Enviar búsqueda
Cargar
整合型心導管如何應用於EPS的操作與設定_20120916_南區
•
1 recomendación
•
1,807 vistas
Taiwan Heart Rhythm Society
Seguir
Tecnología
Empresariales
Denunciar
Compartir
Denunciar
Compartir
1 de 51
Descargar ahora
Descargar para leer sin conexión
Recomendados
健檢心電圖異常解說
健檢心電圖異常解說
apex.wu
心臟植入性電子儀器(CIED)護理照護指引-手術中護理照護_20131019南區
心臟植入性電子儀器(CIED)護理照護指引-手術中護理照護_20131019南區
Taiwan Heart Rhythm Society
心臟植入性電子儀器(CIED )護理照護指引 –手術前及手術後_20130914中區
心臟植入性電子儀器(CIED )護理照護指引 –手術前及手術後_20130914中區
Taiwan Heart Rhythm Society
Arrhythmia news 045.pdf
Arrhythmia news 045.pdf
Taiwan Heart Rhythm Society
photo.pptx
photo.pptx
Taiwan Heart Rhythm Society
Arrhythmia news no.44
Arrhythmia news no.44
Taiwan Heart Rhythm Society
Thrs arrhythmia news
Thrs arrhythmia news
Taiwan Heart Rhythm Society
Arrhythmia news 042
Arrhythmia news 042
Taiwan Heart Rhythm Society
Recomendados
健檢心電圖異常解說
健檢心電圖異常解說
apex.wu
心臟植入性電子儀器(CIED)護理照護指引-手術中護理照護_20131019南區
心臟植入性電子儀器(CIED)護理照護指引-手術中護理照護_20131019南區
Taiwan Heart Rhythm Society
心臟植入性電子儀器(CIED )護理照護指引 –手術前及手術後_20130914中區
心臟植入性電子儀器(CIED )護理照護指引 –手術前及手術後_20130914中區
Taiwan Heart Rhythm Society
Arrhythmia news 045.pdf
Arrhythmia news 045.pdf
Taiwan Heart Rhythm Society
photo.pptx
photo.pptx
Taiwan Heart Rhythm Society
Arrhythmia news no.44
Arrhythmia news no.44
Taiwan Heart Rhythm Society
Thrs arrhythmia news
Thrs arrhythmia news
Taiwan Heart Rhythm Society
Arrhythmia news 042
Arrhythmia news 042
Taiwan Heart Rhythm Society
Picture
Picture
Taiwan Heart Rhythm Society
Arrhythmia news no.41
Arrhythmia news no.41
Taiwan Heart Rhythm Society
Arrhythmia news no.40
Arrhythmia news no.40
Taiwan Heart Rhythm Society
Arrhythmia news 039
Arrhythmia news 039
Taiwan Heart Rhythm Society
Challenging and Unknown ECGs (2)
Challenging and Unknown ECGs (2)
Taiwan Heart Rhythm Society
Arrhythmia news 038
Arrhythmia news 038
Taiwan Heart Rhythm Society
Photos
Photos
Taiwan Heart Rhythm Society
Arrhythmia news 037
Arrhythmia news 037
Taiwan Heart Rhythm Society
Arrhythmia news no.36
Arrhythmia news no.36
Taiwan Heart Rhythm Society
The clinical application of intracardiac echocardiography in cardiac
The clinical application of intracardiac echocardiography in cardiac
Taiwan Heart Rhythm Society
Comprehensive management
Comprehensive management
Taiwan Heart Rhythm Society
Arrhythmia news 035
Arrhythmia news 035
Taiwan Heart Rhythm Society
Oral anticoagulants in patients with atrial fibrillation
Oral anticoagulants in patients with atrial fibrillation
Taiwan Heart Rhythm Society
THRS allied professional training course
THRS allied professional training course
Taiwan Heart Rhythm Society
Pictures
Pictures
Taiwan Heart Rhythm Society
Arrhythmia News No.34
Arrhythmia News No.34
Taiwan Heart Rhythm Society
Challenging and Unknown ECGs
Challenging and Unknown ECGs
Taiwan Heart Rhythm Society
2019 POST HRS HIGHLIGHT SYMPOSIUM
2019 POST HRS HIGHLIGHT SYMPOSIUM
Taiwan Heart Rhythm Society
Arrhythmia news 033
Arrhythmia news 033
Taiwan Heart Rhythm Society
Pictures
Pictures
Taiwan Heart Rhythm Society
Más contenido relacionado
Más de Taiwan Heart Rhythm Society
Picture
Picture
Taiwan Heart Rhythm Society
Arrhythmia news no.41
Arrhythmia news no.41
Taiwan Heart Rhythm Society
Arrhythmia news no.40
Arrhythmia news no.40
Taiwan Heart Rhythm Society
Arrhythmia news 039
Arrhythmia news 039
