波科外周 Guidewires-中文(导丝)

PI Guide Wires
General Features & Intended Benefits
Ideal Guide Wire Features
Steerability/torque control 操控性/扭转控制
Intended Benefit
Easily directed through the body. 从体外操控导丝
PI Guide Wires General
Components 外周介入导丝的一般结构
Lubricious Coating: PTFE, Silicone, or Hydrophilic 光滑涂层：PTFE，硅，或亲水性
Core Wire: Usually Stainless Steel or Nitinol 导丝轴芯：通常为不锈钢和镍钛诺合金
PI Guide Wires
Distal Tip Configurations 远端头端的类型
Tip Configurations: 头端类型： • Straight, angled, J-Tip 直型，成角型， J型 • Non-hydrophilic, hydrophilic 非亲水性，亲水性 • Standard, floppy, stiff 标准型，松软型，硬型 • Tip taper 渐细的锥形头端
Extra Support (Stent): Amplatz Guide Wire 额外支撑（支架）： Amplatz 导丝 • Long rail support region, but soft tip 杆身支撑力更强，柔软的头端 • Designed for first generation stent delivery 设计用于放置第一代的支架
Distal Tip 远端
Coil wire 螺旋金属丝
Core wire 轴芯
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally
PI Guide Wires
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally
PI Guide Wires
Sizing – Diameters & Lengths 尺寸 – 直径 & 长度
Distal Tip: Working end of wire; comes in multiple shapes: straight, angled, shapeable, J 远端头端：导丝的工作端；有多种形状：直型，成角型，可塑性，J型 Proximal End 近端
Safety Ribbon 安全带
Diameters most commonly used in interventions: 在介入手术中最常使用的导丝直径：
– .014” - Coronary and small vessel balloons - 冠状动脉和小血管球囊 – .018” - Renal and small vessel balloons - 肾动脉和小血管球囊 – .035” - Balloons and catheters, “workhorse” - 球囊和导管，“使用最普遍” – .038” - Large devices requiring extra support (rarely used) - 需要额外支撑的较大器械（很少使用） • Other less common diameters are .032” and .025” 其他较少使用的直径： .032” 和 .025” • Trend towards smaller diameters (.014”) 趋向于小直径导丝（.014”）
PI Guide Wires
BSC Products
The three classifications of wires sold by Boston Scientific are:
• Standard Guide Wires 标准导丝 – Starter™ Guide Wire (includes Bentson, Newton, & Rosen shapes) • Hydrophilic Guide Wires 亲水性导丝 – ZIPwire® Guide Wire (.18”, .025”, .035”, .038") • Specialty Guide Wires 特殊导丝 – V-18™ Control Wire® Guide Wire (.018") – Platinum PLUS™ Guide Wire (.014”, .018“, .025”) – Thruway™ Guide Wire (.014" & .018") – Magic Torque™ Guide Wire (.035") – Amplatz Super Stiff™ Guide Wire (.035“ & .038”) – Meier Guide Wire (.035")
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally
PI Guide Wires
Types for Gaining Initial Access
Bentson Guide Wire • Straight, floppy, atraumatic tip J-Tip Guide Wire • Atraumatic - use when worried about the potential for vessel perforation. 无创伤 – 用于避免血管壁穿孔 Starter™ Guide Wire
Rail support 支撑力
Atraumatic tip Reduபைடு நூலகம்ed vessel damage. 无创伤的头端Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 减少对血管的损伤
All routine procedures.
ZIPwire® Guide Wire
When a standard wire won’t “go”; total occlusions. 当标准导丝无法通过时；完全阻塞的病变
When more support is needed such as filter placement and carotid catheter placement. 当需要更多的支撑时，如放置血栓保护装置和颈动脉导 管。 Negotiating difficult vessels, sizing vessels, sizing IVC filters.
Common guide wire lengths: 通常的导丝长度：
– 75cm, 150cm, Boston Scientific Confidential -- 300cm Use Only. 180cm, 260cm, For Internal
Do Not Copy, Display or Distribute Externally
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally
PI Guide Wires
Overview
Purposes of a guide wire: 导丝的作用： • Gain access into vessels 到达目标血管 • Deliver devices 输送手术器械 • Cross lesions 穿越病变部位 Used in vascular and non-vascular procedures 可用于血管和非血管介入手术 Used in all diagnostic and therapeutic procedures 可用于所有的诊断和治疗介入手术 The Backbone of every procedure 每例介入手术均需使用 Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally Boston Scientific
Amplatz Super Stiff™ Guide Wire
Magic Torque™ Guide Wire
Meier Wire
AAA indicated; stiffer than Amplatz with a softer, radiopaque tip.
IVUS, small vessel (.014” & .018”). Small vessels (.018”), tortuous anatomy, contralateral. 小血管（.018”），迂曲的血管，对侧病变。
Core Wire – Flexibility & Support 轴芯 – 柔韧性 & 支撑力
Floppy/Light Support (POBA): Starter™ Guide Wire 松软型/轻度支撑（POBA）：StarterTM 导丝 • Most flexible; least rail support 最佳的柔韧性；最小的支撑力 • Less likely to cause vessel damage 最小的血管损伤 Moderate Support (Stent): Magic Torque™ Guide Wire 中度支撑（支架）： Magic Torque™ 导丝 • Rail support between Floppy & Extra Support 介于松软型 & 超硬导丝之间 • Added support for stent delivery 为放置支架提供额外的支撑