神经介入器械索引录-必看PPT参考幻灯片

神经介入器材索引录郑州大学第一附属医院神经介入科1目录第一章：神经介入一般器材一常用手术器械....5二穿刺针...........6　　三血管鞘...........7四导丝............10五导管............12六连接管..........14七Y阀.............14八压力泵..........14第二章：神经介入特殊器材一微导丝.......16二微导管.......19三导引导管.....23四扩张球囊.....26五辅助球囊.....29六栓塞保护器...31七止血器.......32八异物取出器...3322020/2/22目录第三章：神经介入植入器材一弹簧圈.....34二支架.......48三栓塞胶.....58四栓塞球囊...61第四章;神经介入辅助器材一解脱系统....62二塑形器.......62三震荡器.......62四加压袋.......62第五章：器械组合一脑血管（脊髓血管）造影.......65二颅内动脉瘤介入治疗...........66三动静脉畸形（瘘）介入治疗.....67四颈动脉海绵窦瘘（CCF）介入治疗........68五脑动脉狭窄...................69六静脉窦病变的介入治疗.........70七急性脑缺血性脑卒中介入治疗....7132020/2/22第一章：神经介入一般器材一：常规手术器械消毒手术包：用于建立无菌手术台和操作区域，包括：敷料包（小治疗巾3条、小洞巾1条、双层大洞巾一条、手术衣3件、无菌纱布10块）；器械包:（环钳、血管钳、手术镊、刀柄、持针器等）；消毒盘、消毒盆；注射器：用于局部麻醉、冲洗、注射等（1ml、5mL、10mL、20m1）；输液器：用于输液2-3条、灌注1-4条；手术刀片：多为尖头刀片，用于扩张穿刺道；皮针及缝线：用于留置动/静脉鞘管；机器隔离罩：隔离DSA增强器、防护屏等，保证无菌操作42020/2/22二、穿刺针：介入治疗最基本的器材，建立血管通路的第一要物，有套管针和裸针两种,以穿刺针的外径单位“G”（gauge）示，常用18-21“G”内径外径适配导丝Ginmminmminmm180.0421.060.481.220.032-0.0380.81-0.97210.0220.560.0320.820.0180.4652020/2/22三、血管鞘：是连接血管腔到皮肤外界通路的装置，是经血管介入的最常用器材。血管鞘由导丝、扩张器和外鞘（穿刺针）组合而成直径以外鞘管的内径表示,单位“F”（French），（1F=0.33cm=0.013in）常用血管鞘内径5-8F、长度10-23cm**血管长鞘仅有扩张器和外鞘组成，多用于建立远端血管与皮肤外界通路常用6-8F、长度70-90cm62020/2/22产品名称鞘长度(cm)鞘直径(Fr)导丝直径(inch)穿刺针（G）生产商普通血管鞘10CM4-70.03818GTermo桡动脉血管鞘16CM60.03820GTermo长血管鞘25CM5-70.03818GTermo血管鞘11-23CM4-110.035---Cordis血管鞘11CM60.02121G穿刺针Cordis导管鞘Prelude11-23CM4-80.035部分型号带18G穿刺针Merit常用普通血管鞘72020/2/22**血管长鞘品名Flexor/shuttle-SLBritetip型号6F7F8F6F工作长度70/90cm70/90cm70/90cm90cm外径：2.21mm2.54mm2.87mm2.0mm内径：0.38”0.97mm0.38”0.97mm0.38”0.97mm0.035”0.089mm生产商COOKCOOKCOOKCORDIS82020/2/22四、导丝：是用于引导导管进入血管，利用导丝的导向和支撑性配合介入器械进入血管及其分支血管的重要器材。根据其不同的设计分为超：滑导丝、加硬导丝、交换导丝。导丝以直径“英寸”（in）表示（1in=2.54cm），头端呈“J”型。常用：Terumo0.035in/150-180cm亲水膜导丝和0．035in/260亲水膜加硬交换导丝92020/2/22品名规格特点生产厂家水膜导丝ANGLED0.035”180cm柔软，3cm软头，J型Terumo水膜加长导丝ANGLED0.035”260cm柔软，3cm软头，J型Terumo水膜加硬导丝STIFF0.035”260cm加硬，3cm软头，J型Terumo加硬交换导丝AmplatzExtraStiff0.038”260cm加硬，3cm软头，直头cook常用导丝102020/2/22五、导管：介入治疗最基本器械，可用于造影、引流、灌注等。导管根据性能不同分类繁多导管的管径是以外径单位“F”（French）表示。神经介入常用4F/5FVertebra、猎人头、SIM2型、猪尾导管VTK、MPA1......。112020/2/22品名型号通过导丝生产商猪尾导管5F/110cm0.038”Pmax1000psiTerumoVertebra5F/100cm0.038”Pmax1200psiCordisMPA（1）5F/125cm0.038”Pmax1200psiCordisSIM2型5F/100cm0.038”Pmax1200psiCordisSIM2型5F/100cm0.038”Pmax1200psi11cc/seccookVTK5F/125cm0.038”Pmax1200psi7cc/seccook蛇管C25F/80cm0.038”Pmax1200psi13cc/seccook猎人头5F/100cm0.038”Pmax1200psi11cc/seccook常用造影导管：122020/2/22六、压力延长管：用于连接高压注射器和导管等的透明管道，实现高压造影管径大小以“F”（French）表示，长度50-150cm，常用5F/150cm，最高耐压达1200PSI，容量3.88ml七、止血阀：血管成型术用套件，带有金属导丝插入工具和扭控器，起到失血少，控制自如的作用，有两相和三相之分八、压力泵：该产品由压力表头、注射器、延长管和普通压力三通连接器组成。