CN101152109A - Three-collateral bracket vascellum for arcus aortae - Google Patents
Three-collateral bracket vascellum for arcus aortae Download PDFInfo
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- CN101152109A CN101152109A CN 200610152750 CN200610152750A CN101152109A CN 101152109 A CN101152109 A CN 101152109A CN 200610152750 CN200610152750 CN 200610152750 CN 200610152750 A CN200610152750 A CN 200610152750A CN 101152109 A CN101152109 A CN 101152109A
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Abstract
The present invention relates to aortic arch three collateral support blood vessels comprising an aorta support vascular that comprises an aorta ascenden section, an aortic arch section and an aorta section; the aorta support vascular also comprises three collateral artery support vasculars which are fixed respectively on an aortic arch section arc surface of the aorta support vascular and are formed into an five-way type. The three collateral artery support vasculars are corresponding respectively to an arteria anonyma, a left common carotid artery and a left subclavian artery. The invention is capable of greatly simplifying an operation process and greatly shortens the time of a deep hypothermia and a circulation arrest, which is characterized by not only omitting an inosculation between an artificial vascular graft and three branches of the aortic arch but also reducing bleeding rate and operation risk. In an operation, the invention changes an operation method from a partial blood vessel replacement plus partial endovascular repair to a complete endovascular repair.
Description
Technical field
The present invention relates to a kind of support blood vessel, particularly relate to a kind of aortic arch three side support blood vessels.
Background technology
In the prior art, for the disease of involving aortic arch, as dissection of aorta, aortic arch portion false aneurysm, full thoracic aorta expansion etc., the method of treatment mostly is ascending aorta, the aortic arch displacement adds the operation of support trunk, the complexity and the risk of operation are all bigger, need the artificial blood vessel and the support blood vessel that prop up with the band side in the operation.Usually adopt the perfusion of right axillary artery intubate, the row extracorporeal circulation, at profound hypothermia, stop under the circulation, excision ascending aorta, part or all of aortic arch, the support blood vessel is released into descending aorta, and finishes support blood vessel near-end and artificial blood vessel who is with side to prop up and aortal coincideing.Profound hypothermia, stop the circulation time and be longer than mostly 20 minutes.In this stage, spinal cord does not have blood supply.Paraplegia might appear in postoperative, it is reported that the paraplegia incidence rate of this situation of record can be up to 20%; After recovering circulation, also will one by one artificial blood vessel's side be propped up the branch with aortic arch again: innominate artery, left common carotid artery and left subclavian artery are done identical.Operation technique is cumbersome, complicated, and required time is longer.Because artificial graft's thing is with more from the anastomotic stoma of body blood vessel, hemorrhage probability is bigger, and the mortality rate of operation and the incidence rate of complication are higher, and risk is bigger.
Summary of the invention
The problem to be solved in the present invention is by aortic arch three side support blood vessels, simplifies operation, shortens in the operation profound hypothermia and stops the circulation time, reduces hemorrhage probability, reduces the risk of performing the operation on the whole.
The technical scheme that the present invention addresses the above problem is as follows: a kind of aortic arch three side support blood vessels, it includes the aortic stents blood vessel, described aortic stents blood vessel is divided into ascending aortic segment, aortic arch section and descending aorta section, it is characterized in that: it also includes three collateral artery support blood vessels, described three collateral artery support blood vessels are separately fixed on the arc-shaped surface of aortic stents blood vessel aortic arch section, and constituting the five-way type, described three collateral artery support blood vessels are distinguished the innominate artery on the corresponding aortic arch successively, left common carotid artery and left subclavian artery.
The diameter of described aortic stents blood vessel is greater than 20 millimeters, and the diameter of three collateral artery support blood vessels is less than or equal to 18 millimeters.
The described aortic stents blood vessel that is positioned at ascending aortic segment, its overlay film are to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina.
The described aortic stents blood vessel that is positioned at ascending aortic segment, its overlay film are to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina, have at least one section metal rack to be positioned at outside overlay film or the overlay film.
The described aortic stents blood vessel that is positioned at the aortic arch section, its overlay film are to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina.
The described aortic stents blood vessel that is positioned at the aortic arch section, its overlay film are to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina, have at least one section metal rack to be positioned at outside overlay film or the overlay film.
The described aortic stents blood vessel that is positioned at the descending aorta section, its overlay film is slim blood vessel, its integral body is straight cylinder or gradually thin straight cylinder shape.
The described aortic stents blood vessel that is positioned at the descending aorta section, its overlay film is slim blood vessel, has at least one section metal rack to be positioned at outside overlay film or the overlay film, its integral body is straight cylinder or gradually thin straight cylinder shape.
