医学课件人体动脉血管系统

1、 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.IMPORTANTAudience本文件及内容的使用，仅限于培训美敦力员工以及经授权的代理商。本文件不适合展示或传播给医生或者其他第三方。 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.基本的解剖，生理，病理和诊断 主动

2、脉以上血管 肾动脉，及AV-分流 髂动脉 股腘动脉 膝下动脉外周介入 适应症 各种技术和效果本课程目标 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.主动脉以上动脉脑中动脉，MCA脑前动脉，ACA颈内动脉，ICA颈外动脉，ECA颈总动脉，CCA 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or

3、 distribute.主动脉以上动脉主动脉以上动脉正常解剖结构 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.S. Madhwal, J Invasive Cardiol May 2008 主动脉弓 分型 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.主动脉弓以上血

4、管的变异 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.Piton GC颈动颈动脉指引脉指引导导管管FiberNet EPS脑脑保保护护装置装置Submarine Rapido快速交快速交换换球囊球囊 0.018”Mo.Ma Ultra (单球囊)近端保近端保护护装置装置Cristallo Ideale颈动颈动脉自膨式混合脉自膨式混合设计设计支架支架Mo.Ma (双球囊)近端保近端保护护装置装置Mo.Ma Ultra (双球囊)近

5、端保近端保护护装置装置主动脉以上动脉 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.肾动脉http:/ http:/.my/prod05.htm;http:/ 胸腔隔膜肾肾动脉主动脉下腔静脉肾静脉食管肾上腺 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.AV-转流ht

6、tp:/ 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.Reef HPPTA 球囊球囊Hippocampus肾动肾动脉快速交脉快速交换换支架支架Racer RX肾动肾动脉快速交脉快速交换换支架支架Submarine Rapido快速交快速交换换球囊球囊 0.018”肾动脉 & AV-转流 2010 Medtronic, Inc. Content is confidential and proprietary.Interna

7、l Use Only! Do not copy or distribute.髂总动脉，CIA髂内动脉，IIA髂外动脉，EIA股深动脉，PFA股浅动脉，SFAhttp:/ 髂动脉和股腘动脉 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.腹主动脉/髂动脉/股总动脉1. 腹主动脉2. 髂总动脉3. 髂内动脉4 .髂外动脉5. 股总动脉6 股深动脉6 2010 Medtronic, Inc. Content is confidential

8、 and proprietary.Internal Use Only! Do not copy or distribute.腹主动脉 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.腹主动脉造影腹主动脉DSA腹主动脉 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.主髂动

9、脉造影图 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.髂动脉主要分支造影图 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.股动脉腘动脉股腘动脉 2010 Medtronic, Inc. Content is confidential and proprietary.

10、Internal Use Only! Do not copy or distribute.正常股腘动脉解剖 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.a) 股深动脉b) 股浅动脉股动脉造影 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.Admiral Xtreme

11、PTA球囊球囊 OTW 0.035”Maris/Maris Plus外周自膨式支架外周自膨式支架Assurant Cobalt髂动髂动脉球脉球扩扩支架支架 OTWComplete SE髂动髂动脉支架脉支架Scuba钴铬钴铬合金外周球合金外周球扩扩支架支架Pacific XtremePTA 球囊球囊 OTW 0.018”Pioneer Plus带带超声超声传传感感诊诊断探断探头头的的经经皮皮导导管管髂动脉和股腘动脉 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy

12、 or distribute.胫后动脉，PTA胫前动脉，ATA腓动脉，PA下肢 膝下动脉 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.胫腓干三分叉处的变异 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.膝下动脉4. 胫前动脉6. 胫后动脉6a. 腓动脉7. 足背动脉

13、8. 足底中动脉9. 足底外动脉10. 足底弓 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.膝下动脉造影腘动脉胫前动脉胫腓干腓动脉胫后动脉胫后动脉远端胫前动脉远端 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.造影显示胫前动脉、胫后动脉以及足部动脉均有长段闭塞 20

14、10 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.介入处理后胫后动脉造影 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.足动脉侧位前部：胫前动脉(1)延伸为足背动脉(2), 侧跗动脉(3), 和穿动脉(5)；后部：胫后动脉(11)远端在踝后演化为跖总动脉(7)，分叉为足底内动脉(8)和足底外动脉(9), 足底弓(10) ；中部：腓动脉远端 (12)；Chomel, S. et al. Am. J. Roentgenol. 2004;182:1435-1442 2010 Medtronic, Inc. Content is confidential and proprietary.Internal Use Only! Do not copy or distribute.足部动脉胫前动脉足背动脉胫后动脉远端足底外动脉足底内动脉足部弓 2010 Medtro