应于血管成形术，扩张球蘘或其他介入设备132020/2/22注意：神经介入一般介入器材的种类相对简单，所用血管鞘与导管的配合操作机会却较多。同样标注的鞘和导管直径，其表达的意义却不同（如：6F的鞘和导管，同样是6F,但是鞘是以内径为标注，而导管却是以外径为标注因此，6F鞘可允许6F导管通过，反之不可。142020/2/22第二章：神经介入专业器材一、微导丝：是微导管进入目标血管的轨道。神经介入用微导丝品种多样，其规格0.008~0.018in、长度200-300cm头端柔软不透光二、可塑形。由于生产工艺和材料的不同，其性能各异 152020/2/22医生期望的理想微导丝应具备： 操控性/扭控性通过迂曲的血管远端/头端对扭力的反应跟踪性可通过器械/血管（近端支撑/扭转反应的结合）亲水涂层可提高跟踪性推送性须有足够的近端支撑柔软度/头端柔软度通过迂曲的血管/安全可塑形在手术中可进行二次塑形可视性头端在荧光镜下必须可见支撑性导管可以跟踪到达目标位置形状保持能力能耐受反复和长时间操作兼容性与多种器械兼容162020/2/22理想微导丝操控性/扭控性推送性跟踪性柔软度塑形性可视性兼容性支撑性形状保持能力品名直径in长度cm软头/显影cm生产商Mirage™0.008/0.01220010Medtronic-EV3Avigo™0.01420538Medtronic-EV3X-celerator0.010/0.014,300/35010/20Medtronic-EV3Traxcess™140.012/0.0142003/40MCVTraxcess™14EX0.012/0.0142006/40MCVTraxcess™DockingWire0.014115-MCVSynchro™100.010/0.01220010/55StrykerTransend™100.0102052/61StrykerSynchroR140.014200/30015/35StrykerTransend™3000.0143003CM/35StrykerV-18™0.0183008Boston常用微导丝172020/2/22二、微导管：在微导丝的指引下到达治疗区域并输送手术器械到达治疗区域，在整个治疗时间中持续发挥作用微导管包括：栓塞微导管、支架输送微导管、适配onyx微导管等182020/2/22品名性能Echelon10Echelon14ExcelsiorSL-10HEADWAY™17/11cmHEADWAY™17/30cmProwler10Prowler14头端形状直/45/90直/45/90-直/45/90-直/45/90直/45/90工作长度150cm150cm150cm150cm150cm150150cm外径：近端/远端2.1F/1.7F2.4F/1.9F2.4F/1.7F2.4F/1.9F2.4F/1.9F2.3/F1.7F2.3F/1.9F内径：近端/远端0.017”0.017”0.0165”0.017”0.017”0.0150.0165”最大容纳导丝0.014”0.014”0.014”0.014”0.014”0.012”0.014”导管死腔0.34mL0.34mL-0.29mL0.29mL0.20ml0.35-0.38mL导引导管最小内径0.050”0.050”0.035”0.056”0.056”0.0350.035”头端标记221/2221/21/2生产商Medtronic-EV3Medtronic-EV3StrykerTERUMOTERUMOCodmanCodman常用栓塞导管192020/2/22品名性能Rebar18Rebar27ExcelsiorXT-27MarksmanProwler1SelectplusHendway21VASCO+21/25/28配套支架SAB4mmSAB6mmNewformEZPepelineEntprise(SAB4mm)lvisLeo2.5-3.5/4.5/5.5mm工作长度cm130/153130/145135/150135/150150150149外径：近端/远端2.8F/2.3F2.8F/2.8F2.9F/2.7F3.2F/2.8F2.8F/2.3F2.5F/2.0F3.3F/3.0F内径：in近端/远端0.0210.0270.0270.0270.0210.0210.029头端标记2211222生产商Medtronic-EV3Medtronic-EV3StrykerMedtronic-EV3CodmanTERUMOBalt常用支架输送微导管202020/2/22品名性能MarathonRebar18Echelon10Echelon14Apollo头端可解脱Onyx输送专用微导管Prowler10工作长度（cm）150cm153cm150150150150外径:近端/远端2.7F/1.5F2.8F/2.3F2.1F/1.7F2.4F/1.9F2.7F/1.9F/1.5F2.3F/1.7F内径in0.013”0.021”0.017”0.017”0.013”0.015”最大容纳导丝0.0100.0140.0140.0140.0100.012管死腔0.23mL0.34mL0.34mL0.34mL0.23mL0.20ml生产商Medtronic-EV3Medtronic-EV3Medtronic-EV3Medtronic-EV3Medtronic-EV3Codman漂浮微导管及适配onyx微导管：212020/2/22三、导引导管：是治疗系统的传输通道，是手术成功的关键，主要功能是传送后续器械、监测血流动力学参数及注射造影剂等导引导管分为四段:超软可视头段、柔软同轴段、中等硬度抗折段及