Described collateral artery support blood vessel is straight cylinder or gradually thin straight cylinder shape, and overlay film is slim blood vessel, has at least one section metal rack to be positioned at outside overlay film or the overlay film, and collateral artery support blood vessel is connected by making the slim blood vessel of stricture of vagina with the aortic stents blood vessel.
The present invention is when operation, adopt right side axillary artery intubate perfusion, profound hypothermia, stop the circulation under, cut ascending aorta and aortic arch vertically, aortic arch three side support blood vessel integral body are released into aorta, three collateral artery support blood vessels on it are sent into three branch vessel of corresponding aortic arch respectively, and the ascending aortic segment of icarceration main body can recover total body perfusion.The direction of artery blood flow is: right side axillary artery, innominate artery (right common carotid artery), aortic arch (left common carotid artery, left subclavian artery), descending aorta and with the bleeding from distant part pipe.The intracavity of capable then main body ascending aortic segment near-end and ascending aorta coincide, and is last, sews up and rises active and aortic arch otch.Stopping the circulation time can be above five minute.The incidence rate of spinal cord injury will be reduced greatly.Finally, aorta three side support blood vessels are positioned at aorta inside fully, and the outside has only the otch of ascending aorta and aortic arch, the anastomotic stoma that does not expose, and probability hemorrhage in the operation greatly reduces.
The beneficial effect of aortic arch three side support blood vessels of the present invention is: pass through the technical program, be applied to operation process is greatly simplified, shortened profound hypothermia in the whole surgery greatly, stopped the circulation time, three ramose coincideing of artificial blood vessel and aortic arch have been saved, simplified operation, reduce hemorrhage probability, reduced the risk of operation.Aortic arch three side support blood vessels make the art formula add the reparation of part intracavity by the part vascular replacement and change complete intracavity reparation in the operation, three branch's variations of aortic arch are bigger, diameter has nothing in common with each other, distance at interval is different, and the angle that is with aortic arch has nothing in common with each other, and the present invention can effectively solve these variations of adaptation.
Description of drawings
Fig. 1 is the deployed configuration sketch map of an embodiment of the present invention.
Fig. 2 is the deployed configuration sketch map of the another kind of embodiment of the present invention.
Fig. 3 is a practical view of the present invention.
Among the figure, 1 aortic stents blood vessel, 2 collateral artery support blood vessels, 3 metal racks, 4 are made stricture of vagina, 5 descending aorta sections, 6 aortic arch sections, 7 ascending aortic segments, 8 innominate arteries, 9 left common carotid artery, 10 left subclavian arteries, 11 aortic arch.
The specific embodiment
The invention will be further described below in conjunction with accompanying drawing.
As shown in Figure 1, the aortic arch three side support blood vessels that the present invention relates to, it includes aortic stents blood vessel 1, described aortic stents blood vessel 1 is divided into ascending aortic segment 7, aortic arch section 6 and descending aorta section 5, it also includes three collateral artery support blood vessels 2, described three collateral artery support blood vessels 2 are separately fixed on the arc-shaped surface of aortic stents blood vessel 1 aortic arch section 6, and constituting the five-way type, described three collateral artery support blood vessels 2 are distinguished innominate artery 8, left common carotid artery 9 and the left subclavian artery 10 on the corresponding aortic arch 11 successively.
The diameter of described aortic stents blood vessel 1 is the 20-40 millimeter, and the diameter of three collateral artery support blood vessels 2 is the 5-18 millimeter.
The described aortic stents blood vessel 1 that is positioned at ascending aortic segment 7, its overlay film are to make stricture of vagina 4 or be interrupted the slim blood vessel of making stricture of vagina, and its length is 30mm to 80mm.
The described aortic stents blood vessel 1 that is positioned at ascending aortic segment 7, its overlay film are to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina, and its length is 30mm to 80mm, has at least one section metal rack 3 to be positioned at outside overlay film or the overlay film.
The described aortic stents blood vessel 1 that is positioned at aortic arch section 6, its overlay film are to make stricture of vagina 4 or be interrupted the slim blood vessel of making stricture of vagina.
The described aortic stents blood vessel 1 that is positioned at aortic arch section 6, its overlay film are to make stricture of vagina 4 or be interrupted the slim blood vessel of making stricture of vagina, have at least one section metal rack 3 to be positioned at outside overlay film or the overlay film.
The described aortic stents blood vessel 1 that is positioned at descending aorta section 5, its overlay film is slim blood vessel, and its integral body is straight cylinder or gradually thin straight cylinder shape, and length is by 30mm to 200mm.
