Elastomeric bypass grafts (EBG) described herein can be pre-stretched and are able to accommodate limb flexion-induced or organ-induced deformations without producing excessive tortuosity or stresses. In comparison to known grafts, EBGs demonstrate significantly less tortuosity when used for lower extremity repair during limb flexion, and improved flow patterns within the grafts. Longitudinally pre-stretched EBGs described herein improve hemodynamics and may produce better healing responses in the harsh mechanical environment of the lower limbs, compared to known grafts.
A percutaneous bypass method for implanting a bypass graft between two vessels is described. The bypass graft comprises a first part and a second part, each having a tubular shape and comprising respective lumens. The method comprises the step of inserting a second sheath, from the outside to the inside of a bypass portion of the first part, through a puncture therein, and retracting the second sheath so as to deploy and implant a hook portion of the second part into the second vessel, and deploy a bypass portion of the second part outside the second vessel, from the second vessel to the first part, and within the lumen of the first part.
Devices and methods are disclosed that provide a syringeactuator device for use in the distention and irrigation of a body conduit before the use in a medical procedure such as a coronary bypass graft procedure. The device can be retrofit to a syringe by attaching it to the cap of the plunger and engaged to automatically apply pressure to fluid in the syringe. In some embodiments, elastic bands attached to the device are easily engaged or removed from a syringe during a procedure to limit the pressure on the syringe to various levels. The device may be overridden by an operator pushing on the plunger of the syringe as in normal syringe operation.