Taiwan Heart Rhythm Society
Challenging and Unknown ECGs (2)
Challenging and Unknown ECGs (2)
Taiwan Heart Rhythm Society
Arrhythmia news 038
Arrhythmia news 038
Taiwan Heart Rhythm Society
Photos
Photos
Taiwan Heart Rhythm Society
Arrhythmia news 037
Arrhythmia news 037
Taiwan Heart Rhythm Society
Arrhythmia news no.36
Arrhythmia news no.36
Taiwan Heart Rhythm Society
The clinical application of intracardiac echocardiography in cardiac
The clinical application of intracardiac echocardiography in cardiac
Taiwan Heart Rhythm Society
Comprehensive management
Comprehensive management
Taiwan Heart Rhythm Society
Arrhythmia news 035
Arrhythmia news 035
Taiwan Heart Rhythm Society
Oral anticoagulants in patients with atrial fibrillation
Oral anticoagulants in patients with atrial fibrillation
Taiwan Heart Rhythm Society
THRS allied professional training course
THRS allied professional training course
Taiwan Heart Rhythm Society
Pictures
Pictures
Taiwan Heart Rhythm Society
Arrhythmia News No.34
Arrhythmia News No.34
Taiwan Heart Rhythm Society
Challenging and Unknown ECGs
Challenging and Unknown ECGs
Taiwan Heart Rhythm Society
2019 POST HRS HIGHLIGHT SYMPOSIUM
2019 POST HRS HIGHLIGHT SYMPOSIUM
Taiwan Heart Rhythm Society
Arrhythmia news 033
Arrhythmia news 033
Taiwan Heart Rhythm Society
Pictures
Pictures
Taiwan Heart Rhythm Society
Más de Taiwan Heart Rhythm Society
(20)
Picture
Picture
Arrhythmia news no.41
Arrhythmia news no.41
Arrhythmia news no.40
Arrhythmia news no.40
Arrhythmia news 039
Arrhythmia news 039
Challenging and Unknown ECGs (2)
Challenging and Unknown ECGs (2)
Arrhythmia news 038
Arrhythmia news 038
Photos
Photos
Arrhythmia news 037
Arrhythmia news 037
Arrhythmia news no.36
Arrhythmia news no.36
The clinical application of intracardiac echocardiography in cardiac
The clinical application of intracardiac echocardiography in cardiac
Comprehensive management
Comprehensive management
Arrhythmia news 035
Arrhythmia news 035
Oral anticoagulants in patients with atrial fibrillation
Oral anticoagulants in patients with atrial fibrillation
THRS allied professional training course
THRS allied professional training course
Pictures
Pictures
Arrhythmia News No.34
Arrhythmia News No.34
Challenging and Unknown ECGs
Challenging and Unknown ECGs
2019 POST HRS HIGHLIGHT SYMPOSIUM
2019 POST HRS HIGHLIGHT SYMPOSIUM
Arrhythmia news 033
Arrhythmia news 033
Pictures
Pictures
整合型心導管如何應用於EPS的操作與設定_20120916_南區
1.
11 整合型心導管室數位雙向平板心臟血管攝影機 應用於電氣生理學 EPS Aplication with
Hybrid Catheterzation Laboratory Bi-Panel Detector Cardiac Digital Angiography system 高雄醫學大學附設醫院心臟內科心導管室 林見財 高雄醫學大學附設中和紀念醫院 Kaohsiung Medical University Chung-Ho Memorial Hospital 2012/9/17
2.
Outline • 整合型心導管室整體設計模 式分析 • 整合型心導管室與整合型手 術室概念 •
整合型心導管室對EPS架設 應用的介紹
3.
Hybrid Catheterzation Laboratory
Aplication 心臟內外科手術 • 瓣膜與大動脈瘤或剝離手術 EVAR(Endovasular Aortic Aneurysm Repair )Treatments of Thoracic & Abdominal aortic aneurysms、 PAVR (percutaneous aortic valve replacement) • PCI and CABG合併手術 • 周邊血管手術結合氣球擴張Peripheral vessels with PTA and bypass Surgery
4.
Hybrid Catheterzation Laboratory
Aplication • 小兒心臟內、外科 Congenital Disease)先 天性心臟病之肺動、靜脈流向anomalous( 異常) • 腦神經外科手術(pituitary adenomas, chordomas, craniopharyngiomas and meningiomas respectively • 心臟內科EPS(電氣生理學)診斷及治療之應 用與Permanent Pacemark置放手術
5.
