神经介入支架植入术选择.ppt

**********Thisdatashowsastrongtrend,andweareworkingtoformalizeandbuildonthisevidencemovingforward,aswefeellikecontinuedresearchwillshowsimilarresults.**Thiskindofsituationhasimplicationsintermsofvessel/aneurysmre-access,aswellassafetyimplications…thrombogenicity.Message-VesselConformabilityisCRITICAL,andcanbeoptimizedviaanopen-celldesign,wherethecellsmoveindependentlyfromoneanother…thisfacilitates:ConformabilityinTaperedVesselsConformabilityinTortuousAnatomySegmentPurchaseinVesselatproximal/mid/distalportionofstentAppropriateScaffoldingatNeck,particularlywithTreoDesign.EnterpriseisgoingtocomehardatusbasedonpicturestheytookwiththeNF2Stent(2-Interconnect).Theirattackswillrelatedirectlytostentherniationintotheaneurysmdome.WeneedtoSELLtheTreodesignimprovementshard,tominimizethedamagefromtheseimminentattacks.WealsoneedtothrowEnterpriseunderthebusbasedonassociationwiththeotherclosed-cellintracranialstent(BaltLeoinEurope…highthromboemboliccomplicationratesasreportedinItalianMMConferences).**Stentovalizes,justlikeamicrocatheterwouldinaseverebend.ImportantquestionforClosed-CellEnterprise:Howdoyoupackdenselyataneurysminflow/outflowzoneifthisisoccurring?****Neuroform在BNI/Clev.Clinic的数据61例宽颈动脉瘤用Neuroform治疗48例在6个月时随访23%再通率第32页,共44页，星期六，2024年，5月Neuroform在RushPresby的数据10例宽颈动脉瘤用Neuroform治疗(都用Treo)10例在6个月后随访0%再通率第33页,共44页，星期六，2024年，5月Neuroform在HDEStudy的数据30例宽颈动脉瘤26在治疗6个月后随访0%再通率第34页,共44页，星期六，2024年，5月Neuroform治疗宽颈动脉瘤

再通率比较单用弹簧圈栓塞N=408例动脉瘤随访结果38%再通率Neuroform加弹簧圈N=231动脉瘤随访结果13%再通率第35页,共44页，星期六，2024年，5月开放式网孔（Neuroform）与闭合式网孔支架（LEO）比较

血管的顺应性NeuroformTMLeoTMStentBodyStentBodyStentEndsStentEnds第36页,共44页，星期六，2024年，5月闭合式网孔支架：对血管的顺应性较差第37页,共44页，星期六，2024年，5月闭合式网孔支架–瘤颈部支撑较差Ovalizationinmid