The present invention rerlates to medical techniques, in particular, to methods and apparatus applied in minimally invasive
vascular surgery to eliminate
occlusion of
blood vessel, using grafts and to prevent rupture of
abdominal aorta using grafts or
stent-grafts. More particularly, the present invention relates to methods and apparatus for locating and securing intravascular devices, substantially grafts, through a duct specially created by the surgeon to approach the
blood vessel lumen. There is suggested a new and
improved method for fixating an
intravascular device to a
blood vessel wall in combination with a new and improved stapler design based on this method. The stapler comprises a hollow body at the proximal end whereof there are mounted a guiding head and a die, and at the distal end, at a certain angle to the latter, a holding
handle and a control lever, pivotally connected to this
handle, and this control lever is operatively connected, via a movable pressure member, to a tip located inside the body, head and die. In the die there are disposed
fastener means. The movement of control lever is converted into radial forces necessary for
punching the wall of an
intravascular device and surrounding blood vessel wall, location and fixation of
fastener means, with simaltaneous bending of their ends. For maximum sinking of heads of fastening elements in the wall of an
intravascular device, additional pushing members are movably mounted in radial slots of the die. The intravascular device, substantially graft, is fixated to a blood vessel wall, substantially
aorta, via a set of at lest two staplers, and in each of the staplers there are disposed simultaneously several
fastener means.