71 results about "Third aortic arch" patented technology

The invention discloses a traditional Chinese medicine composition with an effect of improving artery blood vessel plaque and a preparation method and application thereof, and belongs to the technical field of traditional Chinese medicine. The technical problem to be solved is to provide a traditional Chinese medicine composition capable of improving vascular plaques such as carotid artery, aortic arch, brachial trunk, subclavian artery and the like aiming at the current situation that adverse reactions exist when statin lipid-lowering drugs and antiplatelet drugs are taken for a long time to treat artery vascular plaques. According to the technical scheme, the traditional Chinese medicine composition with the effect of improving the artery blood vessel plaque is characterized by comprising radix puerariae, red yeast rice, folium cortex eucommiae, hippophae rhamnoides leaves and natto.

Implant devices for hypertension and methods of treatment are provided. Implant devices are configured for placement in a target region of an aortic arch of the patient, thereby engaging arterial walls in the target region sufficiently to stretch and / or tension arterial walls, thereby inducing the baroreflex response. Such implants can include one or more expandable structures configured to engage an elongated target region in the aortic arch. The target region can extend along a majority of the aortic arch including a cylindrical segment of aortic arch between the left common carotid artery and the left subclavian artery. An elongated target zone can further extend at least between the brachiocephalic artery takeoff and the left subclavian artery takeoff. Such embodiments can utilize one or more expandable structures with a non-circular cross-section that stretch and reshape the arterial walls to induce tension in the arterial walls, thereby generating a robust baroreflex response.

A catheter device is disclosed comprising; an elongate sheath (503) with a lumen and a distal end for positioning at a heart valve (6), an embolic protection device (200) for temporarily positioning in the aortic arch for deflection of embolic debris from the ascending aorta to the descending aorta, said embolic protection device is connectable to a transluminal delivery unit (130) extending proximally from a connection point (131), and having: a frame with a periphery, a blood permeable unit within said periphery for preventing embolic particles from passing therethrough with a blood flow downstream an aortic valve into side vessels of said aortic arch to the brain of a patient, and at least one tissue apposition sustaining unit (300, 350) extending from said catheter, into said aortic arch, and being attached to said embolic protection device at a sustaining point (502), for application of a stabilization force offset to said connection point at said embolic protection device, such as at said periphery, and for providing said stabilization force towards an inner wall of said aortic arch, away from said heart, and in a direction perpendicular to a longitudinal extension of said periphery, when said catheter device is positioned in said aortic arch, such that tissue apposition of said periphery to an inner wall of said aortic arch is supported by said force for improving stability and peripheral sealing. In addition related methods are disclosed.

A system for transvascular delivery to an aortic arch of a patient includes an embolic protection device, a connector mechanism, and a catheter or sheath for delivering the embolic protection device to a working zone. The embolic protection device includes a support frame having a distal portion and a proximal portion, and a filter member attached to the support frame and configured for preventing embolic materials from passing there through. At least one of the distal portion and the proximal portion includes a spring section configured for providing a radial force between the support frame and a wall of the aortic arch when in an expanded state. The embolic protection device is pivotable axially but not radially relative to the connector mechanism.

The utility model discloses an aortic arch support which comprises a body, the body is arranged to be in a pre-bending shape, a concave portion is arranged on the body, and a first branch pipe, a second branch pipe and a third branch pipe which are matched with an aortic arch are arranged on the concave portion. The first branch pipe, the second branch pipe and the third branch pipe all protrude out of the surface of the body; according to the aortic arch support, a gap can be formed between the concave part and the aortic wall, the aortic arch support is suitable for most branch variation situations, and the phenomenon that the inner diameter of the aortic trunk is reduced cannot occur; besides, the contact area of the branch blood vessel and the main blood vessel can be increased, and the contact area is changed into a surface from a point, so that the phenomenon of internal leakage is well avoided; and the aortic arch stent is integrally designed, so that the integrity of the whole stent does not need to be damaged in an operation, and the risk is low.

Disclosed are methods and devices for isolating all three of the left subclavian, left common carotid and brachiocephalic arteries from embolic debris that might flow through the aortic arch, via a single access point. A system may include an elongate flexible tubular sheath, having a proximal end and a distal end, and an inner member extending through the sheath and moveable relative to the sheath. A left subclavian element may be supported by the inner member. A filter membrane may be configured to isolate the aorta from the brachiocephalic, left common carotid and left subclavian arteries when the left subclavian element is expanded within the left subclavian artery and the sheath is retracted to expose the membrane. The left subclavian element may include a self expandable frame, which may carry a left subclavian filter.

