波科外周Guidewires中文導絲
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1、Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Peripheral Guide Wires:外周介入導絲:外周介入導絲:Standard,Hydrophilic&Specialty標準,親水性&特殊This document is intended for internal educational purposes only and shall not be distributed outside of Boston Scientific.Bos
2、ton Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally PI Guide WiresOverviewPurposes of a guide wire:導絲的作用:導絲的作用:Gain access into vessels 到達目標血管 Deliver devices 輸送手術器械 Cross lesions 穿越病變部位Used in vascular and non-vascular procedures可用于血管和非血管介入手術Used in all di
3、agnostic and therapeutic procedures可用于所有的診斷和治療介入手術The Backbone of every procedure 每例介入手術均需使用每例介入手術均需使用Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally PI Guide WiresGeneral Features&Intended BenefitsIdeal Guide Wire FeaturesIntended BenefitSteerabilit
4、y/torque control操控性/扭轉控制Easily directed through the body.從體外操控導絲Columnar strength縱向強度Kink resistant.抗扭曲Radiopaque顯影性Good visualization.良好的可視性Frictionless潤滑性Advancement through tortuous vessels;通過迂曲的血管;smooth tracking of devices&catheters.沿導絲推送器械&導管Rail support支撐力Advancement and support of devices.推送
5、和支撐器械Atraumatic tip無創(chuàng)傷的頭端Reduced vessel damage.減少對血管的損傷Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally PI Guide Wires General Components外周介入導絲的一般結構Core Wire:Usually Stainless Steel or Nitinol導絲軸芯:通常為不銹鋼和鎳鈦諾合金Distal Tip:Working end of wire;comes in mu
6、ltiple shapes:straight,angled,shapeable,J遠端頭端:導絲的工作端;有多種形狀:直型,成角型,可塑性,J型Lubricious Coating:PTFE,Silicone,or Hydrophilic光滑涂層:PTFE,硅,或親水性Distal Tip遠端Safety Ribbon安全帶Core wire軸芯Coil wire螺旋金屬絲Proximal End近端 Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally
7、 Floppy/Light Support(POBA):Starter Guide Wire松軟型松軟型/輕度支撐(輕度支撐(POBA):):StarterTM 導絲導絲Most flexible;least rail support 最佳的柔韌性;最小的支撐力Less likely to cause vessel damage 最小的血管損傷Moderate Support(Stent):Magic Torque Guide Wire中度支撐(支架):中度支撐(支架):Magic Torque 導絲導絲Rail support between Floppy&Extra Support 介于松
8、軟型&超硬導絲之間Added support for stent delivery 為放置支架提供額外的支撐Extra Support(Stent):Amplatz Guide Wire額外支撐(支架):額外支撐(支架):Amplatz 導絲導絲Long rail support region,but soft tip 桿身支撐力更強,柔軟的頭端Designed for first generation stent delivery 設計用于放置第一代的支架PI Guide WiresCore Wire Flexibility&Support軸芯 柔韌性&支撐力Boston Scientifi
9、c Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Diameters most commonly used in interventions:在介入手術中最常使用的導絲直徑:在介入手術中最常使用的導絲直徑:.014”-Coronary and small vessel balloons -冠狀動脈和小血管球囊.018”-Renal and small vessel balloons -腎動脈和小血管球囊.035”-Balloons and catheters,“workhorse”
10、-球囊和導管,“使用最普遍”.038”-Large devices requiring extra support(rarely used)-需要額外支撐的較大器械(很少使用)Other less common diameters are.032”and.025”其他較少使用的直徑:.032”和.025”Trend towards smaller diameters(.014”)趨向于小直徑導絲(.014”)Common guide wire lengths:通常的導絲長度:通常的導絲長度:75cm,150cm,180cm,260cm,300cmPI Guide WiresSizing Dia
11、meters&Lengths尺寸 直徑&長度Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally PI Guide WiresDistal Tip Configurations遠端頭端的類型Tip Configurations:頭端類型:頭端類型:Straight,angled,J-Tip 直型,成角型,J型 Non-hydrophilic,hydrophilic 非親水性,親水性 Standard,floppy,stiff 標準型,松軟型,硬型 Tip