The described aortic stents blood vessel 1 that is positioned at descending aorta section 5, its overlay film is slim blood vessel, and its integral body is straight cylinder or gradually thin straight cylinder shape, and length has at least one section metal rack to be positioned at outside overlay film or the overlay film by 30mm to 200mm.
Described collateral artery support blood vessel 2, be straight cylinder or gradually thin cylindrical shape, have at least a metal rack 3 to be positioned at outside overlay film or the overlay film, total length is 10mm to 60mm, side is propped up connecting portion with main body and is one section the slim blood vessel of making stricture of vagina 4 is arranged, connecting portion also can be arbitrarily angled with aortic stents blood vessel 1 except certain retractility is arranged, satisfied three different problems of angle that branch is on the aortic arch 11.
The overlay film of being mentioned among the present invention is slim blood vessel, for medical macromolecular materials are made, as polyester fiber yarn fabric, politef, polyamide yarn fabric, polypropylene spun fabric.The material of described support is a medical alloy, as niti-shaped memorial alloy, super alloy, cobalt chromium dynamax, the 316L medical stainless steel alloy etc. of playing of NiTi, is " Z " shape structure or braiding structure.
As shown in Figure 3, in the embodiments of the invention, three sections of aortic arch three side support blood vessel main bodys are positioned at ascending aorta, aortic arch and descending aorta successively, three collateral artery support blood vessels 2 are sent into three branch vessel of corresponding aortic arch 11 respectively, icarceration ascending aortic segment 7 can recover total body perfusion.The direction of artery blood flow is: right side axillary artery, innominate artery (right common carotid artery), aortic arch 11 (left common carotid artery, left subclavian artery), descending aorta and with the bleeding from distant part pipe.The intracavity of capable then ascending aortic segment 7 near-ends and ascending aorta coincide, and is last, sews up ascending aorta and aortic arch otch, and stopping the circulation time can be above five minute.The incidence rate of spinal cord injury will be reduced greatly.Finally, three collateral artery supports of aortic arch blood vessel 2 is positioned at aorta inside fully, and the outside has only the otch of ascending aorta and aortic arch, the anastomotic stoma that does not expose, thus the probability of intraoperative hemorrhage is greatly reduced, operation process is also greatly simplified.In a word, whole surgery has shortened profound hypothermia, has stopped the circulation time, saved the artificial blood vessel with from body aorta and ramose coincide thereof, simplified operation greatly, and reduced hemorrhage probability, reduced the risk of operation.
When operation, aortic stents blood vessel 1 and collateral artery support blood vessel 2 respectively with medical suture with tinsel fetter in, aortic arch three side support blood vessels after its constraint, diameter when diameter discharges fully less than it greatly, be transported in the aortic arch, and carry put in place after, extract collateral artery support blood vessel 2 and aortic stents blood vessel 1 tinsel successively, medical suture is freed thereupon, and collateral artery support blood vessel 2 and aortic stents blood vessel 1 discharge in place successively.
Claims (9)
1. aortic arch three side support blood vessels, it includes the aortic stents blood vessel, described aortic stents blood vessel is divided into ascending aortic segment, aortic arch section and descending aorta section, it is characterized in that: it also includes three collateral artery support blood vessels, described three collateral artery support blood vessels are separately fixed on the arc-shaped surface of aortic stents blood vessel aortic arch section, and constituting the five-way type, described three collateral artery support blood vessels are distinguished innominate artery, left common carotid artery and the left subclavian artery on the corresponding aortic arch successively.
2. aortic arch three side support blood vessels according to claim 1, it is characterized in that: the diameter of described aortic stents blood vessel is greater than 20 millimeters, and the diameter of three collateral artery support blood vessels is less than or equal to 18 millimeters.
3. aortic arch three side support blood vessels according to claim 1 and 2 is characterized in that: the described aortic stents blood vessel that is positioned at ascending aortic segment, its overlay film are to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina.
4. aortic arch three side support blood vessels according to claim 3, it is characterized in that: the described aortic stents blood vessel that is positioned at ascending aortic segment, its overlay film is to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina, has at least one section metal rack to be positioned at outside overlay film or the overlay film.
5. aortic arch three side support blood vessels according to claim 1 and 2 is characterized in that: the described aortic stents blood vessel that is positioned at the aortic arch section, its overlay film are to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina.
6. aortic arch three side support blood vessels according to claim 5, it is characterized in that: the described aortic stents blood vessel that is positioned at the aortic arch section, its overlay film is to make the slim blood vessel that stricture of vagina or interruption are made stricture of vagina, has at least one section metal rack to be positioned at outside overlay film or the overlay film.
