腦血管解刨及神經(jīng)介入手術(shù)課件

腦血管解剖及神經(jīng)介入手術(shù)培訓(xùn)人:XX培訓(xùn)部門:商務(wù)部腦血管解剖及神經(jīng)介入手術(shù)1CONTENTS目錄主動(dòng)脈及顱內(nèi)動(dòng)脈神經(jīng)介入神經(jīng)介入大血管血管系統(tǒng)器械組合必備英語(yǔ)第2頁(yè)CONTENTS2主動(dòng)脈及大血管1主動(dòng)脈弓頭臂干觀長(zhǎng)動(dòng)林(右側(cè)a左但鎖胃下動(dòng)泳∠右鎖骨下動(dòng)脈作動(dòng)球25右頸總動(dòng)脈11甲狀頸干7右頸動(dòng)脈左頸動(dòng)脈右頸大動(dòng)脈骨下動(dòng)脈1右準(zhǔn)動(dòng)脈主動(dòng)脈引12左準(zhǔn)動(dòng)脈13右側(cè)閃乳動(dòng)泳14左閃乳動(dòng)泳15右倒日狀頸干16左日狀頸干17左倒肋頸干主動(dòng)弓公支臨床造影圖片主動(dòng)脈及大血管3弓的形態(tài)弓形ArchTypesmyla2019)TypeIArchTypeIIArchTypeIllArch弓的形態(tài)4弓的分型Ⅲ型型弓型如果cCA或|CA同樣嚴(yán)重迂曲有一定難度適合較硬導(dǎo)比較容易應(yīng)該放棄絲VTK、SM2及時(shí)更換手法要輕柔,防止斑塊脫落導(dǎo)管部分患者可考慮經(jīng)臂或橈動(dòng)脈穿刺弓的分型5常見(jiàn)主動(dòng)脈弓的變異頸總動(dòng)脈(左)甲狀頸干3數(shù)下動(dòng)3鎖學(xué)下動(dòng)脈(右常見(jiàn)主動(dòng)脈弓的變異6常見(jiàn)主動(dòng)脈弓的變異1彐4左側(cè)椎動(dòng)脈直接起源于主右側(cè)鎖骨下動(dòng)脈直接起源頭臂干動(dòng)脈和左側(cè)頸總動(dòng)動(dòng)脈弓于主動(dòng)脈弓脈共干常見(jiàn)主動(dòng)脈弓的變異7顱內(nèi)動(dòng)脈血管Hr:trulyaward頸動(dòng)脈系統(tǒng)椎基地動(dòng)前循環(huán))脈系統(tǒng)(后循Willis環(huán)系統(tǒng)顱內(nèi)動(dòng)脈血管8顱內(nèi)動(dòng)脈血管頸動(dòng)脈系統(tǒng)c3:破裂孔段c4:海綿竇段c5:床突段G7:交通段片分Mgsmafonorcatdartayn顱內(nèi)動(dòng)脈血管頸動(dòng)脈系統(tǒng)9顱內(nèi)動(dòng)脈血管頸動(dòng)脈系統(tǒng)大腦前動(dòng)脈ArteryPrecunealArteryA2:上行段A3:膝段胼周段A5:終段Extemalcarotidarter顱內(nèi)動(dòng)脈血管頸動(dòng)脈系統(tǒng)大腦前動(dòng)脈10腦血管解刨及神經(jīng)介入手術(shù)課件11腦血管解刨及神經(jīng)介入手術(shù)課件12腦血管解刨及神經(jīng)介入手術(shù)課件13腦血管解刨及神經(jīng)介入手術(shù)課件14腦血管解刨及神經(jīng)介入手術(shù)課件15腦血管解刨及神經(jīng)介入手術(shù)課件16腦血管解刨及神經(jīng)介入手術(shù)課件17腦血管解刨及神經(jīng)介入手術(shù)課件18腦血管解刨及神經(jīng)介入手術(shù)課件19腦血管解刨及神經(jīng)介入手術(shù)課件20腦血管解刨及神經(jīng)介入手術(shù)課件21腦血管解刨及神經(jīng)介入手術(shù)課件22腦血管解刨及神經(jīng)介入手術(shù)課件23腦血管解刨及神經(jīng)介入手術(shù)課件24腦血管解刨及神經(jīng)介入手術(shù)課件25腦血管解刨及神經(jīng)介入手術(shù)課件26腦血管解刨及神經(jīng)介入手術(shù)課件27腦血管解刨及神經(jīng)介入手術(shù)課件28腦血管解刨及神經(jīng)介入手術(shù)課件29腦血管解刨及神經(jīng)介入手術(shù)課件30腦血管解刨及神經(jīng)介