12、 taper 漸細的錐形頭端Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally PI Guide WiresTypes for Gaining Initial AccessBentson Guide Wire Straight,floppy,atraumatic tipJ-Tip Guide Wire Atraumatic-use when worried about the potential for vessel perforation.無創(chuàng)傷 用
13、于避免血管壁穿孔Starter Guide Wire Standard workhorseZIPwire Guide Wire Not indicated as a starter wire,but often used by physicians.Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally PI Guide WiresBSC ProductsThe three classifications of wires sold by Boston S
14、cientific are:Standard Guide Wires 標準導絲標準導絲Starter Guide Wire(includes Bentson,Newton,&Rosen shapes)Hydrophilic Guide Wires 親水性導絲親水性導絲ZIPwire Guide Wire(.18”,.025”,.035”,.038)Specialty Guide Wires 特殊導絲特殊導絲V-18 Control Wire Guide Wire(.018)Platinum PLUS Guide Wire(.014”,.018“,.025”)Thruway Guide Wire
15、(.014&.018)Magic Torque Guide Wire(.035)Amplatz Super Stiff Guide Wire(.035“&.038”)Meier Guide Wire(.035)Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally PI Guide Wires BSC Product PositioningStarter Guide WireAll routine procedures.ZIPwire Guide Wire
16、When a standard wire wont“go”;total occlusions.當標準導絲無法通過時;完全阻塞的病變Amplatz Super Stiff Guide WireWhen more support is needed such as filter placement and carotid catheter placement.當需要更多的支撐時,如放置血栓保護裝置和頸動脈導管。Magic Torque Guide WireNegotiating difficult vessels,sizing vessels,sizing IVC filters.Meier Wi
17、reAAA indicated;stiffer than Amplatz with a softer,radiopaque tip.Platinum PLUS Guide WireIVUS,small vessel(.014”&.018”).V-18 Guide WireSmall vessels(.018”),tortuous anatomy,contralateral.小血管(.018”),迂曲的血管,對側病變。Thruway Guide WireSmall vessels(.014”&.018”),renals,monorail.小血管(.014”&.018”),腎動脈,快速交換Bost
18、on Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guide WiresThe information included in this section is considered proprietary to Lake Region Manufacturing,Inc.Any copying,sharing and/or distributing is prohibited.Boston Scientific Confidential-Fo
19、r Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guide WireProduct PositioningA family of ultra-smooth,PTFE guide wires.Workhorse guide wire for routine procedures.Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guide
20、WireIndicationsINTENDED USE:Starter guide wires are designed for percutaneous vessel entry using the Seldinger technique to facilitate subsequent introduction(s)of an intravascular device.Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guide
21、WireProduct SpecsTipsDiameters(in)Lengths(cm)Bentson.035,.038150,180,260Newton.018,.035,.038150J-Tip*.035,.038150,180,260Rosen.035150,180,260Standard.025,.035,.03880,150,260*Most are finger straightenable Bentson,Newton,and Rosen are industry standard wire types sold by other companies as well.Avail
22、able with or without heparin coating.Straight and J-tips available with fixed or moveable core(not available in all sizes).Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guide WireFeatures&Intended BenefitsStarter Wire FeaturesIntended Benef
23、itsPTFE coating applied using pre-coat technology(dipped vs sprayed)Increased coating consistency and durability to facilitate entry and smooth catheter tracking.Availability of heparin coatingDecreased risk of thrombus formation.Finger straightenable J-tipUse in a wide range of clinical situations.
