Conflict of Interest A Better Angioplasty Balloon Patents licensed - - PowerPoint PPT Presentation

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Mar 21, 2023 235 likes •357 views

A Better Angioplasty Balloon Conflict of Interest A Better Angioplasty Balloon Patents licensed to West Coast Catheter Timothy A.M Chuter, DM A Better Angioplasty Balloon A Better Angioplasty Balloon The Problem The Solution

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A Better Angioplasty Balloon

Timothy A.M Chuter, DM

A Better Angioplasty Balloon

Conflict of Interest

Patents licensed to West Coast Catheter

A Better Angioplasty Balloon

The Problem

Angioplasty causes arterial trauma
The response to trauma narrows the artery

A Better Angioplasty Balloon

The Solution

Minimize the trauma
Minimize the response

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A Better Angioplasty Balloon

Arterial Trauma

Rapid expansion
High pressure inflation
Rotational shear
Forced straightening

A Better Angioplasty Balloon

High-Pressure Balloons Do Not Expand: They Unfurl

Shear-induced dissection
Insecure stent attachment

A Better Angioplasty Balloon

Torsional Shear

A Better Angioplasty Balloon Wall Tension XC-area of a 9 mm balloon is 0.64 cm2 10 Atm pressure generates 64 N traction

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A Better Angioplasty Balloon

Focal Expansion

A Better Angioplasty Balloon

Longitudinal Shear

A Better Angioplasty Balloon

Focused Force Angioplasty

Localized pressure

– Reduced stenosis resolution pressure (SRP) – Reduced rate of stress increase

Localized injury

A Better Angioplasty Balloon

External Wire

Buddy wire
FX miniRAIL

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A Better Angioplasty Balloon

Multiple Wires

Angiosculpt balloon

A Better Angioplasty Balloon

Angiosculpt Failure Mode

A Better Angioplasty Balloon

Cutting Balloon

A Better Angioplasty Balloon

Cutting Balloon Failure Modes

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A Better Angioplasty Balloon

Chocolate

A Better Angioplasty Balloon

Chocolate

A Better Angioplasty Balloon A Better Angioplasty Balloon

Fantasy

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A Better Angioplasty Balloon A Better Angioplasty Balloon

External Braid

A Better Angioplasty Balloon A Better Angioplasty Balloon

Pig Subclavian Artery

Regular Balloon

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A Better Angioplasty Balloon

Pig Subclavian Artery

Regular Balloon Flex Balloon A Better Angioplasty Balloon

Pig Subclavian Artery

Regular Balloon Flex Balloon Flex Stent A Better Angioplasty Balloon

Balloon-Expanded Stent

A Better Angioplasty Balloon

Curved Stent

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A Better Angioplasty Balloon

Open and Closed Cell Stent Designs

A Better Angioplasty Balloon

Crossing Profiles

6 mm 3 mm Without Stent With Stent A Better Angioplasty Balloon

Sheath Size Comparison

3 mm 3-4 4 5 6 mm: 4-5 5 6

West Coast Catheter Advance Cook Medical Chocolate TriReme Medical A Better Angioplasty Balloon

Renal Angioplasty

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A Better Angioplasty Balloon

Coronary Angioplasty

A Better Angioplasty Balloon

Intracranial Angioplasty

A Better Angioplasty Balloon

Dialysis Access Inflow

A Better Angioplasty Balloon

Dialysis Access Outflow

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A Better Angioplasty Balloon

Porto-systemic Shunt

A Better Angioplasty Balloon

Balloon Sinuplasty

A Better Angioplasty Balloon

Balloon Sinuplasty

A Better Angioplasty Balloon

Kyphoplasty