SaKiGaKe Vol.8 Matrix2 Detachable Coils
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- しょうじ あいしま
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1 Matrix2 Detachable Coils
2 Matrix2 Detachable Coils Matrix2 Detachable Coils1 PGLAsurface modified coilwhite collar signmatrix border zone neck 10 PGLAcompaction all Matrix Matrix2 neck 8mm18framing neckfilling finishingmatrix fenestration trunk15mmfig.1fig.2 informed consent 100mg / 75mg / activated clotting time300 60mg / 481 Fig.1:Preoperative DSA 7F25cm Launcher 7F 90cm ST Medtronic45F 125cm JB2CATHEX RF Superflex150cmTerumo Remodeling HyperForm 4mm x 7mmX-pedion 10 techniquemedtronic Excelsior 1018 Pre-Shaped J Transend EX Soft Tip Fig.2:Preoperative DSA (3D)
3 Matrix2 Detachable Coils 6 BA fenestrationtrunk HyperForm 4mm x 7mmballoon test occlusion trunk MEPSEPABR BOTBA fenestration trunkx-pedion HyperForm 3GDC framefig.3matrix2 Standardfilling HyperForm flate Matrix2 Soft SRfinishingFig.4 Volume embolization rate 28.7%Fig.5 ANGIO-SEAL STS PLUS 8F 1 st Coil 2 nd Coil 3 rd Coil Fig. 3:Framing with GDC 18 bare coils AP view 5 th Coil 8 th Coil Lateral view Fig.4:Filling and finishing with Matrix2 12 th Coil 21 st Coil
4 Matrix2 Detachable Coils Fig.5:Postoperative DSA 1 st : GDC x 40 2 nd : GDC x 40 3 rd : GDC x 30 4 th : Matrix2 360Standard SR 12 x 30 5 th : Matrix2 360Standard SR 12 x 30 6 th : Matrix2 360Standard SR 12 x 30 7 th : Matrix2 360Standard SR 10 x 30 8 th : Matrix2 360Standard SR 10 x 30 9 th : Matrix2 360Standard SR 10 x th : Matrix2 360Standard SR 9 x th : Matrix2 360Standard SR 9 x th : Matrix2 360Standard SR 9 x th : Matrix2 360Standard SR 8 x th : Matrix2 360Standard SR 8 x th : Matrix2 360Standard SR 8 x th : Matrix2 2D Standard SR 7 x th : Matrix2 360Standard SR 6 x th : Matrix2 2D Standard SR 6 x th : Matrix2 2D Standard SR 6 x th : Matrix2 360Standard SR 4 x 8 21 th : Matrix2 Helical UltraSoft SR 2 x 4 22 th : Matrix2 360Soft SR 3 x 8 23 th : Matrix2 360Soft SR 3 x 6 24 th : Matrix2 360Soft SR 4 x 8 25 th : Matrix2 360Soft SR 3 x 6 26 th : Matrix2 360Soft SR 3 x 6 4MRI 3
5 Matrix2 Detachable Coils 2 75 MRI / MRA 13 broad neckscaduplication domefig.6 informed consent 100mg / 75mg / 4 activated clotting time300 60mg / 48 PT-INR F 90cm DestinationTerumo Remodeling HyperForm 7mm x 7mmX-pedion 10 technique Medtronic Excelsior 1018 Pre-Shaped J Chikai 014 Fig.6:Preoperative DSA (3D) HyperForm remodeling techniquedouble catheter technique transfemoral approach6f HyperForm 7mm x 7mm 113mm GDC domeSCA 10mmneckHyperForm remodeling unchoringsca framing2 6mm2 / 3framingFig.7 2Matrix2 360 Standard SR5mm4mmpieceby piece fillingdome SCA compart ment Fig.8BAneck Matrix2 360Soft SRMatrix2 Helical UltraSoft finishingfig.9complete obliterationvolume embolization rate 27.6%domeSCA Fig.10
6 Matrix2 Detachable Coils 1 st Coil 2 nd Coil Fig.7:Framing with GDC 18 bare coils 4 th Coil 6 th Coil Fig.8:Filling with Matrix2 standard 9 th Coil 12 th Coil 14 th Coil Fig.9:Filling and finishing with Matrix2 Soft & UltraSoft
7 Matrix2 Detachable Coils Fig.10:Postoperative DSA 1 st : GDC x 30 2 nd : GDC x 15 3 rd : Matrix2 360Standard SR 5 x 15 4 th : Matrix2 360Standard SR 4 x 8 5 th : Matrix2 360Standard SR 4 x 8 6 th : Matrix2 360Standard SR 4 x 8 7 th : Matrix2 360Soft SR 4 x 8 8 th : Matrix2 360Soft SR 4 x 8 9 th : Matrix2 360Soft SR 3 x 6 10 th : Matrix2 360Soft SR 3 x 8 11 th : Matrix2 360Soft SR 3 x 8 12 th : Matrix2 360Soft SR 3 x 8 13 th : Matrix2 Helical UltraSoft 3 x 6 14 th : Matrix2 Helical UltraSoft 3 x 6 MRISCA 11 Matrix2 Matrix2 Matrix2 2neck all Matrix Matrix2 18bare coilframing Matrix2 Matrix2 StandardSoftUltraSoft 3602D 2 PGLAsurface modificationfriction bare coil Matrix2 GDC 22000BZX BZY BZY BZY Boston Scientific Corporation or its affiliates. All rights reserved. Matrix2 GDC UltraSoft Excelsior 1018 Transend Boston Scientific Corporation Launcher HyperForm X-pedion Medtronic RF SuperflexDestination JB2Chikai ANGIO-SEAL W PSST
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2005 0 (a + b)(a b) = (a + b)a (a + b)b = aa + ba ab bb = a 2 b 2 (a + b)(a b) a 2 b 2 2 ( )( + ) = ( + ) ( + ) = ( + ) ( + 2 ) = + ( ) 2 = 2 (a + b)(a b) = a 2 b 2 ( )( + ) ( + ) ( + + 2 ) http://www.hyuki.com/story/genfunc.html