扭控段具有稳定的支撑性、抗扭折性及头端可视等按照管腔直径的大小分为:5F、6F、7F、8F22常用导引导管品名性能ENVOYVATARConciergeChaperon头端形状5F/MPD6F/MPD8F/MPA16F/MP26FMP2工作长度cm90/10090/1009010095外径：F5F1.65mm6F2.0mm8F2.7mm6F2.0MM6F2.1mm内径：in0.561.5mm0.0701.8mm0.0882.2mm0.0701.78mm0.0711.8mm生产商CodmanCodmanCordisMeritMCV232020/2/22常用导引导管----颅内支撑导管品名性能NAVIEN头端形状5F直头6FP.25工作长度cm105/115/125105/115外径：F5F1.8mm6F2.0mm内径：in0.0581.5mm0.0721.8mm生产商EV3EV3242020/2/22四.球囊导管品名性能GatewayUltra-softSV球囊直径mm1.52.0-3.75（以0.25递增）3.0-4.04.0-5.05.0-6.5球囊长度mm9,159,15,2020-3015-2015-20导管外径F：近端/远端3.2/2.73.2/2.72.6/1.93.23.2-3.5/3.2最大容纳导丝in≤0.014≤0.014≤0.014≤0.018≤0.18导引导管最小内径5F5F5F6F6F工作压力atm6.06.0666爆破压力atm1212141414交换方式同轴快速交换生产商StrykerBoston252020/2/22品名性能SprinterLegendNCSprinterAviatorPlusTREKMINITREKNCTREK球囊直径mm2.5/3.0以0.25递增3.5-4.0以0.25递增4.0-5.0以0.50递增4.0/5.0/6.01.5/2.0/2.52.5-4.5以0.25递增球囊长度mm12/15/209/12/159/12/1515/20/30/406/8/12/15/20(>2.0增加25/30）6/8/12/15/20导管外径F：近/远2.6/1.92.6/1.93.0/1.93.32.3/2.12.7/2.3导丝in0.0140.0140.0140.0140.0140.014导引导管最小内径5F5F6F6F5F5F工作压力atm8101010812爆破压力atm121818141418生产商MedtronicCordisAbbott快速交换球囊导管262020/2/22球囊导管(其他）品名性能PowerFPorSterling球囊直径mm3-123-7球囊长度cm2/3/4/6/8/12/15/222/3/4/5/6导管外径5F4F容纳导丝in0.0350.014/0.018导引导管最小内径6F6F工作压力atm106爆破压力atm1514生产商CordisBoston272020/2/22五、辅助球囊导管(顺应球囊导管）HyperForm封堵球囊导管是由封堵球囊导管和0.010英寸/0.254mm的亲水性导丝组成的套装产品，其中球囊导管为单腔球囊导管HyperForm型号3x73x154x74x154x207x77x15导管长度cm150150150150导管直径远/近F2.2/2.82.5/2.82.8/3.0组合导丝0.010”0.010”球囊扩充体积正常/最大CC0.04/0.080.08/0.170.06/0.150.11/0.350.13/0.450.27/0.350.35/0.69适用血管部位Acom，PICA，A3，M3等远端细小血管基底动脉顶端，粗大ICA，球囊闭塞实验Pcom，ICA终末段，后循环血管生产商EV3282020/2/22ScepterC型号4x154x20导管长度150（头端5mm）导管容量0.40ml0.44ml外径F：近端/远端2.8/2.12.8/2.1正常扩充直径4mm0.18ml4mm0.22ml最大可扩充直径5mm（0.38ml）5mm（0.46ml）适应导丝0.014MCVScepterC：顺应性球囊，能可靠的用于血管封堵与DMSO兼容用于注射ONYX等液体栓塞剂同时可用于输送弹簧圈等292020/2/22品名性能SpiderFX™FilterWireEZ™RXAccunrt伞直径mm5.06.03.5-5.55.5导丝直径in0.0140.36mm0.0140.36mm0.0140.36mm0.0140.36mm导丝长度mm190190190190导丝头端长度1.2cm1.2cm3cm3cm输送导管直径0.040”（1.02mm）0.044”1.17mm导引导管最小直径0.66”1.68mm0.066”1.68mm0.085”2.2mm适应血管直径4.1-5.0mm4.5-6.0mm3.5-5.5mm4.0-5.0mm生产商EV3BostonAbbott六、血栓保护器302020/2/22品名动脉压迫止血器StarcloseSEProGlide作用方式压迫血管止血血管闭合止血血管缝合止血途径皮肤血管血管说明用于股动脉穿刺术后穿刺处压迫止血8-12小时，遵医嘱活动用于6F鞘治疗的患者，血管闭合4小时可活动特殊情况遵医嘱接受5-8F鞘治疗者缝合2小时可活动，8F以上者或特殊情况时遵医嘱生产商-AbbottAbbott七、止血器：用于股动脉穿刺术后穿刺点的处理目的：减少并发症，增加患者舒适感312020/2/22八异物取出器品名ENSnare（MINI）AMPLATZGOOSENECK套圈直径范围2-4mm4-8mm20mm长度175cm175cm120可接受工作直径3-5mm6-10mm--导管直径3.2F3.2F6F导管长度150cm150cm102生产商MERITEV3322020/2/22第三章：神经介入植入器材一、弹簧圈：微弹簧圈种类繁多，依据设计大小、形状、软硬度、生物活性材料涂层以及解脱方式区分。