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微导管特色:球囊微导管

时间:2020-03-30 20:33来源:未知 作者:Mr.Editor
End-holed micro-balloon catheter Side-holed micro-balloon catheter Name: LOGOS Switch Company: Piolax Medical Device Outer diameter: Distal : 1.8Fr Center : 2.4Fr Proximal : 2.9Fr G.W.: 0.018 inch ( 0.46 mm ) Function of end-holed balloon

 
End-holed micro-balloon catheter
Side-holed micro-balloon catheter

Name: LOGOS Switch
Company: Piolax Medical Device
Outer diameter:
Distal : 1.8Fr  Center : 2.4Fr  Proximal : 2.9Fr
G.W.: 0.018 inch ( 0.46 mm )
 

Function of end-holed balloon catheters

 
注射力量掌控,避免返流





 


     

Irie T, et al. Dense Accumulation of Lipiodol Emulsion in Hepatocellular Carcinoma Nodule during Selective Balloon-occluded Transarterial Chemoembolization: Measurement of Balloon-occluded Arterial Stump
 
 

Report

N

Agent

Response

Survival

Hatanaka【1】

(2018)

66

Miriplatin-Lip+GS

CR53%, RR63.6%

1y-76.8%, 2y-57.3%, 3y-46.7%

Kawamura【2】

(2017)

30

Miriplatin-Lip+GS

TE4 51.0%, RR 59.6%

NA

Maruyama【3】

(2016)

50

Epi-Lip+GS

BTACE>cTACE

NA

Irie【4】

(2016)

28

Dox+MMC-Lip+GS

TE4 89.3%, RR 100%

1y-96.4%, 3y-60.3%, 5y-31.1%

Asayama【5】

(2016)

29

Miriplatin-Lip+GS

TE4 8.6%, RR 57.1%

NA

Ogawa【6】

(2015)

33

Miriplatin-Lip+GS

TE4 49.2%

NA

Minami【7】

(2015)

27

Miriplatin-Lip+GS

TE4 43.8%, RR 56.3%

NA

Arai【8】

(2014)

49

Miriplatin-Lip+GS 

TE4 55.1%,RR 93.9%

NA


1) Hepatol Res. 2018;48:165–175.
2) Hepatol Res. 2017;47:338–346.
3) Cardiovasc Intervent Radiol. 2016;39:359–366.
4) Hepatol Res. 2016 Feb; 46(2):209-14.
5) Springerplus. 2016;5:157.
6) Hepatol Res. 2016;46:E60–E69.
7) Oncology. 2015;89 Suppl 2:27–32.
8) Hepatol Res. 2015; 45(6):663-6.

There has been no reliable data about clinical outcomes of balloon occluded TACE. Prospective clinical trials are needed.


Function of end-holed balloon catheters: To change the flow direction
To change the flow direction


 
 
 

Function of end-holed balloon catheters

1. Power injection 
2. To avoid reflux
3. Dense Lpiodo accumulation
4. To change the flow direction

Function of side-holed balloon catheters


Superselective injection  without superselective catheterization
 
Superselective injection  without superselective catheterization


   
   



Real world of microcatheter:Changed to Our trainee ! experienced IRist。

   
   

 
What we can do as the manipulation ?













advance of  microcatheter great !
However, never forget the key is how to use !
 
We can manipulate the microcatheter/G.W. in 80 ways.
In combination with each other, 80x80=6,400 ways !
If additionally combined with a parent catheter, 80x80x80=512,000 ways !
 


Though there are still remaining unmet needs,  microcatheters have been greatly advanced  with various technical innovations.

 
 
Low profile, steerable and micro-balloon catheters may open the new world.

However, we should never forget to improve our skills to use them

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