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。COOK33感谢！Anne C. Roberts, M.D.Pr