This invention provides a covered stent and a stent assembly. The covered stent includes a first segment and two second segments respectively disposed at both axial ends of the first segment. The covered stent includes a bare stent and a covering. The bare stent includes a helical structure extending from one second segment through the first segment to the other second segment, and the helical structure has a greater ascending angle in the first segment than in the second segment. The covering covers the circumferential surface of the bare stent. The covered stent is used in a stent assembly as a branch stent for treating lesions involving the aortic arch, and it can well adapt to the anatomical structure of the aortic arch, improving treatment efficacy.

Methods of metering a pressure reflex response and pressure reflex metering devices and systems are provided herein. Such methods and devices position and expand an expandable structure at a target location within a patient vasculature, preferably an aortic arch, to meter a pressure reflex response to one or more lateral dimensions of the expandable structure. The pressure reflex metering device may optionally expand the structure to a variety of expanded configurations while monitoring the patient's blood pressure to determine an optimal dimension of the pressure reflex response. These metering devices and methods help assess the suitability of a patient to receive treatment and help select or customize implants placed in the vasculature for long term treatment of hypertension. The pressure reflex metering device may be further integrated into an implant delivery system such that partial deployment allows for metered response and full deployment allows for long term treatment.

The present disclosure generally relates to prosthetic implants, prosthetic implant systems, and their methods of use, for example, for treating a dissection. The prosthetic implants contemplated herein comprise an expandable arch support structure comprising one or more expandable branches configured to be placed within one or more vessels. Certain aspects of the disclosure relate to methods for treating a dissection, e.g., an aortic dissection, using said prosthetic implants and implant systems. The methods comprise advancing one or more guidewires into an ascending aorta, a descending aorta, and / or one or more one or more vessels of an aortic root or aortic arch. The methods further comprise exposing one or more components of the expandable arch support structure from a sheath. In some cases, the exposed component is an expandable branch that is advanced into the one or more vessels of the aortic root or aortic arch, thus anchoring the implant to the native aorta.

This invention discloses an automated multi-parameter assessment method, device, and medium for aortic imaging based on three-dimensional images. The method includes acquiring three-dimensional chest CT images and preprocessing them; extracting and optimizing an initial centerline based on the obtained three-dimensional vascular mask; dividing the initial centerline into ascending aorta, aortic arch, and descending aorta segments using the optimized initial centerline and the opening positions of branches on the aortic arch; extracting the average CT value of the adipose tissue surrounding the descending aorta based on the divided descending aorta segments; constructing orthogonal cross sections, performing dimensionality reduction and projection processing on each cross-sectional mask, and calculating the major and minor axes based on the farthest point pairs, outputting the major axis diameter sequence of each cross section; calculating the aortic calcification load, assessing aortic dilation and morphological variations, and evaluating the inflammatory status of the perivascular adipose tissue; and generating a comprehensive report of indicators. This invention fully utilizes existing imaging resources, improving the utilization efficiency and clinical value of medical imaging data.

System, devices and methods for providing a blood-free operative region for aortic arch repair procedures. Various embodiments disclose occlusion of the descending aorta, the innominate artery, the left carotid artery and the left subclavian artery while also providing sufficient perfusion distal of the occluding balloons. Various embodiments disclose performing aortic arch repair procedures while the patient's body temperature is maintained an normothermia (about 36 degrees C. to about 37.5 degrees C.). Other embodiments disclose performing aortic arch repair procedures while the patient's body temperature is maintained at slight hypothermia (about 30 degrees C. to about 34 degrees C.).

The invention discloses an integrated heart valve stent with relatively short axial height, and relates to the field of heart valve stents. The invention provides an integrated heart valve stent with shorter axial height, which comprises a main body stent, and the main body stent comprises an upper stent and a lower stent which are sequentially connected from top to bottom along the axial direction of the main body stent and are integrally formed. A plurality of upper grids which are sequentially arranged in the circumferential direction of the upper support are arranged in the upper support, the upper grids are first grids or second grids, and at least one upper grid is the second grid. A plurality of lower grids are sequentially arranged in the lower support in the circumferential direction of the lower support. The top of the first grid and the top of the second grid are arrow-shaped, the arrow height of the top of the second grid is smaller than that of the top of the first grid, and the arrow included angle alpha of the top of the second grid is 60-130 degrees. The axial height of the main body stent is reduced, the bending capacity of the main body stent can be enhanced, the aortic arch passing capacity of the main body stent is improved, and meanwhile, the occurrence risk of conduction block after implantation is reduced.

