血管内介入的基础知识精品文稿.ppt

血管内介入的基础知识第1页，本讲稿共16页术前准备患者常规备皮过敏试验（碘）左侧肢体建立输液通道各种监护装配留置导尿第2页，本讲稿共16页导管室内所需物品心电、呼吸监护设备氧气供给系统各类急救药品及设备镇静药、解痉药、肝素、鱼精蛋白及尿激酶等第3页，本讲稿共16页血管造影所需器械穿刺针（套管针）血管扩张器（血管鞘）Y 阀（二相、三相）三通高压输液袋延长管导丝（.032-.035)（泥鳅导丝，交换导丝）造影导管第4页，本讲稿共16页Procedure-Seldinger Technique(1)步骤-Seldinger 技术The skin is prepared and punctured穿刺部位备皮The femoral artery and inguinal ligament are located 股动脉位于腹股沟韧带处The needle with stylet is angled parallel to the course of the femoral artery 套管针的针头倾斜平行进入到股动脉内第5页，本讲稿共16页Procedure-Seldinger Technique(2)步骤Artery is punctured(double or single wall technique)穿刺动脉Stylet is removed and needle withdrawn until blood flow occurs移动套管针将针头回撤直到看到回血Cannula removed 移动套管Wire inserted 导丝插入Wire is fixed&needle removed固定导丝，针头撤出Track is dilated 扩张通道Catheter is introduced over the wire 导管通过导丝进入第6页，本讲稿共16页套管针，血管鞘，三通第7页，本讲稿共16页脑血管血管造影示意图第8页，本讲稿共16页Complications of Angiography 并发症Groin hematoma(leakage,bruising)most common 最常见腹股沟血肿Hemorrhage 出血Allergic reaction to contrast or drugs administered 造影剂或药物过敏反应Arterial injury 动脉损伤Renal failure due to contrast metabolism 造影剂代谢引起的肾衰Infection 感染Stroke 中风Death 死亡第9页，本讲稿共16页血管内介入治疗器械指引导管（5 Fr-9Fr）导丝，交换导丝球囊导管系统（扩张，封堵）血管远端保护装置（保护伞）捕捞器（Goose neck snail)支架导管系统（球扩式，自膨式，带膜）微导管（OTW，漂浮）栓塞材料（Coil，Onyx，NBCA，PVA)第10页，本讲稿共16页球囊扩张示意图第11页，本讲稿共16页球囊扩张血管成形术示意图第12页，本讲稿共16页预装球扩式支架系统第13页，本讲稿共16页自膨式支架系统远端保护装置-保护伞第14页，本讲稿共16页捕捞器-Goose Neck Snail第15页，本讲稿共16页带膜支架系统第16页，本讲稿共16页