1.按二级螺旋形态–3D圈、2D圈、1D圈2.按使用顺序–成篮圈、填充圈、收尾圈3.按修饰材料–铂金裸圈、水凝胶膨胀圈、纤毛圈4.按解脱方式–电解脱（MV、Stryker）、水压解脱（J&J）、机械解脱（ev3）5.按圈丝粗细–10系列、14系列、18系列332020/2/22Axium3D弹簧圈型号直径MM长度CM圈直径”体积mm3QC-2-2220.01151.34QC-2-4240.01152.43QC-2-6260.01154.02QC-3-4340.01152.63QC-3-6360.01154.02QC-3-8380.01155.36QC-4-6460.01254.75QC-4-8480.01256.23QC-4-104100.01257.92QC-4-124120.01259.50QC-5-8580.01256.33QC-5-105100.01257.92QC-5-155150.012511.88QC-6-106100.01257.92QC-6-156150.012511.88QC-6-206200.012515.83QC-7-157150.013513.85QC-7-207200.013518.47QC-7-307300.013527.701、AxiumDetachableCoils裸金属弹簧圈（3D）Axium3D弹簧圈型号直径MM长度CM圈直径”体积mm3QC-8-158150.013513.85QC-8-208200.013518.47QC-8-308300.013527.70QC-9-209200.013518.47QC-9-309300.013527.70QC-10-2010200.013518.47QC-10-3010300.013527.50QC-12-3012300.014531.96QC-12-4012400.014542.67QC-14-3014300.014531.96QC-14-4014400.014542.61QC-16-4016400.014542.61QC-18-4018400.014542.61QC-20-4020400.014542.61QC-20-5020500.014553.27QC-22-5022500.014553.27QC-25-5025500.014553.27适配微导管内径0.014-0.017342020/2/22AxiumHelix填充圈型号直径MM长度CM圈直径”体积mm3QC-1.5-21.520.01151.34QC-2-1210.01150.67QC-2-2220.01151.34QC-2-3230.01152.01QC-2-4240.01152.43QC-2-6260.01154.02QC-2-8280.01155.26QC-3-4340.01152.63QC-3-6360.01154.02QC-3-8380.01155.36QC-4-8480.01256.23QC-4-104100.01257.92QC-4-124120.01259.50QC-5-155150.012511.88QC-5-205200.012515.83QC-6-206200.012515.83QC-7-207200.013518.47AxiumHelix填充圈型号直径MM长度CM圈直径”体积mm3QC-7-307300.013527.70QC-8-208200.013518.47QC-8-308300.013527.70QC-9-209200.013518.47QC-9-309300.013527.70QC-10-2010200.013518.47QC-10-3010300.013527.50QC-12-3012300.014531.96QC-12-4012400.014542.67QC-14-3014300.014531.96QC-14-4014400.014542.61QC-16-3016300.014531.96QC-16-4016400.014542.61QC-18-4018400.014542.61QC-20-4020400.014542.61QC-20-5020500.014553.27适配微导管内径0.014-0.0172、AxiumDetachableCoils裸金属弹簧圈（2D）352020/2/22AxiumHalf-sizeHelix弹簧圈型号直径mm长度cm圈丝直径mmNC-1.5-11.510.29/0.0115NC-1.5-21.520.29/0.0115NC-1.5-31.530.29/0.0115NC-1.5-41.540.29/0.0115NC-2.5-22.520.29/0.0115NC-2.5-42.540.29/0.0115NC-2.5-62.560.29/0.0115NC-2.5-82.580.29/0.01153、AxiumDetachableCoils半号裸金属弹簧圈AxiumHalf-size3D弹簧圈型号直径mm长度cm圈丝直径mmNC-2.5-22.520.29/0.0115NC-2.5-42.540.29/0.0115NC-2.5-62.560.29/0.0115NC-2.5-82.580.29/0.0115NC-3.5-63.560.29/0.0115NC-3.5-123.5120.29/0.0115NC-3.5-153.5150.29/0.0115362020/2/22AxiumPGLA3D弹簧圈型号直径mm长度cm圈丝直径mm/inPC-2-2-3D220.29/0.0115PC-2-4-3D240.29/0.0115PC-2-6-3D260.29/0.0115PC-3-4-3D340.29/0.0115PC-3-6-3D360.29/0.0115PC-3-8-3D380.29/0.0115PC-4-8-3D480.32/0.0125PC-4-12-3D4120.32/0.0125PC-5-10-3D5100