Hybrid Catheterzation Laboratory優點 •
跨科診斷與治療同部減少來回多次診療節省時間。 • 手術前可以先行Dyna-CT 3D-ANGIO CV-3D立體影像重組 斷層影像之相關檢查與定位可以同時攝影及後處理影像。 • 手術中、後可以進行血管攝影檢查確認位置與療效之評估 • 手術時心導管檢查台不同一般心導管是可以上、下、左、 右傾斜方便開刀。 • 方便病患不用改變方位或旋轉檢查臺可以從頭到腳 從左手 到右手覆蓋病人的範圍最多適合PTA及Ridal Angio 。 • 整合型心導管室房間清淨度1000等級白鐵櫃內崁式及導電 地板防塵防導電可以做手術室用在任何狀況可以進行緊急 手術。
6.
Hybrid Catheterzation Laboratory優點 •
整合型心導管儀器設計必需先預留病人要進行手 術需要麻醉機、心肺體外循環機、LED 手術無影 燈含錄影機、呼吸器、主動脈幫浦、葉克膜、電 刀、製冰機、手術器械置物台等…相關儀器的位 置以因應手術時的架設是較新構思。 • 可以結合相關領域的醫師做為合作、研討同時為 一個病人服務的新領域更發揮團隊精神。 • 亞洲第一台56吋高解析液晶螢幕56吋高解析LCD Monitor Live/Roadmap用≧ 1280x1024 matrix 功能可依需要分割成多種畫面來配合不同術式。
7.
Hybrid Catheterzation Laboratory缺點 •
空間結構設計困難需有前室與昂貴 • 清淨度1000級HEPA難度高又要正壓設計 • 氣體(N2 O2 N2O AIR VAC CO2)管線架設 及Hemo EPS地板下拉線複雜 • 心導管主機受限機器多軸須要設定及調整 的時間與步驟較多 • 平板式檢出器(Flat Panel) Detector 12X12 吋大角度較困難
8.
Cardiac Catheterzation Laboratory設計模式 機
房 櫃 子 櫃 子 櫃 子 Hepa Hepa HepaHepa 控制室
9.
Hybrid Catheterzation Laboratory設計模式
10.
Hybrid Catheterzation Laboratory空間預留
11.
Hybrid Catheterzation Laboratory應用
12.
Hybrid Catheterzation Laboratory設計重點 •
空間無塵板隔間各種儀器設備的位置 • 清淨度1000級分前室 檢查室 控制室機械室 • 檢查室正壓空間 • HEPA與風速換氣量與監控 • 無塵天花板及導電地板與內崁白鐵櫃線路 地下化與氣體架在天花板上不能高架地板 及輕鋼架天花板 • 56吋高解析LCD Monitor Live/Roadmap
13.
Hybrid 前室開與關病人出入門
14.
Hybrid Catheterzation Laboratory檢查室
15.
Hybrid Catheterzation Laboratory檢查室
16.
Hybrid Catheterzation Laboratory控制室
17.
Hybrid Catheterzation Laboratory主機房
18.
正壓閥
19.
Class 1000級清淨度架設HEPA管路
20.
內崁式白鐵櫃防塵與鉛防護
21.
管路地下拉氣體管路無塵板上架
22.
導電地板架設
23.
清淨度專業測試
24.
清淨度等級與風速換氣量
25.
56吋高解析LCD Monitor Live/Roadmap
26.
Hybrid Catheterzation Laboratory臨床應用 •
PCI與CABG合併應用 • 瓣膜與大動脈瘤或剝離手術 • 先天性心臟病之肺動、靜脈流向anomalous • 腦血管動脈瘤神經外科手術
27.
Hybrid Catheterzation Laboratory
CABG
28.
Hybrid Catheterzation Laboratory
CABG
29.
Hybrid Catheterzation Laboratory
CABG
30.
主動脈瓣膜置放
31.
AAA 3D CT image
after AAA stent grafting AAA stent graft after deploying AAA stent graft before deploying
32.
TAA
33.
Congenital Disease肺動、靜脈流向anomalous
34.
Dyna CT ANGIO
35.
腦血管動脈瘤
36.
Hybrid OR With
Hybrid Catheterzation • Hybrid OR以sigle plane為主分二種類型 • Hybrid OR以手術為主心導管為輔 • Hybrid OR以手術table為主可分節調整移動
37.
Hybrid OR 90 degrees
rotation MAQUET
38.
Hybrid OR Artis zeego
39.
Hybrid OR
40.
Hybrid應用在 EPS Permanent
Pacemark • Hybrid Catheterzation Laboratory Toshiba • Magnetic Navigation Niobe II Artis Siemens
41.
Hybrid應用在Permanent Pacemark
42.
43.
Hybrid在EPS之設計應用
44.
Hybrid在EPS之設計應用
45.
Hybrid在EPS之設計應用
46.
Hybrid在EPS之設計應用
47.
Hybrid與 Niobe II應用EPS
48.
結合Ensite Carto 3D立體心臟電氣生理定位儀
49.
Magnetic Navigation Niobe
II應用
50.
總結
51.
5151 Thank you for
your attention !! 2012/09/16
Descargar ahora