Composite aortic arch reconstruction system and using method thereof

An aortic arch, composite technology, applied in the medical field, can solve the problems of increasing the risk of endoleak, increasing thrombosis, complicated operation procedures, etc., so as to reduce the dependence on vascular access, reduce vascular complications, and reduce the risk of bleeding. Effect

Pending Publication Date: 2018-07-24
THE FIRST AFFILIATED HOSPITAL OF ZHENGZHOU UNIV
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  • Abstract
  • Description
  • Claims
  • Application Information

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Problems solved by technology

However, there are various problems in the existing treatment methods: deep hypothermic circulatory arrest is required during Sun's operation to replace the blood vessels in the aortic arch and place the elephant trunk stent in the descending aorta. Anatomical and anastomotic requirements are high, and deep hypothermic circulatory arrest has a great impact on the heart, brain, liver and kidney function, gastrointestinal function, and blood coagulation function of the patient, resulting in many postoperative complications and high mortality
[0005] However, there are currently no artificial blood vessels and covered stents specially designed for hybrid hybrid surgery in clinical practice.
[0006] There are many problems in the existing artificial blood vessels: firstly, the normal blood flow direction of the carotid artery is changed, which is easy to cause blood vessel distortion and increase thrombosis; secondly, all the branched blood vessels originate from the ascending aorta, making it difficult to perform internal drainage and increase the risk of bleeding; there is insufficient space , the branch vessels are easily compressed, which affe

Method used

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  • Composite aortic arch reconstruction system and using method thereof
  • Composite aortic arch reconstruction system and using method thereof
  • Composite aortic arch reconstruction system and using method thereof

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Embodiment Construction

[0047] see figure 1 , 2 As shown in . The perfusion branch 3 communicates with the vessel lumen; the transarch stent graft 4 includes an inner layer metal stent 410 and an outer layer vascular membrane 420 .

[0048] The main blood vessel 5 has a diameter of 24mm, 26mm, 28mm, 30mm, 32mm, and 34mm; the above-arched branches 2 are separated in sequence: the brachiocephalic branch 201, the left common branch of the neck 202, and the left subclavian branch 203; the perfusion Branch 3, the head end is designed with a hemostatic valve for stent placement and arterial perfusion.

[0049] The above arch branch 2 and the main blood vessel 5 are located on the same plane, and the plane where the perfusion branch 3 is located and the plane where the main blood vessel 5 is located form an angle of 45°.

[0050] The arch-spanning stent graft 4 includes an inner metal stent 410 and an outer vascular membrane 420; the metal stent 410 is a cosine wave shape memory alloy material, which has...

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Abstract

The invention provides a composite aortic arch reconstruction system and a using method thereof. The system comprises a quadrifurcation vascular prosthesis and a cross arch covered stent; the vascularprosthesis comprises a vascular body, an arch upper branch communicated with the vascular body and a perfusion branch, the arch upper branch is sequentially divided into an anonyma branch, a left common carotid branch and a left collarbone lower branch, and blood vessel lumina are communicated with each other. The cross arch covered stent comprises an inner layer metal stent and an outer layer vascular cover, and conical and preflex designs which more conform to the physiological structure of an aorta of a human body are adopted. When an aortic arch surgery is carried out, deep hypothermic circulatory arrest can be avoided by means of the system to reduce the difficulties of vascular anatomy and vascular anastomosis, shorten the surgical operating time and improve the success rate of thesurgery.

Description

technical field [0001] The invention relates to the field of medical technology, in particular to a composite aortic arch reconstruction system and its application method. Background technique [0002] Aortic arch disease, including aortic dissection, penetrating ulcer, aortic intramural hematoma, aortic aneurysm, etc., has always been the biggest difficulty and challenge in the department of aortic surgery and endovascular intervention. Treatment methods include: traditional surgery and endovascular interventional surgery, represented by Sun's surgery and chimney technique respectively. However, there are various problems in the existing treatment methods: deep hypothermic circulatory arrest is required during Sun's operation to replace the blood vessels in the aortic arch and place the elephant trunk stent in the descending aorta. The requirements for anatomy and anastomosis are high, and deep hypothermic circulatory arrest has a great impact on the heart, brain, liver an...

Claims

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Application Information

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IPC IPC(8): A61F2/06A61F2/07
CPCA61F2/06A61F2/07A61F2210/00A61F2250/0096A61F2250/0098
Inventor 朱效华李税琪徐敬黄辰张瑞芳舒礼良黄功成
Owner THE FIRST AFFILIATED HOSPITAL OF ZHENGZHOU UNIV
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