System and method for endoluminal grafting of bifurcated or...

A - Human Necessities – 61 – F

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Details

A61F 2/82 (2006.01) A61B 17/00 (2006.01) A61F 2/06 (2006.01) A61F 2/84 (2006.01)

Patent

CA 2303255

The present invention is a system, and method for endoluminal grafting of a main anatomical conduit (e.g., the aorta), various branch conduits (e.g., side branch vessels such as the carotid, innominate, subclavian, intercostal, superior mesenteric, celiac, or renal arteries or furcation such as the iliac arteries) which emanate from the main anatomical conduit. The grafting system generally comprises a primary graft having at least one opening therein, at least one branch graft which is passable through the opening of the primary graft, and into the branch conduit(s) such that the proximal end of each branch graft is in substantially fluid tight sealing contact with the primary graft. Also disclosed is a specific system, a method for grafting a bifurcated anatomical conduit (e.g., the aorta ilea bifurcation) through only a single access opening (puncture site or incision), and a new balloon anchoring guide wire system.

La présente invention concerne un système et un procédé permettant de réaliser une greffe endoluminale sur un conduit anatomique principal (par exemple, l'aorte (A)) et divers conduits de ramification (par exemple, des vaisseaux de ramification latéraux tels que la carotide, les artères brachiocéphalique, sous-clavière, intercostale, mésentérique supérieure, coeliaque ou rénale ou des ramifications telles que les artères iliaques) qui émanent du conduit anatomique principal. Ce système de greffe comporte un greffon primaire (12) doté d'au moins une ouverture ménagée en son sein; d'au moins un greffon de ramification (16) qui peut être introduit dans ladite ouverture du greffon primaire et dans le(s) conduit(s) de ramification de sorte que l'extrémité proximale de chaque greffon de ramification (16) se trouve en contact sensiblement étanche aux fluides avec le greffon primaire. L'invention se rapporte également à un système spécifique, à un procédé permettant de réaliser une greffe sur un conduit anatomique à deux branches (par exemple, la bifurcation aorte-artères iliaques) grâce à une seule ouverture d'accès (site de ponction ou incision); et à un nouveau système (78) de fil-guide pouvant être fixé à un ballonnet.

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