24、Choice of fixed or moveable coreUse in a wide range of clinical situations.Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guide WireAreas of Clinical UseGaining access for routine proceduresBoston Scientific Confidential-For Internal Use Onl
25、y.Do Not Copy,Display or Distribute Externally Starter Guide WireKey CompetitorsThe following competitors also sell Bentson,Newton and Rosen wires,as well as other PTFE-coated competiting workhorse wires:Cook market leader in standard guide wires Angiodynamics Cordis St.Jude Bard MeritBoston Scienti
26、fic Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guide WireKey TakeawaysAtraumatic,workhorse guide wire for routine procedures.Pre-Coat TechnologyDipped coating for excellent coating durability&consistency Finger straightenable J-tip Availability of heparin
27、 coating Moveable&fixed core optionsSprayed CoatingStarter Guide Wire Dipped Coating (a.k.a.“Pre-Coat Technology”)Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally GuidewiresConstruction-non hydrophilic wiresBoston Scientific Confidential-For Internal
28、Use Only.Do Not Copy,Display or Distribute Externally Starter Guidewire Fixed CoreIdeal first wire to use before or after Introducer Sheath Insertion Atraumatic Floppy Tip provides safety,Well balanced body provides ample pushability and support for Catheter Exchange Precoat technology allows for ea
29、se of Catheter Exchange Large Size Matrix covers majority of clinical requirementsBoston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guidewire Moveable CoreIdeal first wire to use before or after Introducer Sheath Insertion Moveable Core allows
30、adjustment of the Floppy Tip length meaning one wire can provide both safety and support Well balanced body provides ample pushability and support for Catheter Exchange Precoat technology allows for ease of Catheter Exchange Large Size Matrix covers majority of clinical requirementsBoston Scientific
31、 Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guidewire NewtonIdeal wire to use for accessing delicate vessels and crossing fragile lesions such asRenal,Dialysis Fistula,Subclavian,Fempop.Watch out 0.018”wires may be more suitableAlso ideal for navigation o
32、f heavily diseased Iliacs and Aortas.Very Atraumatic Floppy tip,body support does allow catheter exchange Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Starter Guidewire New BentsonIdeal wire to use for accessing delicate vessels and crossing fragi
33、le lesions such asRenal,Dialysis Fistula,Subclavian,Fempop.Watch out 0.018”wires may be more suitableAlso ideal for navigation of heavily diseased Iliacs and Aortas.Very Atraumatic Tip,less support than Newton means that catheter exchange may be limited Boston Scientific Confidential-For Internal Us
34、e Only.Do Not Copy,Display or Distribute Externally Starter Guidewire Rosen Heavy DutyIdeal wire to use for catheter access where additional support is required especially in Ostial lesions due to short taper preventing flip outRenal,Dialysis Fistula,Subclavian,Fempop.Watch out 0.018”wires may be mo
35、re suitableBoston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Hydrophilic Guide Wires ZIPwire 親水性導絲親水性導絲ZIPwire Guide WireBoston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Guide Wire產品定位A f
36、amily of hydrophilic guide wires designed for smooth passage through tortuous anatomy.設計用于流暢的通過迂曲的解剖結構Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Guide Wire適應癥INDICATIONS:The ZIPwire Hydrophilic Guide Wire is intended to facilitate the pl
37、acement of devices during diagnostic and interventional procedures.ZIPwire 親水性導絲用于在診斷性和治療性介入手術中協(xié)助置入器械。Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Guide Wire產品技術參數ZIPwire is a trademark of Boston Scientific Corporation or its affiliates.Gl
38、idewire is a trademark of Terumo Corporation.Shafts桿身桿身Standard,Stiff標準型,加硬型Tips頭端頭端Straight,Angled,J,Long Taper,Short Taper直型,成角型,J型,長錐型,短錐型Diameters直徑直徑.018”,.025”,.035”,.038”Lengths長度長度80cm,150cm,180cm,260cmNote:See Guide Wires brochure or price book for all available combinations.注意:請參見相關產品彩頁或手冊
