Robert子宫动脉导管 PPT课件.ppt

DEMONSTRATION OF ROBERTS UTERINE ARTERY ACCESS CATHETER 罗伯特子宫动脉导管介绍苏州大学附属第一医院介入科 Intended Use Used 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 。 Beacon ? Tip 不透 X线材料,由此增强了X线下的可视性。 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。 5F 渐变细为 4F, 利于插管。 ( 1200PSI 下) Advantages Advantages 优势 ORDER NUMBER TORCON NB ? ADVANTAGE CATHETER Beacon ? Tip stainless steel braided nylon French Size Wire Guide Diameter .035 inch Length 90 Tip Configuration RUC -35-90-P-NS-RUC RADIOPAQUE MARKER ROBERTS UTERINE ARTERY ACCESS CATHETER 罗伯特子宫动脉导管 RUC 两种插管方法 RUC 插入对侧髂外动脉,推送导管至转折标记点位于主动脉分叉处,继续推送导管进入腹主动脉呈成袢状态,然后下拉导管进入同侧或对侧子宫动脉。在导丝引导下将 RUC 直接插入对侧子宫动脉,完成介入治疗后,利用导丝在对侧臀上动脉成袢,再行同侧子宫动脉插管。常规应使用第一种方法 View of pelvic arteriogram shows a Varrel contralateral flush catheter used for positioning of wire over the bifurcation. A wire guide is placed through the Varrel contralateral flush catheter and positioned in the contralateral iliac artery. 导管在导丝导引下进入对侧髂动脉! The 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 Marker positioned at the top of bifurcation ( mag shot). 导管金属标记到达髂动脉分叉处 Catheter is now ready to be reformed. 导管准备塑性,以进入对侧髂内动脉