7. aortic arch three side support blood vessels according to claim 1 and 2 is characterized in that: the described aortic stents blood vessel that is positioned at the descending aorta section, and its overlay film is slim blood vessel, its integral body is straight cylinder or gradually thin straight cylinder shape.
8. aortic arch three side support blood vessels according to claim 7, it is characterized in that: the described aortic stents blood vessel that is positioned at the descending aorta section, its overlay film is slim blood vessel, has at least one section metal rack to be positioned at outside overlay film or the overlay film, and its integral body is straight cylinder or gradually thin straight cylinder shape.
9. aortic arch three side support blood vessels according to claim 1 and 2, it is characterized in that: described collateral artery support blood vessel, be straight cylinder or gradually thin straight cylinder shape, overlay film is slim blood vessel, have at least one section metal rack to be positioned at outside overlay film or the overlay film, collateral artery support blood vessel is connected by making the slim blood vessel of stricture of vagina with the aortic stents blood vessel.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 200610152750 CN101152109A (en) | 2006-09-27 | 2006-09-27 | Three-collateral bracket vascellum for arcus aortae |
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| CN 200610152750 CN101152109A (en) | 2006-09-27 | 2006-09-27 | Three-collateral bracket vascellum for arcus aortae |
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| CN101152109A true CN101152109A (en) | 2008-04-02 |
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Cited By (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN100553593C (en) * | 2007-02-28 | 2009-10-28 | 许尚栋 | Collateral covered graft-stent |
| WO2010105561A1 (en) * | 2009-03-18 | 2010-09-23 | 微创医疗器械(上海)有限公司 | Side branched stent graft |
| CN101579265B (en) * | 2008-05-12 | 2011-03-30 | 先健科技(深圳)有限公司 | Aortic arch stent-graft |
| CN103565565A (en) * | 2012-07-20 | 2014-02-12 | 广州宝胆医疗器械科技有限公司 | Intra-hepatic bile duct support |
| CN103948454A (en) * | 2014-04-30 | 2014-07-30 | 四川大学华西医院 | Branch controllable integral blood vessel stent and implantation device thereof |
| CN104161606A (en) * | 2014-08-18 | 2014-11-26 | 柳克祥 | Artificial blood vessel with support |
| CN104161605A (en) * | 2014-08-18 | 2014-11-26 | 柳克祥 | Improved support artificial blood vessel |
| CN104622600A (en) * | 2013-11-15 | 2015-05-20 | 微创心脉医疗科技（上海）有限公司 | Intra-operative stent system |
| CN105943199A (en) * | 2016-05-31 | 2016-09-21 | 李晓东 | Aortic windowing branch covered stent |
| CN107303210A (en) * | 2016-04-21 | 2017-10-31 | 丁盛 | Three branch stents in a kind of highly conforming properties sustainer art |
| CN107753148A (en) * | 2016-08-16 | 2018-03-06 | 大连科万维医疗科技有限公司 | Built-in prothesis with artificial blood vessel part and overlay film frame part |
| CN109009562A (en) * | 2018-08-27 | 2018-12-18 | 泉州市第医院 | Follow-on arch of aorta overlay film frame type blood vessel |
| CN109077830A (en) * | 2018-10-31 | 2018-12-25 | 临沂大学 | A kind of self prosthetic aortic bow blood vessel and preparation method thereof |
| CN109091271A (en) * | 2018-04-25 | 2018-12-28 | 上海长海医院 | Aorta ascendens stent graft |
| CN109199634A (en) * | 2018-11-28 | 2019-01-15 | 李�杰 | A kind of individuation branch stent type bow portion reconstruction artificial blood vessel |
| CN109875723A (en) * | 2019-03-28 | 2019-06-14 | 陈白浪 | A kind of overlay film frame |
| CN109996514A (en) * | 2016-12-05 | 2019-07-09 | 美敦力瓦斯科尔勒公司 | Modularization arch of aorta prosthesis assembly and its application method |
| WO2019205599A1 (en) * | 2018-04-25 | 2019-10-31 | 上海长海医院 | Ascending aortic stent graft |
| CN110393605A (en) * | 2018-04-23 | 2019-11-01 | 黄健兵 | A kind of aortic arch band branch's overlay film frame blood vessel combination unit |