39、了解所有的產品型號Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Guide WireEnhanced Manufacturing ProcessA polymer jacket is extruded over a kink-resistant nitinol core.聚合物外殼覆蓋在抗扭曲的鎳鈦諾合金軸芯表面聚合物外殼覆蓋在抗扭曲的鎳鈦諾合金軸芯表面Hydrophilic coating is bonded to the po
40、lymer jacket.親水性涂層粘合在聚合物外殼上親水性涂層粘合在聚合物外殼上Radiopaque Polyurethane Jacket 不透不透X線的聚亞安酯外殼線的聚亞安酯外殼Nitinol Core鎳鈦諾軸芯鎳鈦諾軸芯Hydrophilic Polymer Coating親水性聚合物涂層親水性聚合物涂層The manufacturing process enhancements treated the surface of the polyurethane jacket for consistent adhesion of the hydrophilic coating.Bosto
41、n Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire PropertiesKink-resistant抗扭曲性抗扭曲性The nitinol metal alloy core provides the strength necessary to make the ZIPwire guidewire kink-resistant.鎳鈦諾合金材質的導絲軸芯使ZIPwire導絲具有良好的抗扭曲性能。Steerable操控性操控性Single piece
42、construction and atraumatic tip allow excellent steerability.一體式結構和無創(chuàng)性頭端使其具有優(yōu)異的操控性。The unique alloy core and polyurethane jacket of the ZIPwire guidewire provide a true 1:1 torque response.獨特的合金軸芯和聚亞安酯外殼實現了1:1扭控反應。Frictionless光滑度光滑度The hydrophilic coating makes the ZIPwire guidewire virtually fricti
43、onless when wet.The ZIPwire guidewire slides easily into place and smoothly guides catheters.親水性涂層在水化后變得非常光滑,易于到達病變部位和推送導管。Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire PropertiesLow Thrombogenicity(tendency to produce blood clots)低血栓性低血栓性(
44、產生凝血塊的趨勢)The frictionless coating results in low potential for the formation of blood clots on the surface of the ZIPwire guidewire.光滑的親水涂層有效減少了在導絲表面形成血凝塊的危險。Radiopaque顯影性顯影性The polyurethane is impregnated with tungsten,a radiopacifier for enhanced visibility.聚亞安酯外殼中含有鎢,在X線下具有良好的可視性。Atraumatic無創(chuàng)性無創(chuàng)性
45、The various cores result in soft,flexible tip configurations.不同的軸芯 各種類型的柔軟而富有彈性的頭端。Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Guide WireFeatures&Intended BenefitsZIPwire Guide Wire FeaturesIntended BenefitsHydrophilic coating親水性涂層親水性涂層Fa
46、cilitation of crossing of tight lesions.易于通過高度狹窄的病變Precise 1:1 torque response精確的精確的1:1扭控反應扭控反應Secure control when sub-selecting distal and angulated branch vessels.安全進入遠端血管和成角較大的分支血管Highly radiopaque jacket高顯影性外殼高顯影性外殼Excellent visibility for accurate positioning.良好的可視性,便于準確定位Super-elastic nitinol
47、core有良好彈性的鎳鈦諾軸芯有良好彈性的鎳鈦諾軸芯Excellent kink-resistance.優(yōu)異的抗扭曲性能Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Guide Wire臨床應用領域Aortic bifurcation area腹主動脈分叉Carotids頸動脈HAM血透通路Crossing CTOs通過完全阻塞的病變Subintimal Angioplasty內膜下血管成形術Boston Scientific C
48、onfidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Guide WireKey Competitors Glidewire Guide Wire(Terumo-previously sold by Boston Scientific)-Hydrophilic market leader Roadrunner Guide Wire(Cook)AQUALiner Guide Wire(Angiodynamics)HiWire Guide Wire(Cook)HydroSteer
49、 Guide Wire(St.Jude Medical)Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally ZIPwire Guide WireKey TakeawaysThe ZIPwire Guide Wire is a hydrophilic guide wire designed for maneuvering through tortuous anatomy.ZIPwire 親水性導絲設計用于通過迂曲的解剖結構。親水性導絲設計用于通過迂曲的解
50、剖結構。Precise 1:1 torque response 精確的1:1扭控反應 Highly radiopaque jacket 高顯影性外殼 Comprehensive selection of shafts,lengths,and tips 有多種不同硬度、長度和頭端類型的型號Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stiff Guide Wire Amplatz Super Stiff 超硬導超硬導絲
51、絲Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stiff Guide Wire 產品定位A stiff,secondary(non-starter)wire when strength and stability are required for catheter placement and exchange.硬度更高,具有更高的強度和穩(wěn)定性,用于硬度更高,具有更高的強度和穩(wěn)定性,用于放置和更換導管。放置和更換導管。
52、Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stiff Guide Wire 適應癥INDICATIONS:The Amplatz Super Stiff Guide Wire facilitates catheter placement and exchange during diagnostic or interventional procedures.It is not intended for use in
