Turns和Corsair微導(dǎo)管的區(qū)別課件

1、march 2013aic internal training is the reseal weapon for the treatment of cto.1) passes through tight lesions by rotationmovement2) provides anchor effect to stabilize guiding catheter and guidewire once tornus enters the lesion1) provides superior tip flexibility which enables smooth approaches to

2、narrow, tortuous vessels and micro-channels.2) ease in crossing and dilating micro-channels or lesions is the first choice support devise for the treatment of cto and complex cases.shaftfull metal shaft without hydrophilicmetal shaft covered with hydrophilic polymer coatingdiameter2.1fr & 2.6fr.

3、(tapered: tip 2.1fr.) 2.6fr. (tapered: tip o.d 0.016)length135cm135cm & 150cmdimension0.64mm0.88mm8 wires twisted0.87mm0.45mm8 thinner wires twisted with 2 larger ones,inside with tungsten braiding japanese usage of tornus & corsair 2010tornus : used for cto antegrade approachcorsair 150 : u

4、sed for cto retrograde approachcorsair 135 : used for antegrade complex casespcsproduct positioning graph of tornus & corsairtornuscorsairhard tip for better penetrationflexible tip for sliding technique support gw exchange gwsuper selective injectionsmooth channel dilationcovered tube with hydr

5、ophilic coatingfor safe movementfull metal shaftfor smooth torque transmission and gc supporttwisted pitch for a hard plaquecrossability(hard lesion)flushing(nanto)(tip injection)trackabilityguidewiresupportvisibilityguidewireexchangesmoothseptaldilatationtornusadbabaccorsairbaaaaaaotw ballooncacbba

6、ca=good for b=possible c=not recommended d=difficultcorsairmaximum rotation with tip trapped:10 timesflushing technique and trapping technique are useful to removetornusmaximum rotation with tip trapped:20 timesextension wire is needed to removeto advance = counter clockwiseto remove = clockwisesoak

7、 in salineto advance = soft rotationto remove = soft rotationflush with salinekey word: wire passed but other device cannot pass.key word: wire passed but other device cannot pass.key word: wire passed but other device cannot pass.key word: superb support for soft wiresafter asahi corsair came to th

8、e cto-pci, the more soft wires started to use.superb support of asahi corsairkey word: superb support for soft wiresdata: dr. o. katoh cit 2012effective supportspecialized for guidewire support for antegrade approach than other microcatheter.good for the loose tissue tracking.(prohibited to use for

9、calcified lesion)positioned as a reseal weapon in the cath lab for the case that no other devices follow a guidewire.additional slides:asahi corsair and fielder xt promotional pointaic corsair and xt sales situation. (fy35 fy37 actual)pci market for aic: china=365,000cases, taiwan & hong kong=55

10、,000total pci=420,000cases, cto 5% = 21,000cases + sub total casescorsair and xt usage for antgrade cto15loose atheroma tracking with corsairthe backup support that corsair delivers whilst inside the lesion is highly superior to a microcatheter.after crossing the lesion with the soft polymer wire co

11、rsair can track on the wire into the lesion.the safety of the procedure has increased with this corsair + polymer wire set.why soft tapered gw ?0.014” guidewire= 360m0.009” guidewire= 230mtapered small tip enters microchannelfrom pathology data of ctos, average 200m of microchannel exist in some les

12、ions.why soft tapered gw ?tips before gw step-up - back-up with corsairdelivering the corsair closer to guidewire tip, push force of soft floppy guidewire will be improved up to intermediate type.test modeltubespan aspan (1/2)xagw1.01.31.94.20.01.02.03.04.05.0(1/4)a(1/2)a(3/4)aadistance of guidewire

13、 out of the tuberate of increased load*assume the load for a as 1.0test model : fielder xtcloser to guidewire tipprior grading of lesion difficultymorino et al. jacc interv 2011;4:213-21 entry shape : tapered (0), blunt (1) lesion calcification: no (0), yes (1) bending 45 of cto: no (0), yes (1) occlusion length: 20mm (1) re-try lesion: no (0), yes (1)total points easy : 0 intermediate : 1 difficult : 2 very difficult : 3prior grading of lesion difficultyj-cto scoremorino et al.