This invention provides a method, electronic device, and storage medium for detecting the location of aortic dissection ruptures. Based on an image of the aorta to be detected and its true and false lumen mask images, a first search starting layer is determined according to a first search rule. Then, based on the first search starting layer and the true and false lumen mask images, the location of the aortic dissection rupture is calculated according to a second search rule. The method, electronic device, and storage medium provided by this invention can improve the detection efficiency and accuracy of aortic dissection rupture locations. Furthermore, the algorithm is simple, efficient, and has strong generalization ability, achieving fully automated detection of aortic dissection rupture locations, and is easy to implement. In addition, the method provided by this invention can determine a second search starting layer and the aortic arch location according to a third search rule, and calculate the rupture initiation location of the aortic dissection according to the second search rule, further improving accuracy.

The invention provides a covered stent, a covered stent delivery system and an intervention system, the covered stent comprises: a main covered stent having at least one pre-opening; and at least part of the guide wire is located at the pre-opened hole, and the guide wire is in releasable connection with the main covered stent. The covered stent embedded with the guide wire can be assembled into a standardized module in advance before an operation, then the standardized module is pressed, held and loaded in a conveying system, in an interventional operation, the stent is conveyed to a target position of an aortic arch through a femoral artery approach, after the main covered stent is released, the conveying system is withdrawn, the guide wire is disengaged from a side hole of a middle tube and exposed, and the guide wire is released from the side hole of the middle tube. An operator can directly use the exposed guide wire to guide the rapid exchange catheter to enter a branch blood vessel to complete passage establishment without additionally puncturing a carotid artery or a brachial artery, so that the operation time is remarkably shortened, and the stroke risk is reduced.

The application belongs to the technical field of medical devices, and particularly relates to a covered stent, which comprises a stent body and a covering arranged on the stent body, wherein the stent body comprises a keel, a wave ring assembly and a sleeve joint assembly for connecting the keel and the wave ring assembly; the wave ring assembly comprises at least one curved section connected to the keel, and the curved section comprises a plurality of curved wave rings arranged on the keel in sequence; the sleeve joint assembly comprises a plurality of curved sleeves for connecting adjacent curved wave rings; and the wave ring assembly further comprises a windowing section for puncturing the covering. According to the covered stent, puncturing can be performed on the windowing section to adapt to the branch vessels on the aortic arch, and according to the shape of the vessels, the covered stent can be arranged in a preset curved shape through the curved sleeves, so as to reduce the pressure of the covered stent on the inner wall of the vessels, reduce the stimulation of the covered stent on the vessels and prevent new vessel breaks.

This application provides a method and system for in vivo stent orientation based on the principle of spatial reversal, relating to the field of vascular interventional technology. The method includes: during the advancement of a main stent delivery system carrying an integrated branch stent along an ultra-rigid guidewire towards the aortic arch, acquiring the orientation information of the delivery system and its contact force information with the vessel wall; then comparing the orientation information with a spatial reference path, and determining the entry point into the curved section of the aortic arch based on the comparison results; generating a reversal speed adjustment amount based on the deviation of the delivery system's orientation from the branch vessel opening direction, the vessel curvature, and the contact force information; finally, controlling the delivery system to rotate synchronously during advancement based on this adjustment amount, gradually adjusting the orientation of the branch stent from a preset position to directly facing the opening of the left subclavian artery, while dynamically adjusting the advancement speed according to the contact force information to maintain the contact force within a preset safe range. This application improves the accuracy and operational safety of in vivo stent orientation.

The utility model discloses a kind of delivery sheaths, it is related to medical instrument technical field, including sheath tube, sheath tube has sheath tube distal end first curved section, sheath tube distal end second curved section, sheath tube distal end third curved section and sheath tube main body section in turn from the distal end of sheath tube to the proximal end of sheath tube on sheath tube, the center line of sheath tube distal end first curved section and the center line of sheath tube distal end second curved section are on first plane, the center line of sheath tube distal end third curved section and the center line of sheath tube main body section are on second plane, the included angle between second plane and first plane is greater than 0 and less than 90 °;The center line of sheath tube distal end third curved section can be parallel with the center line of aortic arch, the outlet on sheath tube distal end first curved section can be directly opposite aortic valve orifice;The utility model can effectively avoid blood vessel or valve injury.

