CN101579265A - Aortic arch stent-graft - Google Patents

Aortic arch stent-graft Download PDF

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Publication number
CN101579265A
CN101579265A CN 200810110799 CN200810110799A CN101579265A CN 101579265 A CN101579265 A CN 101579265A CN 200810110799 CN200810110799 CN 200810110799 CN 200810110799 A CN200810110799 A CN 200810110799A CN 101579265 A CN101579265 A CN 101579265A
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branch
module
aortic arch
stent
arch stent
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CN 200810110799
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CN101579265B (en
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郭伟
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Lifetech Scientific Shenzhen Co Ltd
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Lifetech Scientific Shenzhen Co Ltd
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Abstract

The invention provides an aortic arch stent-graft, which comprises a main part and a branch, wherein the branch comprises a first branch, a second branch and a third branch; and one end of the main part is provided with the first branch, the second branch and the third branch respectively. The aortic arch stent-graft also comprises a first module and a second module, wherein the first module and the second module have tubular structures and are sleeved with the second branch and the third branch respectively so as to realize reconstructing branch blood vessels in a cavity. One end of the main part is provided with three branches, so that the aortic arch stent-grafts cannot influence each other and can adapt to different patients.

Description

The aortic arch stent
Technical field
The present invention relates to the implantable vessel field, but particularly a kind of aorta intervention support type blood vessel.
Background technology
Traditional aortic aneurysm Therapeutic Method is to carry out aortic aneurysm excision and artificial vascular graft, because the operation risk height, some patient is not suitable for carrying out this type of operation, and the endoluminal vascular surgical technic comes out, for such patient provides the treatment possibility.
EVAR treatment aortic aneurysm or dissection of aorta technology ultimate principle are before the Wicresoft: stent is compressed in the induction system, discharge after by induction system they being transported to the vascular lesion position, utilize the elasticity of support self, make the stent expansion, thereby the breach of diseased region such as aneurysm or artery dissection is completely cut off outside the stent chamber, finish reparation vascular lesion.
Prior art is by a kind of separating stent-graft type blood vessel that is used for aorta and aortic arch EVAR, as shown in Figure 1, this separating stent-graft type blood vessel comprises first modules A, second module B and the three module C, wherein first modules A, the second module B include tubular trunk and branch respectively, and three module C only comprises the tubular trunk.First module, second module and three module serial connection mode respectively carry out socket, promptly trunk one end of the second module B and first modules A end that is provided with the A1 of branch carries out socket, and the other end that the end of three module C and the second module B are provided with the B1 of branch carries out socket.Owing to the diameter of separating stent-graft type blood vessel trunk portion is bigger than human aortic bow branch vessel diameter, therefore can combine with stent to fix stent by the intravital aortic arch branch vessel of people.Separating stent-graft type blood vessel is implanted in the aorta shown in Fig. 2, the staggered position of connection between first module and second module is being positioned at right common carotid artery and innominate artery open proximal position, if the position distance is short and small between patient's right common carotid artery and the innominate artery, each module can't be used at the aortic arch place; The mode that employing is connected in series in proper order between each module has increased the stent length after connecting simultaneously, this requires in long ascending aorta and aortic arch working place, the order of each intermodule serial connection has also increased influencing each other to each other simultaneously, increases the probability of internal hemorrhage due to trauma.
Summary of the invention
The invention provides a kind of aortic arch stent, main purpose is to adapt to dissimilar patients, in use can avoid influencing each other between the aortic arch stent each several part simultaneously.
The invention provides a kind of aortic arch stent, comprise trunk and component, wherein said branch comprises first branch, second branch and the 3rd branch, is respectively equipped with first branch, second branch and the 3rd branch at an end of described trunk.
Preferably, described aortic arch stent also comprises first module, and described first module is a tubular structure, with the socket of second branch, also is respectively equipped with label at the first module two ends, is used for determining first module and second branch socket position.
Preferably, described aortic arch stent also comprises second module, and described second module is a tubular structure, with the socket of the 3rd branch, also is respectively equipped with label at the second module two ends, is used for determining second module and the 3rd branch socket position.
Preferably, described second module is arc.
Preferably, described first branch is longer than described second branch and described the 3rd branch respectively.
Preferably, described first branch's diameter is greater than second branch, less than the 3rd branch.
Preferably, described first branch, second branch and the 3rd a ramose end, and be provided with label with an end of first branch, the fixed trunk of second branch and the 3rd branch.
Preferably, described label is an X-ray opaque.
Preferably, described trunk one end is provided with the agnail structure, is used for fixing the aortic arch stent.
The present invention is provided with first branch, second branch and the 3rd branch by the same end of an end at trunk, carry out socket with second branch and the 3rd branch respectively by first module and second module, in use can not have influence on other forked workings because of certain branch connects, make simultaneously between each branch tightr, thereby adapt to different patients.
Description of drawings
Fig. 1 is existing stent structural representation;
Fig. 2 thoracic aorta sketch map;
Fig. 3 is a first embodiment of the invention aortic arch stent sketch map;
Fig. 4 is a second embodiment of the invention aortic arch stent sketch map;
Fig. 5 is second embodiment of the invention trunk and branch's schematic cross-section;
Fig. 6 is the third embodiment of the invention first modular structure sketch map;
Fig. 7 is the third embodiment of the invention second modular structure sketch map;
