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Device for intracranial bypass of aorta and bilateral internal carotid arteries

A technology of aorta and ascending aorta, applied in the intersection of medicine and engineering, can solve problems such as long anchoring area, complex stroke, and branch aggravation and complexity, and achieve simple operation, less trauma, and low incidence of stroke. Effect

Pending Publication Date: 2019-01-04
SHANGHAI NINTH PEOPLES HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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AI Technical Summary

Problems solved by technology

Due to the complex anatomy of the aortic arch and the high risk of stroke in some patients, the management of arch lesions is currently a great challenge for vascular surgeons
The anatomical shape of the aortic arch is complex, and there are different degrees of distortion in the coronal, sagittal and axial positions. This distortion is still changing with age, which not only increases the difficulty of accurately measuring the cross-sectional diameter of the aortic arch, but also increases the difficulty of stenting during endovascular treatment. The difficulty of precise release also leads to the need for a longer anchoring zone for effective anchoring of the stent
The branched vessels on the arch provide blood supply to the upper limbs, especially the head and neck, which limits the random upward movement of the anchoring area, and also brings greater risks to the technical operation when dealing with arch lesions, and the variation of its branches is more severe. its complexity

Method used

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  • Device for intracranial bypass of aorta and bilateral internal carotid arteries

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Embodiment Construction

[0016] The specific implementation of the device for intracranial bypass of the aorta and bilateral internal carotid arteries provided by the present invention will be described in detail below with reference to the accompanying drawings.

[0017] figure 1 It is a structural schematic diagram of the device for intracranial bypass of the aorta and bilateral internal carotid arteries of the present invention. see figure 1 The device for intracranial bypass of the aorta and bilateral internal carotid arteries of the present invention includes a first sheath tube 1 , a second sheath tube 2 , a third sheath tube and a fourth sheath tube 4 .

[0018] The first sheath 1 can be implanted at the root of the ascending aorta 101 close to the heart valve through the right common carotid artery 100 , and the tail end of the first sheath 1 faces the direction of the right internal carotid artery 102 . Specifically, when using the device for intracranial bypass between the aorta and bilate...

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Abstract

The invention provides a device for intracranial bypass of aorta and bilateral internal carotid artery. The invention has the advantages that the device for intracranial bypass of the aorta and the bilateral internal carotid arteries can simply carry out temporary blood supply of the bilateral internal carotid arteries and the intracranial blood vessels when the aortic arch is covered by the membrane covered stent through the temporary blood supply channel established by the external bypass tube, and the original blood flow can be restored after the fenestration branch of the membrane coveredstent is reconstructed. The method of extracorporeal bypass is simple, less invasive, does not need to block the internal carotid artery, does not need to interrupt the intracranial blood flow, rarelycauses plaque loss, does not affect the surgical procedures and the incidence of stroke in patients with low.

Description

technical field [0001] The invention relates to the cross field of medicine and engineering, in particular to a device for temporary intracranial bypass of the aorta and bilateral internal carotid arteries. Background technique [0002] Aortic aneurysm and aortic dissection are life-threatening diseases. At present, surgery is still an effective treatment method for aortic dissection and aneurysm, but its technical difficulty is high, and it has high requirements on the surgeon and operating room, and its popularization and application are limited. However, this technique requires general anesthesia for bypass grafting. Compared with simple endovascular treatment, the risk is higher, the operation time and postoperative recovery time are longer, and there are relatively more complications such as infection and bleeding. [0003] In recent years, the application and development of endovascular aortic repair (TEVAR) has greatly changed the treatment of this disease, and its m...

Claims

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Application Information

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IPC IPC(8): A61M25/00A61F2/07
CPCA61M25/0023A61F2/07
Inventor 陆信武秦金保李维敏张省殷敏毅叶开创刘晓兵赵振刘光施慧华崔超毅彭智猷杨心蕊黄新天陆民蒋米尔
Owner SHANGHAI NINTH PEOPLES HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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