FESTA Vol.3 Fast. Easy. Stable. Case Report for TransForm Occlusion Balloon Catheter TransForm Occlusion Balloon Catheter を用いた脳動脈瘤塞栓術 国立病院機構大阪医療センター脳神

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1 Fast. Easy. Stable. Case Report for TransForm Occlusion Balloon Catheter TransForm Occlusion Balloon Catheter を用いた脳動脈瘤塞栓術 国立病院機構大阪医療センター脳神経外科 藤中俊之先生 TransForm Occlusion Balloon Catheter mm 4mm 5mm TransForm Occlusion Balloon Catheter TransForm AP AA Page 1 of 8

2 TransForm TransForm TransForm Table.1 TransForm Compliant 4mm 10mm TransForm Super Compliant 3mm 5mm TransForm mm 1.5-3mm 3mm Super Compliant 4mm 7mm Table.1 TransForm ICA Acom MCA VA BA C 4x SC 3x SC 4x C 5x C : Compliant SC : Super Compliant Case 1 : BA-SCA 6.1mm 3.5mm SCA TransForm Super Compliant 4mm 7mm TransForm SCA SCA Target Detachable Coils SCA 1 SCA Fig.1 TransForm Super Compliant 4mm 7mm Excelsior SL-10 Preshaped J Target 360 Soft 5mm 20mm Target 360 Ultra 3mm 8mm Target 360 Ultra 2mm 4mm 4 Target 360 Nano 1.5mm 3mm 6 Fig.1 BA-SCA TransForm SC 4x7 Fig.1-A Fig.1-B AP AA Page 2 of 8

3 Fig.1 BA-SCA TransForm SC 4x7 Target 360 5x20 Fig.1-C Fig.1-E TransForm SC 4x7 Fig.1-D Fig.1-F TransForm Super Compliant Balloon TransForm Case 2 : Acom Lt. A1-A2 A1 1 A2 Acom 2mm TransForm Super Compliant 3mm 5mm A2 Acom A2 Acom TransForm A1 A2 A2 Acom Fig.2 TransForm Super Compliant 3mm 5mm Excelsior SL-10 Preshaped 45 Target XL 360 Soft 7mm 20mm Target 360 Ultra 4mm 8mm 3 Target 360 Ultra 3mm 8mm 3 Target 360 Ultra 2mm 4mm 4 Target 360 Nano 1.5mm 3mm 5 AP AA Page 3 of 8

4 Fig.2 Acom Lt.A1-A2 16 Target coils Fig.2-A Fig.2-E TransForm SC 3x5 Fig.2-B Fig.2-F Fig.2-C Fig.2-G Target XL 360 7x20 Fig.2-D AP AA Page 4 of 8

5 TransForm Super Compliant Balloon Acom 4mm TransForm 100% TransForm Case 3 : Lt. MCA 1 2 M2 2.5mm TransForm Super Compliant 3mm 5mm 2 M2 M2 TransForm M1 M2 2 M2 TransForm Fig.3 TransForm Super Compliant 3mm 5mm Excelsior SL-10 Preshaped 45 Target 360 Soft 4mm 8mm Target 360 Ultra 2mm 4mm Target 360 Nano 1mm 3mm 2 Target 360 Nano 1mm 2mm 2 Fig.3 Lt. MCA Target 360 soft 4x8 Fig.3-A Fig.3-C TransForm SC 3x5 Fig.3-B Fig.3-D AP AA Page 5 of 8

6 Fig.3 Lt. MCA Fig.3-E 6 Target coils Fig.3-G MCA TransForm Super Compliant 3mm 5mm Fig.3-F Case 4: Acom Lt. A1-A2 A1 A2 A1 Acom A2 A1 Acom A2 A2 Acom A2 Acom TransForm Super Compliant 3mm 5mm Fig.4 TransForm Super Compliant 3mm 5mm Excelsior SL-10 Preshaped 45 Target 360 Soft 5mm 20mm Target 360 Ultra 4mm 8mm Target 360 Ultra 4mm 6mm Target 360 Ultra 3mm 6mm Target 360 Ultra 2mm 4mm Target 360 Nano 1.5mm 3mm Target 360 Nano 1mm 2mm AP AA Page 6 of 8

7 国立病院機構 大阪医療センター 脳神経外科 藤中 俊之 先生 Fig.4 Acom(Lt.A1-A2) 動脈瘤 Target 360 soft 5x20 Fig.4-A Fig.4-E 7 Target coils TransForm SC 3x5 Fig.4-B TransForm SC 3x5 Fig.4-C Fig.4-F 7 Target coils Fig.4-G 本例では左 A1から A2 へのカーブがやや急峻であること 右 A1の開存が良好でありAcomから動脈瘤ネック 左 A2への角 度が直線的であることから右 A1から Acomを介して左 A2に TransFormを誘導し塞栓を行った TransFormは0.014ガイド ワイヤが使用できることやバルーンを含めた先端部が柔軟であ ることによりトラッカビリティが高く 本例におけるAcomを介 Target 360 soft 5x20 した対側からのバルーン誘導も比較的容易であった 結果 1本 のバルーンで動脈瘤ネック Acomおよび左 A2を保護すること ができ良好な塞栓が行えた Fig.4-D AP AA Page 7 of 8

8 TransForm Occlusion Balloon Catheter mm 3mm TransForm Super Compliant 3mm 5mm TransForm TransForm Occlusion Balloon Catheter TransForm Occlusion Balloon Catheter All Photographs taken by National Hospital Organization Osaka National Hospital. Results from case studies are not predictive of results in other cases. Results in other cases may vary. 販売名 : トランスフォームオクリュージョンバルーンカテーテル医療機器承認番号 :22600BZX 販売名 : トラッカーエクセルインフュージョンカテーテル医療機器承認番号 :21000BZY 販売名 :Target デタッチャブルコイル医療機器承認番号 :22300BZX Literature Number: 1600/00000/W KM/CO W tel: AP AA Page 8 of 8

MCIS Vol.2 The Most Conformable Intracranial Stent 財団法人平成紫川会小倉記念病院脳神経外科 太田剛史先生 Neuroform EZ Stent System open cell closed cell Neuroform open cell Jac

MCIS Vol.2 The Most Conformable Intracranial Stent 財団法人平成紫川会小倉記念病院脳神経外科 太田剛史先生 Neuroform EZ Stent System open cell closed cell Neuroform open cell Jac The Most Conformable Intracranial Stent 財団法人平成紫川会小倉記念病院脳神経外科 太田剛史先生 open cell closed cell Neuroform open cell Jack Up Neuroform EZ Stent System Neuroform EZ Neuroform EZ STENT SYSTEM ible Design. Enhanced

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