After Fig. 8 is the embodiment of the invention second branch and the 3rd branch and first module and the second module socket, the user mode sketch map of aortic arch stent.
The realization of the object of the invention, functional characteristics and advantage will be in conjunction with the embodiments, are described further with reference to accompanying drawing.
The specific embodiment
The present invention is provided with three branches by trunk one end on the aortic arch stent, because three branches are located on the same end of trunk, makes between each branch closelyr, can not influence each other, and can adapt to different patients.
As shown in Figure 3, be first embodiment of the invention aortic arch stent sketch map, described aortic arch stent comprises trunk 10, first branch 11, second branch 12 and the 3rd branch 13, wherein said first branch 11, second branch 12 and the 3rd branch 13 are separately positioned on trunk 10 same ends, and described each branch is communicated with trunk 10 respectively.
In order to further specify the operation principle of the above embodiment of the present invention, specify the occupation mode of aortic arch stent.The aortic arch stent is compressed in the suitable induction system, the aortic arch stent stretches into ascending aorta by induction system from right subclavian artery or right common carotid artery, return and remove induction system, stent launches, trunk 10 places the ascending aorta place, first branch 11 places in the right common carotid artery and launches, and second branch 12 and the 3rd branch 13 launch in ascending aorta respectively.
The embodiment of the invention also proposes second embodiment on the basis of first embodiment.As shown in Figure 4 and Figure 5, described first branch 11 diameters are greater than the diameter of second branch 12, diameter less than the 3rd branch 13, the diameter sum of described first branch 11 and the 3rd branch 13 is suitable with the diameter of trunk 10, end at first branch 11, second branch 12, the 3rd branch 13 and trunk 10, and first branch 11, second branch 12 and the 3rd branch 13 and trunk 10 junctions are respectively equipped with the label 14 of X-ray opaque, and the label 14 of described X-ray opaque is used for determining that the aortic arch stent is in the intravital position of patient.The other end at aortic arch stent trunk 10 is provided with a bulge-structure, as the agnail structure, is used for the aortic arch stent is fixed on ascending aorta.
The embodiment of the invention also proposes the 3rd embodiment on the foregoing description basis, described aortic arch stent also comprises first module 1.As shown in Figure 6, be third embodiment of the invention first module 1 structural representation.Described first module 1 is a tubulose, and first module, 1 one end diameters are less than other end diameter, and first module 1 is carried out socket with described second branch 12, and wherein first module 1 is complementary than an end and second branch, 12 diameters of minor diameter.Be respectively equipped with the label 14 of X-ray opaque at first module, 1 two ends, when being used for determining first module 1 and 12 sockets of second branch, position between first module 1 and second branch 12.
Third embodiment of the invention also comprises second module 2.As shown in Figure 7, be third embodiment of the invention second module 2 structural representations.Described second module 2 is a tubulose, is arc, wherein said second module, 2 one end diameters less than with other end diameter, second module 2 is carried out socket with described the 3rd branch 13.Described second module 2 is complementary than an end and the 3rd branch 13 diameters of minor diameter.Be respectively equipped with the label 14 of X-ray opaque at the two ends of described second module 2, be used for determining position between second module 2 and its belled the 3rd branch 13.Other structures of aortic arch stent and annexation are constant.
In order to further specify the operation principle of the above embodiment of the present invention, specify the occupation mode of aortic arch stent.Aortic arch stent, first module and second module are compressed in respectively in the suitable induction system, under the supervision of special equipment, by observing the label 14 of X-ray opaque, determine aortic arch stent position by the position of determining label 14.The aortic arch stent is compressed in the suitable induction system, the aortic arch stent stretches into ascending aorta by induction system from right subclavian artery or right common carotid artery, return and remove induction system, stent launches, trunk 10 places the ascending aorta place, first branch 11 places in the right common carotid artery and launches, and second branch 12 and the 3rd branch 13 launch in ascending aorta respectively; The agnail structure of the end setting of the trunk 10 on the aortic arch stent makes the aortic arch stent be fixed on the ascending aorta place simultaneously; Insert first module 1 at innominate artery then, make the smaller diameter end of first module 1 and second branch 12 on the aortic arch stent carry out socket; After femoral artery is inserted second module 2, the 3rd branch 13 on smaller diameter end on second module 2 and the aortic arch stent is carried out socket.Determine label 14 positions of X-ray opaque by special equipment, make socket position between first module 1 and second branch 12 and second module 2 and the 3rd branch 13 all be no more than the label 14 of the X-ray opaque that second branch 12 and second branch 13 and trunk 10 junctions are provided with, thereby finish reparation human body ascending aorta, aortic arch, descending aorta pathological changes.As shown in Figure 8, be second branch 12 and the 3rd branch 13 and first module 1 and 2 sockets of second module after, the user mode of aortic arch stent.
The stent of aortic arch described in the invention described above embodiment adopts memory alloy wire or cutting metal pipe to make Z type ripple frame member, form different-diameter Z type ripple bracket loop through typing, the Z type ripple bracket loop of same diameter is fixed, and film laying makes Z type ripple bracket loop become first branch, second branch, the 3rd branch and major blood vessel shape.
Because first branch 11, second branch 12 and the 3rd branch 13 are located at trunk 10 same ends respectively, make between each branch tightr, simultaneously first module 1 and second module 2 respectively with the aortic arch stent on second branch 12 and the 3rd branch 13 carry out socket, influence each other between the aortic arch stent when reducing serial connection, adapt to different patients.
The above only is the preferred embodiments of the present invention; be not so limit claim of the present invention; every equivalent structure or equivalent flow process conversion that utilizes description of the present invention and accompanying drawing content to be done; or directly or indirectly be used in other relevant technical fields, all in like manner be included in the scope of patent protection of the present invention.