.32/0.0125PC-5-15-3D5150.32/0.0125PC-6-15-3D6150.32/0.0125PC-6-20-3D6200.32/0.0125PC-7-20-3D7200.34/0.0135PC-7-30-3D7300.34/0.0135PC-8-20-3D8200.34/0.0135PC-8-30-3D8300.34/0.0135PC-9-20-3D9200.34/0.0135PC-9-30-3D9300.34/0.0135PC-10-20-3D10200.34/0.0135PC-10-30-3D10300.34/0.0135AxiumPGLAHELIX弹簧圈型号直径mm长度cm圈丝直径mm/inPC-1.5-21.520.29/0.0115PC-2-1210.29/0.0115PC-2-2220.29/0.0115PC-2-3230.29/0.0115PC-2-4240.29/0.0115PC-2-6260.29/0.0115PC-2-8280.29/0.0115PC-3-4340.29/0.0115PC-3-6360.29/0.0115PC-3-8380.29/0.0115PC-4-8480.32/0.0125PC-4-104100.32/0.0125PC-4-124120.32/0.0125PC-5-155150.32/0.0125PC-5-205200.32/0.0125PC-6-206200.32/0.0125PC-7-307300.34/0.0135PC-8-308300.34/0.0135PC-9-309300.34/0.0135PC-10-3010300.34/0.01354、AxiumPGLADetachableCoils微纤毛弹簧圈372020/2/225、AxiumNylonDetachableCoils微纤毛弹簧圈AxiumPrime弹簧圈型号直径mm长度cm圈丝直径mmNC-1.5-21.520.29NC-2-1210.29NC-2-2220.29NC-2-3230.29NC-2-4240.29NC-2-6260.29NC-2-8280.29NC-3-4340.29NC-3-6360.29NC-4-8480.32NC-4-104100.32NC-4-124120.32NC-5-155150.32NC-5-205200.32NC-6-206200.32NC-7-307300.34NC-8-308300.34NC-9-309300.34NC-10-3010300.34382020/2/22MICRUSPHERECOIL成蓝中心开放型号直径mm长度cm圈直径”SPH1002002022.50.010SPH100250202.53.30.010SPH1003002035.40.010SPH100350203.56.60.010SPH1004002047.50.010SPH1005002059.70.010SPH10060020611.90.010SPH100620206200.010SPH10070020713.90.010SPH100720207200.010SPH10080020816.10.010SPH100825208250.010SPH10090020918.40.010SPH100925209250.010SPH101000201020.30.010SPH1010302010300.010适配微导管内径0.014--0.017”MICRUSPHERECOIL成蓝中心开放型号直径mm长度mc圈直径”CSP1002003022.50.010CSP100250302.53.30.010CSP1003003035.40.010CSP100350303.56.60.010CSP1004003047.50.010CSP1005003059.70.010CSP10060030611.90.010CSP100620306200.010CSP10070030713.90.010CSP100720307200.010CSP10080030816.10.010CSP100825308250.010CSP10090030918.40.010CSP100925309250.010CSP101000301020.30.010适配微导管内径0.014--0.017”Codman弹簧圈（1）392020/2/22PRESIDIOCOIL型号直径mm长度cm圈直径”PC410041230411.50.010PC4100517305170.010PC4100626306260.010PC4100730307300.010PC4100829308290.010PC4180830308300.018PC4180933309330.018PC41810343010340.018PC41811373011370.018PC41812403012400.018PC41813433013430.018PC41814473014470.018PC41815503015500.018PC41816473016470.018PC41817503017500.018PC41818463018460.018PC41819503019500.018PC41820503020500.018适配微导管内径0.017--0.021”Codman弹簧圈（2）CASHMERECOIL型号直径mm长度cm圈直径”CRC1402253022.50.014CRC14030330330.014CRC14030430340.014CRC14030630360.014CRC1404453044.50.014CRC14040630460.014CRC14040830480.014CRC14050730570.014CRC140512305120.014CRC14060930690.014CRC140615306150.014CRC140