波科外周_Guidewires-中文(导丝)

Peripheral Guide Wires: 外周介入导丝： Standard, Hydrophilic & Specialty 标准，亲水性 & 特殊
This document is intended for internal educational purposes only and shall not be distributed outside of Boston Scientific.
Columnar strength 纵向强度
Kink resistant. 抗扭曲
Radiopaque 显影性
Frictionless 润滑性
Good visualization. 良好的可视性
Advancement through tortuous vessels; 通过迂曲的血管； smooth tracking of devices & catheters. 沿导丝推送器械 & 导管 Advancement and support of devices. 推送和支撑器械
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
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
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
Common guide wire lengths: 通常的导丝长度：
– 75cm, 150cm, Boston 180cm, 260cm, 300cm Scientific Confidential -- For Internal Use Only.
Do Not Copy, Display or Distribute Externally
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
Rail support 支撑力
Atraumatic tip Reduced vessel damage. -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 无创伤的头端Boston Scientific Confidential 减少对血管的损伤
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
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
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。
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
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.
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")
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 ibbon 安全带
•
Standard workhorse
ZIPwire® Guide Wire • Not indicated as a starter wire, but often used by physicians.
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally