Sheath for use in peripheral interventions

Abstract

A dual lumen introducer sheath provides access to at least one renal artery and at least one peripheral blood vessel of a patient. The introducer sheath includes a proximal hub comprising first and second ports, a first lumen, and a second lumen. The first lumen extends from the first port to a first distal aperture and has sufficient length such that when the first port is positioned outside the patient the first distal aperture is positionable in the abdominal aorta at or near origins of the patient's renal arteries. The second lumen extends from the second port to a second distal aperture, has a shorter length than the length of the first lumen, and is configured to allow passage of a catheter device through the second lumen and into or through an iliac artery contralateral to an insertion point of the introducer sheath into the patient.

Description

CROSS-REFERENCES TO RELATED APPLICATIONS [0001] The present application claims priority to U.S. Provisional Patent Application Nos.: 60 / 550,632 (original attorney docket number FLO5360.56P1), filed Mar. 4, 2004, and 60 / 550,774, (original attorney docket number FLO5360.56P2), filed Mar. 5, 2004, the full disclosures of which are hereby incorporated by reference.BACKGROUND OF THE INVENTION [0002] The present invention is related to medical devices, methods and systems. More specifically, the invention is related to devices, methods and systems for accessing various blood vessels in a patient, such as one or both renal arteries and one or more peripheral vessels. [0003] In the setting of interventional radiology, numerous conditions exist that warrant placement of various intravascular devices into the lower limb arteries (iliac, femoral, popliteal, etc.). Such devices may include catheters and guidewires for diagnostic purposes, or systems for therapeutic or prophylactic applications ...

AI Technical Summary

Benefits of technology

[0011] In some embodiments, the first and second lumens are disposed side-by-side in a proximal portion of the introducer sheath, and the first lumen extends beyond the proximal portion. In some embodiments, the first lumen is configured to accept a bi

Problems solved by technology

In any event, these procedures often involve the use of radiocontrast agents known to have detrimental effects on renal function.

In patients with known risk factors, radiocontrast nephropathy (RCN) is a prevalent adverse effect of interventional procedures utilizing organically bound iodine-based contrast imaging agents.

While the full mechanism of RCN is not known, its detrimental results on morbidity and mortality are well documented, and it is hypothesized that local agent administration to the renal arteries during the time of contrast media exposure may mitigate the development of RCN.

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