711307110.014CRC140717307170.014CRC140812308120.014CRC140820308200.014CRC140922309220.014CRC1410163010160.014CRC1410253010250.014CRC1411183011180.014CRC1411273011270.014CRC1412303012190.014CRC1412303012300.014适配微导管内径0.0165—0.019”402020/2/22DELTAPAQCOLL三角螺旋技术型号直径mm长度cm圈直径”CDF100152301.520.010CDF100154301.540.010CDF100156301.560.010CDF10020230220.010CDF10020330230.010CDF10020430240.010CDF10020630260.010CDF10020830280.010CDF100210302100.010CDF100252302.520.010CDF100254302.540.010CDF100256302.560.010CDF100258302.580.010CDF10030430340.010CDF10030630360.010DELTAPAQCOLL三角螺旋技术型号直径mm长度cm圈直径”CDF10030830380.010CDF100310303100.010CDF10040630460.010CDF10040830480.010CDF100410304100.010CDF100510305100.010CDF100515305150.010CDF100612306120.010CDF100616306160.010CDF100716307160.010CDF100720307200.010CDF100820308200.010CDF100925309250.010CDF1010253010250.010适配微导管内径0.014--0.017Codman弹簧圈（3）412020/2/22hypersoft填充型号直径mm长度cm初级线圈直径mm1*1110.2791*2120.2791.5*11.510.2791.5*21.520.2791.5*31.530.2791.5*41.540.2792*2220.2792*3230.2792*4240.2792*6260.2792*8280.2793*4340.2793*6360.2793*8380.2793*103100.2794*6460.2794*8480.2794*104100.279适配微导管内径0.010-0.014complex1D成蓝型号直径mm长度cm初级线圈直径mm2*4240.3563*7370.3564*104100.3565*125120.3566*156150.3567*187180.3568*208200.3569*249240.35610*2610260.35611*2811280.35612*3112310.35613*3213320.35614*3414340.35616*3916390.35618*4418440.35620*5020500.356适配微导管内径：0.014-17MicroVention弹簧圈（1）422020/2/22Helical-regular填充型号直径mm长度cm初级线圈直径mm5*155150.22545*205200.22546*156150.22546*206200.22547*307300.22548*308300.22549*309300.225410*3010300.2254适配微导管内径:0.010-0.014Hydrosoft膨胀填充型号直径mm长度cm初级线圈直径mm2*1210.3042*2220.3042*3230.3042*4240.3042*6260.3043*6360.3043*8380.3044*8480.304适配微导管内径0.014-0.017MicroVention弹簧圈（2）432020/2/22GDC360圈型号直径mm长度cm圈直径”2*4242*6263*5353*6363*8384*7474*8485*9596*116116*156157*157158*208209*2092010*20102011*201120适配微导管内径可通过马拉松导管Matrix2成蓝型号直径mm长度cm圈直径”2*2222*3232*4242*6263*6363*8383*15354*8484*154154*204205*105105*155156*106106*156157*157157*207207*30730适配微导管内径Stryker弹簧圈442020/2/22型号直径mm长度cm圈直径”型号直径mm长度cm圈直径”10-1D210.01010-2D5150.010　220.010　6200.010　230.010　10300.010　240.01010-3D480.010　260.010　5150.010　340.010　6150.010360.010　7300.010　380.010　8200.010　480.010　8300.010　4100.010　10300.010　4120.01018-1D10300.018　5100.010　12300.018　5150.010　14300.018　5200.010　16300.018　6150.010　18300.018　7200.010　20300.018　7300.01018-3D8300.018　8300.010　12300.018　9300.010　14300.018　10300.010　16300.01810-2D380.010　18300.018　4100.010　