53、coronary arteries.Amplatz Super Stiff超硬導絲用于在診斷性和治療性介入手術中放置和更換導管。不適用于冠脈手術。Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stiff Guide Wire 產品技術參數Tip Shape頭端形狀頭端形狀Tip Length頭端長度頭端長度(cm)Diameters(in)直徑直徑Lengths(cm)長度長度3mm J3mmJ型3.035,.0381
54、45,180,260Straight直型6.018,.035,.03875,145,180,260Short Tip短頭端1,3.5.035,.038150,180,260Note:See Guide Wire brochure or price book for all available combinations.注意:請參見相關產品彩頁或手冊了解所有的產品型號Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stif
55、f Guide WireFeatures&Intended BenefitsAmplatz Super Stiff FeaturesIntended BenefitsStiff core硬的軸芯硬的軸芯Added strength for easier access and better stability during catheter placement and exchange.強度更高,進入更方便,在放置和更換導管時具有更佳的穩(wěn)定性。Atraumatic tip&gradual distal core taper無創(chuàng)性頭端無創(chuàng)性頭端&漸細的遠端軸芯漸細的遠端軸芯Safety durin
56、g advancement.在推進導絲時具有良好的安全性Teflon coating特氟隆涂層特氟隆涂層Smooth entry and catheter tracking.進入血管和推送導管更加流暢Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stiff Guide Wire臨床應用領域Aortic bifurcation area主動脈分叉Carotid/aortic arch area頸動脈/主動脈弓Boston
57、 Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stiff Guide WireKey Competitors“Amplatz”is a standard wire name sold by other companies including Cook and Cordis.Others competing wires include:Wholey HI-TORQUE(Covidien)HI-TORQUE Supra Core(Ab
58、bott Vascular)Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stiff Guide WireKey Takeaways Very supportive wire 具有高支撐力 For secondary use(not for gaining initial access)第二根導絲(不作為進入導絲)Strong enough to get through tight lesions,yet tip is
59、 soft enough for reduced trauma during advancement.具有足夠的強度通過狹窄病變,同時柔軟的頭端可避免在推進導絲時損傷血管。Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Amplatz Super Stiff GuidewireSuper stiff wire body with an atraumatic tip for catheter placement and exchange in uro
60、radiology,biliary drainage,abscess drainage and vascular procedures.具有良好硬度的桿身和無創(chuàng)性頭端,可用于在泌尿系統(tǒng)、膽道引流、膿具有良好硬度的桿身和無創(chuàng)性頭端,可用于在泌尿系統(tǒng)、膽道引流、膿腫引流和血管介入手術中放置和更換導管。腫引流和血管介入手術中放置和更換導管。PTFE Coating helps to reduce friction and allows for easy catheter passage PTFE涂層減少了摩擦力,便于推進導管。涂層減少了摩擦力,便于推進導管。在具有出色的硬度、強度、穩(wěn)定性的同時在具有
61、出色的硬度、強度、穩(wěn)定性的同時柔軟的無創(chuàng)傷頭端有良好的安全性柔軟的無創(chuàng)傷頭端有良好的安全性Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Magic Torque Guide WireBoston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Magic Torque Guide Wire Product Posi
62、tioning.0353CM50CMGLIDEX180/260CMExcellent torque control and radiopaque Magic Markers for enhanced visualization to meet the challenges of difficult anatomy.Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Magic Torque Guide Wire IndicationsINDICATIO
63、NS:The Magic Torque Guide Wire facilitates placement of a catheter during diagnostic or interventional procedures.The wire can be torqued to facilitate navigation through tortuous arteries and/or avoid unwanted side branches.Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or
64、 Distribute Externally Magic Torque Guide Wire Product SpecsTip ShapeTip Length(cm)Diameters(in)Lengths(cm)Shapeable5.035180,260Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Magic Torque Guide Wire Features&Intended Benefits.0353CM50CMGLIDEX180/260
65、CMMagic Torque FeaturesIntended BenefitsShapeable 3cm tipFlexibility for facilitating accurate placement,even in difficult anatomy.Single piece core with torque jacket1:1 torque control with superior body.Radiopaque distal markers spaced at 1cm incrementsAccurate measurement of vessel size.Exclusive
66、 Glidex hydrophilic coating on distal 10cmFacilitation of advancement and negotiation of tortuous anatomy.Boston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Magic Torque Guide Wire Areas of Clinical Use.0353CM50CMGLIDEX180/260CMAortic bifurcation areaCarotid/aortic arch areaSFA/BTKBoston Scientific Confidential-For Internal Use Only.Do Not Copy,Display or Distribute Externally Magic Torque Guide Wire Key Competitors The Graduate Measuring Wire(Cook)
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