To provide a catheter with a suitable integrated embolic protection device. [Solution] The artificial heart valve delivery catheter includes an embolic filter to provide integrated embolic protection to prevent the release of embolus into the aorta, aortic arch, or branch vessels and other vascular systems during transvascular heart valve replacement procedures. The embolic filter will typically be fixed or movably attached to the shaft of the delivery catheter proximal to the artificial heart valve.

To provide a method and a system for placing am embolic filter in a good aortic arch.SOLUTION: An embolic filter positioning system includes a vascular delivery sheath, a filter catheter, a self-expanding embolic filter attached to a distal end of the filter catheter, and an elongate dilator having a tapered dilator tip. The elongate dilator is slidably received in a central lumen of the filter catheter, and the filter catheter is slidably received in the open lumen of the vascular delivery sheath. The tapered dilator tip is positioned distally of the distal end of the vascular delivery sheath, and the self-expanding embolic filter is radially constrained in a proximal portion of the open lumen of the vascular delivery sheath. The tapered dilator tip has an expanded configuration where it covers the open distal end of the vascular delivery sheath and facilitates entry though an arteriotomy and a contracted configuration where it can be retracted through the central lumen of the filter catheter.SELECTED DRAWING: Figure 6

The application discloses a carotid artery implanted valve delivery system and a valve delivery method. The valve delivery system comprises a control handle 100 at a proximal end, a tube assembly 200 connected with the control handle 100 and extending to a distal end, and an outer sheath 300 for guiding the tube assembly 200 to pass through a body. The tube assembly 200 has a length L1 extending to the distal end from the control handle 100, and the length L1 is at least adapted to a distance between a carotid artery surface puncture point 401 and an aortic valve 403. The outer sheath 300 has a length L2, and the length L2 is at least adapted to a distance between the carotid artery surface puncture point 401 and an aortic arch 402.

The present disclosure generally relates to prosthetic implants, prosthetic implant systems, and their methods of use, for example, for treating a dissection. The prosthetic implants contemplated herein comprise an expandable arch support structure comprising one or more expandable branches configured to be placed within one or more vessels. Certain aspects of the disclosure relate to methods for treating a dissection, e.g., an aortic dissection, using said prosthetic implants and implant systems. The methods comprise advancing one or more guidewires into an ascending aorta, a descending aorta, and / or one or more one or more vessels of an aortic root or aortic arch. The methods further comprise exposing one or more components of the expandable arch support structure from a sheath. In some cases, the exposed component is an expandable branch that is advanced into the one or more vessels of the aortic root or aortic arch, thus anchoring the implant to the native aorta.

An embolic protection device (1) for insertion into the aortic arch, comprising a filter unit (3), a frame (5) and a feeding unit (7), wherein the filter unit (3) is arranged at the frame (5) and the frame (5) provides a proximal region (9) comprising a proximal body (11) arranged in an inner region of the frame (5) and connected to the feeding unit (7), wherein the proximal body (11) comprises a first portion (13) and a second portion (15), wherein the second portion (15) is formed at one end of the first portion (13).

The invention provides an adjustable bending hemostasis delivery sheath tube for aortic arch interventional therapy, the adjustable bending hemostasis delivery sheath tube comprises a catheter sheath and a control mechanism, the control mechanism comprises a base, a driving assembly and a locking assembly, the driving assembly comprises a driving ring rotatably mounted on the base and a transmission sliding block in threaded fit with the driving ring, and the transmission sliding block is in threaded fit with the driving ring. The transmission sliding block is fixedly connected with the near end of the adjusting wire and limited to axially slide relative to the base. The locking assembly is arranged between the base and the connecting part, the locking assembly comprises a clamping block arranged outside the adjusting wire in a sleeving mode and a sliding ring arranged outside the clamping block in an axially sliding and sleeving mode, and the adjusting wire can be locked extremely reliably through surrounding type friction force generated when the sliding ring extrudes the multiple elastic clamping arms.