20300.018JasperDetachableCoils452020/2/22直径mm长度cm一级丝直径mm1.51/20.31-0.3421/2/3/4/6/8/100.31-0.342.54/6/8/100.31-0.3433/4/6/8/10/12/150.31-0.343.54/6/8/10/12/150.31-0.3444/6/8/10/120.31-0.344.56/8/10/12/0.31-0.3458/10/12/15/200.31-0.3468/10/12/15/200.31-0.34国产电解脱弹簧圈适配0.010微导管备有解脱专用电源盒、解脱线维新国产弹簧圈直径mm长度cm一级丝直径mm58/10/0.34-0.3868/10/15/20/25/300.34-0.38710/12/20/25/300.34-0.38812/15/20/25/300.34-0.38920/25/300.34-0.381015/20/300.34-0.381216/20/30/40/500.34-0.381420/30/40/500.34-0.381620/30/40/500.34-0.381830/40/50/0.34-0.382030/40/500.34-0.38适配0.010微导管SEDC-10SEDC-14462020/2/22LeoWilisLvisNeuroformWingspanEnterpriceApollosolitaireABpipeline二、支架47品名Wingspan®Neuroform3®NeuroformEZ支架设计自膨/镍钛/开环自膨/镍钛/开环自膨/镍钛/开环可选支架直径mm2.5/3.0/3.5/4.0/4.52.5/3.0/3.5/4.0/4.52.5/3.0/3.5/4.0/4.5可选支架长度mm9/15/2015/20/3015/20/30推荐血管直径mm2.0~4.52.0~4.52.0~4.5网孔尺寸最小径mm2.0~2.5F0.67~0.832.0~2.5F0.67~0.832.0~3.5F0.66~1.15标记点4个；支架两端4个；支架两端4个；支架两端短缩率2.4~7.1%1.8~5.4%1.8~5.4%输送导管远/近3.5/3.5F2.8/3.0F2.7F/2.9F颅内支架（1）482020/2/22品名EnterpriseLeoplusLVIS支架设计自膨/镍钛/闭环自膨/镍钛/编织自膨/编织可选支架直径mm4.52.5/3.5/4.5/5.53.5/4.5/5.5可选支架长度mm14/22/28/3712/7516/19/23/24/27/34推荐血管直径mm2.5~4.02.5~5.52.0~5.8网孔尺寸最小径mm0.86-1.060.5-0.90.3-1.0标记点4个；支架两端2条纵线两端各4个，2条绞丝短缩率6.7~10.9%10.4~20.7%15~21%输送导管远/近2.3/2.8F2.4/3.0/3.3F2.0/2.5F颅内支架（2）492020/2/22品名SolitaireAB支架设计自膨/镍钛/闭环可选支架直径mm4.06.0可选支架长度mm15/2020/30推荐血管直径mm1.8~4.54.5~6.0网孔最小径mm0.25-1.690.34-1.77标记点远3/近1远4/近1短缩率13~17%16~20%推送导丝直径0.0016”0.0016”推送导丝长度180cm180cm最小微导管内径0.021”/0.53mm0.027”/0.69mm解脱方式电解电解颅内支架（3）502020/2/22SolitaireAB4x20–重叠部分网眼变小C0.99mm1.69mm1.34mm0.25mm0.67mm1.45mm0.95mmCellA0.65mmCellCAB专利优势2：网眼变化规律：因重叠缩小512020/2/22SolitaireAB6x20–重叠部分网眼变小ACB0.721.100.95CellA0.340.820.911.151.441.77CellBCellC522020/2/22品名willsApollo支架设计覆膜/球扩球扩/裸　支架直径mm3.54.04.52.53.03.5支架长度mm7/10/13/168/13　输送导管2.1F/1400mm2.1F/1400mm标准压力扩张直径mm53.554.054.562.563.063.50爆破压力扩张直径mm103.9104.42104.92122.75123.39123.98最大导丝直径0.014”0.014”导引导管最小直径6F　6F　生产商Microport颅内支架（5）532020/2/22品名Pipeline血流导向装置（密网支架） 支架设计 48根直径为0.0012”金属丝编织成的密网支架，金属覆盖率30-35%血流导向装置（血流导向、内膜修复） 可选直径mm 2.52.753.03.253.53.754.04.254.54.755.0 可选支架直径mm  10\1214\1618\2010\1214\1618\2010\1214\1618\2025\303510\1214\1618\2025\303510\1214\1618\2025\303510\1214\1618\2025\303510\1214\1618\2025\303510\1214\1618\2025\303510\1214\1618\2025\303510\1214\1618\2025\303510\1214\1618\2025\3035推荐血管直径mm2.75mm以下3.0mm以下3.25mm以下3.5mm以下3.75mm以下4.0mm以下4.25mm以下4.5mm以下4.75mm以下5.0mm以下5.25mm以下 网孔面积0.02-0.05mm2 标记点通体显影短缩率保护鞘内压缩状态下短缩率在50%-60%之间，（例：标称长度20mm支架，保护鞘内压缩状态下长度40mm-60mm）体外完全释放长度比标称长度短2mm，直径增加0.25mm（例：标称长度2.5mm-20mm支架，体外释放长度2.75mm-18mm） 