System and method for transapical delivery of an annulus...

A - Human Necessities – 61 – F

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A61F 2/24 (2006.01)

Patent

CA 2671754

A prosthetic valve assembly for use in replacing a deficient native valve comprises a replacement valve (820) supported on an expandable prosthesis frame. The valve (820) may be delivered transluminally or transmyocardially using a thorascopic or other limited access approach using a delivery catheter (920). Preferably, the initial partial expansion of the valve (820) is performed against the native valve annulus (916) to provide adequate anchoring and positioning of the valve (820) as the remaining portions of the valve (820) expand. The valve (820) may be be delivered using a retrograde or antegrade approach. When delivered using a retrograde approach, a delivery catheter (920) with a pull-back sheath (922) may be used, while antegrade delivery is preferably performed with a delivery catheter (920) with a push- forward sheath (922) that releases the proximal end of the valve (820) first.

L'invention concerne un ensemble valve de prothèse pour servir au remplacement d'une valve native déficiente comprenant une valve de remplacement (820) supportée sur un cadre de prothèse expansible. La valve (820) peut être acheminée par voie transluminale ou transmyocardiaque par une approche d'accès thorascopique ou autre accès limité à l'aide d'un cathéter d'acheminement (920). De préférence, l'expansion partielle initiale de la valve (820) se déroule contre l'espace annulaire de la valve d'origine (916) pour assurer l'ancrage et le positionnement adéquats de la valve (820) tandis que les parties restantes de la valve (820) se déploient. La valve (820) peut être acheminée en utilisant une approche rétrograde ou antégrade. Avec une approche rétrograde, on peut utiliser un cathéter d'acheminement (920) avec une gaine retroussable (922), tandis que l'acheminement antégrade se déroule de préférence avec un cathéter d'acheminement (920) muni d'une gaine extensible (922) qui libère d'abord l'extrémité proximale de la valve (820).

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