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Stent graft suitable for thoracic and abdominal aorta

A graft and aorta technology, applied in the field of stent grafts, can solve the problems of stenosis and occlusion of chimney stents, long stent customization time, and rupture of the main stent caliber and wall.

Pending Publication Date: 2020-10-20
FUMAN MEDICAL TECH
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, such stents with reserved side holes are custom-made stents according to the patient's own conditions, especially the stent customization time is relatively long. For patients who have ruptured precursors or ruptured and compressed symptoms, the time delay of this technology limits the application.
Moreover, for branch arteries that directly open into the aortic aneurysm cavity, there is a certain risk of endoleak when using fenestrated stents to reconstruct branch arteries
[0007] The octopus stent technique is expensive for surgery, and it is prone to stenosis and occlusion of the chimney stent (stenosis and occlusion of the chimney stent: refers to the compression of the chimney stent by the aortic stent graft after intraluminal isolation of the chimney, causing its stenosis and occlusion to cause branch artery ischemia, Renal failure, intestinal ischemia and other complications); when there are many chimneys, the caliber of the main stent is too large to cause the risk of tube wall rupture; postoperative endoleaks are likely to occur, and the tumor cavity continues to expand
[0008] Therefore, there is currently no stent specifically suitable for dilatation of the thoracoabdominal aorta. If the branch arteries need to be reconstructed in the later stage, the existing stent structure is not convenient for the stent to introduce the corresponding branch arterial blood, and the operation is difficult.

Method used

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  • Stent graft suitable for thoracic and abdominal aorta
  • Stent graft suitable for thoracic and abdominal aorta
  • Stent graft suitable for thoracic and abdominal aorta

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0052] figure 1 It is a structural schematic diagram of Embodiment 1 of the present invention. Such as figure 1 As shown, the stent graft suitable for the thoracoabdominal aorta can be a covered stent, which includes a main channel 1 and two branch channels 2, and the proximal end of the two branch channels 2 is docked with the distal end of the main channel 1 And connected to form the main frame. The sum of the outer diameters of the two branch channels 2 is not greater than the outer diameter of the main channel 1, one branch channel in the two branch channels 2 extends out of the reserved sub-channel 3, and the branch channel extending out of the reserved sub-channel 3 2 is called branch auxiliary channel 21. The axial length of the branch auxiliary channel 21 (i.e. the second branch channel, the long leg) is greater than the axial length of the other branch channel (i.e. the first branch channel, the short leg), for example, the length difference can be greater than 10m...

Embodiment 2

[0061] figure 2 It is a schematic diagram of the structure of Embodiment 2 of the present invention, for the sake of simplicity, the structure of the stent wire is not drawn. The difference between this embodiment and Embodiment 1 is that there are no two end branches, and there are four reserved sub-channels 31 on the side, which are respectively the celiac artery channel for blood supply of the celiac artery and the channel for the superior mesenteric artery. Superior mesenteric artery channel for blood supply (outer diameter can be 5-10mm, axial length can be 10-40mm), right renal artery channel for right renal artery blood supply (outer diameter can be 5-10mm, length can be 10- 40mm) and the left renal artery channel (the outer diameter may be 5-10mm, and the length may be 10-40mm) for left renal artery blood supply. The diversion directions of the four side reserved sub-channels 31 are basically the same, all of which are from the side of the branch auxiliary channel 21...

Embodiment 3

[0063] image 3 It is a schematic structural diagram of Embodiment 3 of the present invention, for the sake of brevity, the scaffold wire structure is not drawn. The difference between Embodiment 3 and Embodiment 2 is that, among all the side reserved sub-channels 31, the direction of flow guide of the side reserved sub-channels near the proximal end of the branch auxiliary channel 21 is from the outside of the branch auxiliary channel toward the distal end. . Among all the side reserved sub-channels 31 , the side reserved sub-channels close to the distal end of the branch auxiliary channel 21 have a conduction direction from the branch auxiliary channel to the outside of the branch auxiliary channel toward the proximal end. In other words, in this embodiment, the orientations of the reserved sub-channels are different, so as to realize different introduction and release directions to the external bracket. The included angle between the diversion direction of the reserved su...

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Abstract

The invention discloses a stent graft suitable for thoracic and abdominal aorta. The stent graft comprises a main channel and two branch channels, wherein proximal ends of the two branch channels communicate with a distal end of the main channel in a butt joint mode. The branch channels have two modes: in the first mode, the branch channel is provided with a reserved sub-channel, that is, at leastone reserved sub-channel extends from the side part or the end part of at least one of the two branch channels, and the reserved sub-channel is a release channel reserved and used for being externally with a branch artery in an anchoring area or the branch artery involved in aortic lesion; and in the second mode, the two branch channels can be provided with no reserved sub-channels, the reservedsub-channels are arranged on extension stents which are subsequently overlapped and connected with the branch channels, the two branch channels are connected with the two extension stents correspondingly, and 0-2 reserved sub-channels can be carried on each extension stent to be used for reconstructing visceral branch arteries. By optimizing a traditional stent structure, later external connectionof the branch artery stent is facilitated, and operation steps are simplified.

Description

technical field [0001] The invention relates to the technical field of medical devices, in particular to a stent graft suitable for thoracoabdominal aorta. Background technique [0002] Thoracoabdominal aortic dilated disease is a disease with dangerous onset, rapid progression and high mortality. [0003] At present, the treatment of thoracoabdominal aortic dilatation is mainly divided into open surgery, hybrid surgery and endovascular treatment. [0004] For open surgery and hybrid surgery, due to large trauma, long operation time, high mortality and complications, it is not suitable for elderly and infirm patients. [0005] For endovascular treatment, fenestrated stents or octopus stents are mainly used for treatment. [0006] The fenestration stent is a side hole corresponding to the branch artery in the area to be covered on the main body of the stent. During the operation, the ball-expandable or self-expanding stent-graft is introduced to the target artery through th...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61F2/07
CPCA61F2/07A61F2002/065
Inventor 冯睿景在平冯家烜曾照祥艾克白尔江·艾尼瓦尔赵玉玺李涛鲍贤豪吴明炜陆烨徐子依
Owner FUMAN MEDICAL TECH
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