支架网丝 网丝直径：0.0012”（0.005mm）推送导丝直径/长度支架长度10-20mm推送导丝直径0.016”,长度175mm支架长度25、30、35mm推送导丝直径0.018”,长度187.5mm最小微导管内径适配Marksman颅内大尺寸器械专用微导管，导管内径0.027”（0.69mm） 解脱方式编织自彭支架颅内支架（6）542020/2/22品名Resolute支架设计药物支架支架直径mm　3.54.0支架长度mm　9/12/15输送导管1.9F/2.7F1.9F/3.0F适配导丝0.014-0.018in导引导管最小直径5F5F标准压力atm支架扩张直径mm93.4993.96爆破压力atm支架扩张直径mm163.84154.25生产商Medtronik冠脉支架552020/2/22品名prograteAcculink支架设计镊钛自膨式镊钛自膨式可选支架直径mm7/8/9/10锥形8-6/10-7　7/8/9/10锥形6-8/7-10可选支架长度mm30、404020、30、4030、40推荐血管直径mm7/5.5-6.58/6.5-7.59/7.5-8.510/8.5-9.58-6/（6.5-7.6）（4.5-5.5）10-7/（8.5-9.5）（5.5-6.5）7/5.0-6.48/5.7-7.39/6.4-8.210/7.1-9.16-8/4.3-5.45.7-7.37-10/5.0-6.47.1-9.1适配鞘/导引导管6F/8F　6F/8F适配微导丝0.014in生产商EV3　Abbott颈动脉支架（1）562020/2/22品名wallsten支架设计合金闭环式自膨单轨型支架规格mm5/307/307/509/309/409/50适应血管直径/长度调整4/366/226/488/296/628/368/3610/248/4910/318/5910/37输送导管直径/长度5F/1.75mm135cm5.9F/2.1mm135cm兼容鞘管内径5F6F导引导管外径7F8F适配微导丝0.014in生产商　Boston颈动脉支架（2）572020/2/22品名ExoressSDExoressLD支架设计不锈钢球扩支架不锈钢球扩支架支架直径mm　4、5675、6、7、8　9、10支架长度mm　16/2015/1916/2017/27/37/57　25/37/57最大展开直径　6mm7mm8mm9mm　11mm输送鞘/导管5F/6F6F/7F6F7F适配导丝　0.014/0.018in0.035in支架开启压力8atm8atm标准压力　10atm8atm10atm最大额定压力　14atm12atm　注意在标称直径下短缩率《17%磁共振不兼容受磁共振限制生产商Boston外周血管支架582020/2/22三、栓塞胶：ONYX、GLUBRAN1、Onyx用于外周和神经血管损伤的栓塞，包含动静脉畸形和富含血管的肿瘤等根据粘滞度不同分为Onyx18,Onyx34包装里有：1.5mlOnyx，1.5mlDMSO，1ml鲁尔锁输送注射器3个最佳弥散温度19-24摄氏度2、GLUBRAN2外科胶是一种经过修饰的合成丙烯酸氰外科胶，用于内部及外部外科产品。在介入放射及血管神经放射手术中，根据病人血液动力学的状况，选择所需比例与碘油混合，通过导管注胶进行动静脉栓塞术包装：1mlGLUBRAN2另备：碘油1ml注射器数个5%葡萄糖液592020/2/222、使用前将胶（瓶）置于振荡器上•在最高档“8”上振荡至少20分钟•保持匀速持续振荡•如果Onyx静置超过5分钟继续使用时，应重新振荡。3、生理盐水冲管•10ml生理盐水将微导管内的造影剂冲洗干净4、DMSO预冲•使用标配黄色注射器抽取DMSO1ml•根据微导管种类不同，注射DMSO充分填满微导管死腔注意：1、Onyx必须通过与DMSO适配的导丝和微导管输送602020/2/225、使用Glubran胶时应注意•Glubran胶的粘度比水大少许，使用时易扩散至不希望的区域，需非常小心操作！！•Glubran胶在潮湿环境下与活体组织相接触会迅速聚合，同时产生约45℃的温度。虽然不超过45℃，有时也会使特别敏感的患者感觉轻微发烫（如儿童及老年患者）•配比Glubran胶时，必须在干净、干燥、无菌的操作台上进行，操作者所戴的手套和器具必须用葡萄糖液冲洗，避免与盐水/血液接触发生聚合凝结61四、可分离栓塞金球囊GOLDBALLOONGOLDBALLOON是不透X线的乳胶球囊，装配有一个独特的乳胶阀，能够快速安装到MAGIC型微导管上，用于动静脉畸形（瘘）栓塞、神经和周围区域动脉瘤以及血管闭塞分为：GOLDBAL1、GOLDBAL2、GOLDBAL3*最大、最小直径，最大容量参考体积ml充气直径×长度mm放气直径mm/inGOLDBAL10.257×101.75/0.07”GOLDBAL20.60*7×20*1.75/0.07”*GOLDBAL30.509×112.20/0.09622020/2/22第四章;神经介入辅助器材一解脱系统632020/2/22二塑形器三震荡器四加压袋642020/2/22第五章：器械使用组合652020/2/22一脑血管（脊髓血管）造影穿刺针5F/6F动脉鞘5F造影导管：单弯必要时猪尾导管0.035in水膜导丝（150-180cm）高压连接管备用：PIG、SM2、VTK、MPA1、C20.035in加硬交换导丝260三通接头、Y阀测量器具（铅尺、5mm/10mm钢珠）662020/2/22二颅内动脉瘤（血管）介入治疗脑血管造影器械更换6F/8F动脉鞘6F导引导管微导管0.010-0.017微导丝0.010-0.014动脉瘤囊内栓塞材料：各型栓塞弹簧圈及对应解脱装置宽颈动脉瘤：各型辅助球囊和支架系统及解脱装置三通接头、Y阀、塑形器、加压输液装置（套）备用：各型微导管及微导丝各型球囊导管系统血管内支架