| CN110801309A (en) * | 2019-10-20 | 2020-02-18 | 黄健兵 | Tectorial membrane stent blood vessel composite set for reconstructing aortic arch part and three branches |
| CN115024857A (en) * | 2022-05-16 | 2022-09-09 | 首都医科大学附属北京安贞医院 | Artificial blood vessel for aorta operation |
| WO2022257163A1 (en) * | 2021-06-09 | 2022-12-15 | 上海畅迪医疗科技有限公司 | Blood vessel connecting device and preparation method therefor |
-
2006
- 2006-09-27 CN CN 200610152750 patent/CN101152109A/en active Pending
Cited By (28)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN100553593C (en) * | 2007-02-28 | 2009-10-28 | 许尚栋 | Collateral covered graft-stent |
| CN101579265B (en) * | 2008-05-12 | 2011-03-30 | 先健科技(深圳)有限公司 | Aortic arch stent-graft |
| US8961587B2 (en) | 2009-03-18 | 2015-02-24 | Microport Endovascular (Shanghai) Co., Ltd. | Branched stent graft |
| GB2480570A (en) * | 2009-03-18 | 2011-11-23 | Microport Medical | Side branched stent graft |
| GB2480570B (en) * | 2009-03-18 | 2013-08-14 | Shanghai Microport Medical Group Co Ltd | Branched stent graft |
| WO2010105561A1 (en) * | 2009-03-18 | 2010-09-23 | 微创医疗器械(上海)有限公司 | Side branched stent graft |
| CN103565565A (en) * | 2012-07-20 | 2014-02-12 | 广州宝胆医疗器械科技有限公司 | Intra-hepatic bile duct support |
| CN104622600A (en) * | 2013-11-15 | 2015-05-20 | 微创心脉医疗科技（上海）有限公司 | Intra-operative stent system |
| CN103948454A (en) * | 2014-04-30 | 2014-07-30 | 四川大学华西医院 | Branch controllable integral blood vessel stent and implantation device thereof |
| CN103948454B (en) * | 2014-04-30 | 2016-02-10 | 四川大学华西医院 | Branch controllable integral blood vessel stent and implantation device thereof |
| CN104161606A (en) * | 2014-08-18 | 2014-11-26 | 柳克祥 | Artificial blood vessel with support |
| CN104161605A (en) * | 2014-08-18 | 2014-11-26 | 柳克祥 | Improved support artificial blood vessel |
| CN107303210A (en) * | 2016-04-21 | 2017-10-31 | 丁盛 | Three branch stents in a kind of highly conforming properties sustainer art |
| CN105943199A (en) * | 2016-05-31 | 2016-09-21 | 李晓东 | Aortic windowing branch covered stent |
| CN107753148A (en) * | 2016-08-16 | 2018-03-06 | 大连科万维医疗科技有限公司 | Built-in prothesis with artificial blood vessel part and overlay film frame part |
| CN109996514A (en) * | 2016-12-05 | 2019-07-09 | 美敦力瓦斯科尔勒公司 | Modularization arch of aorta prosthesis assembly and its application method |
| CN110393605B (en) * | 2018-04-23 | 2022-11-04 | 黄健兵 | Aortic arch area branch tectorial membrane support blood vessel composite set |
| CN110393605A (en) * | 2018-04-23 | 2019-11-01 | 黄健兵 | A kind of aortic arch band branch's overlay film frame blood vessel combination unit |
| CN109091271A (en) * | 2018-04-25 | 2018-12-28 | 上海长海医院 | Aorta ascendens stent graft |
| WO2019205599A1 (en) * | 2018-04-25 | 2019-10-31 | 上海长海医院 | Ascending aortic stent graft |
| CN109009562A (en) * | 2018-08-27 | 2018-12-18 | 泉州市第医院 | Follow-on arch of aorta overlay film frame type blood vessel |
| CN109009562B (en) * | 2018-08-27 | 2023-11-21 | 泉州市第一医院 | Improved aortic arch tectorial membrane stent type blood vessel |
| CN109077830A (en) * | 2018-10-31 | 2018-12-25 | 临沂大学 | A kind of self prosthetic aortic bow blood vessel and preparation method thereof |
| CN109199634A (en) * | 2018-11-28 | 2019-01-15 | 李�杰 | A kind of individuation branch stent type bow portion reconstruction artificial blood vessel |
| CN109875723A (en) * | 2019-03-28 | 2019-06-14 | 陈白浪 | A kind of overlay film frame |
| CN110801309A (en) * | 2019-10-20 | 2020-02-18 | 黄健兵 | Tectorial membrane stent blood vessel composite set for reconstructing aortic arch part and three branches |
| WO2022257163A1 (en) * | 2021-06-09 | 2022-12-15 | 上海畅迪医疗科技有限公司 | Blood vessel connecting device and preparation method therefor |
| CN115024857A (en) * | 2022-05-16 | 2022-09-09 | 首都医科大学附属北京安贞医院 | Artificial blood vessel for aorta operation |
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