A stent graft for deployment in the aortic arch including at least a proximal stent ring at the proximal end of the tubular graft material, at least one fenestration provided in a side wall of the tubular graft material, an internal branch disposed within the lumen of the stent graft and extending from the fenestration. A fenestration-supporting stent ring supports the fenestration between two struts and an apex of the fenestration supporting ring. The proximal stent ring has plurality of stent units including at least one scallop unit, at least one supporting unit, and at least one body unit. The proximal apex of each scallop unit is located at a laterally extending edge of the scallop in a first circumferential region and the proximal apex of each supporting unit is located a second circumferential region. The first and second struts of each of the at least one scallop unit are shorter than the first and second struts of each of the at least one supporting unit.

Improved systems including rBGCs improved by means of stiffness; working zones and optimized transition zones can traverse the aortic arch into the common carotid and vertebral arteries from a radial approach including navigation of tortuous and individuated anatomical challenges. Mechanical Thrombectomy improved by balloon occlusion prevents thrombus showers and follows 10 years of interventional cardiology and diagnostic use of improved radial approach (TRA) with better systems, making trans-femoral (TFA)less safe and effective than this revised treatment paradigm, unexpectedly better than literature predicted in early parts of the decade. Likewise, carotid stenting may be performed during these intracranial arterial occlusion procedures without swapping out guide catheters as required by the prior art.

The utility model provides an aortic arch covered stent in-situ fenestration internal bypass catheter which comprises a catheter body, a near-end developing structure and a far-end developing structure, and a main channel and a bypass channel which are isolated from each other are arranged in the catheter body; the main channel penetrates through the pipe body in the axial direction. The flow turning channel is located on one radial side of the main channel and comprises a near-end opening and a far-end opening which are formed in the side wall of the pipe body, and a flow channel communicating the near-end opening with the far-end opening; the near-end developing structure is arranged on the side wall of the tube body and surrounds the edge of the near-end opening; the far-end developing structure is arranged on the side wall of the tube body and surrounds the edge of the far-end opening; the near-end developing structure and the far-end developing structure are different in shape, a temporary channel of the aorta true cavity and the arch branch is established, and continuous blood perfusion is provided for the brain.

Embolic protection device for insertion into an aortic arch, with a filter unit, a frame and a feed unit, wherein the filter unit is arranged at the frame and the frame provides a proximal area having a proximal shape, which is arranged in an inner area of the frame and is connected to the feed unit, wherein the proximal shape has a first part and a second part, wherein the second part is formed at one end of the first part.

A catheter device for transvascular delivery of a medical device to a cardiac valve region of a patient comprises an elongate sheath with a first lumen, a distal end for positioning at a heart valve, a second lumen that extends parallel to or in the sheath, and an expandable embolic protection filter. The filter is arranged to extend from an orifice of the second lumen and, in the expanded, covers ostia of the side branch vessels in the aortic arch.

The application discloses an intraoperative brain protection device, which comprises an elastic support and a filter screen; the elastic support can be self-inflated on the inner wall of a blood vessel of an aortic arch and is attached to the inner wall of the blood vessel of the aortic arch, the elastic support is a ring-like structure surrounded by an elastic metal material, the distal end and the proximal end of the ring-like structure are upwardly curved to fix the intraoperative brain protection device in the aortic arch; the filter screen is located in the area surrounded by the elastic support, and the two ends of the filter screen are connected with the distal end and the proximal end of the ring-like structure respectively to block the thrombus generated in the operation from entering the head artery. The protection device adopts a left subclavian artery approach, compared with a traditional femoral artery protection device, the influence of other femoral artery access instruments on the femoral artery is reduced, the operation effect is guaranteed, and the application of the intraoperative brain protection device in the medical instrument technical field is facilitated.

The invention relates to the technical field of aortic arch ligation, and discloses a mouse aortic arch ligator capable of adjusting the narrowing degree, which comprises a shell, an accommodating bin is formed in the shell, an opening is formed in one side of the accommodating bin, and a limiting slide way is formed in one side, far away from the opening, of the accommodating bin; the containing bin communicates with the outer side face of the shell through the limiting sliding way, and a plurality of limiting assemblies are further symmetrically arranged in the containing bin. The driving assembly is arranged in the containing bin, and the driving assembly is in sliding connection with the containing bin through a limiting assembly; the narrowing ligation assembly is detachably assembled at the end, away from the containing bin, of the driving assembly. The mouse aortic arch constriction degree can be accurately adjusted, the structure is stable, assembling and maintaining are convenient and fast, and the accurate operation requirement of related experiments can be effectively met.