Claims (9)

1. an aortic arch stent is characterized in that, comprises trunk and component, and wherein said branch comprises first branch, second branch and the 3rd branch, is respectively equipped with first branch, second branch and the 3rd branch at an end of described trunk.
2. aortic arch stent according to claim 1, it is characterized in that, described aortic arch stent also comprises first module, described first module is a tubular structure, with the socket of second branch, also be respectively equipped with label at the first module two ends, be used for determining first module and second branch socket position.
3. aortic arch stent according to claim 1 and 2, it is characterized in that, described aortic arch stent also comprises second module, described second module is a tubular structure, with the socket of the 3rd branch, also be respectively equipped with label at the second module two ends, be used for determining second module and the 3rd branch socket position.
4. aortic arch stent according to claim 3 is characterized in that, described second module is arc.
5. aortic arch stent according to claim 1 is characterized in that, described first branch is longer than described second branch and described the 3rd branch respectively.
6. aortic arch stent according to claim 5 is characterized in that, described first branch's diameter is greater than second branch, less than the 3rd branch.
7. aortic arch stent according to claim 6 is characterized in that, described first branch, second branch and the 3rd a ramose end, and be provided with label with an end of first branch, the fixed trunk of second branch and the 3rd branch.
8. according to claim 3 or 7 described aortic arch stents, it is characterized in that described label X-ray opaque.
9. aortic arch stent according to claim 1 is characterized in that described trunk is provided with the agnail structure, is used for fixing the aortic arch stent.
CN 200810110799 2008-05-12 2008-05-30 Aortic arch stent-graft Active CN101579265B (en)

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CN200810096968 2008-05-12
CN 200810110799 CN101579265B (en) 2008-05-12 2008-05-30 Aortic arch stent-graft

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Cited By (7)

* Cited by examiner, † Cited by third party
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CN104487018A (en) * 2012-04-12 2015-04-01 三福健康公司 Debranching visceral stent graft and methods for use
US9283068B2 (en) 2012-04-12 2016-03-15 Sanford Health Debranching visceral stent graft and methods for use
CN109833124A (en) * 2017-11-24 2019-06-04 杭州唯强医疗科技有限公司 Improve the vascular shunt frame and intravascular stent of development visibility
US10357353B2 (en) 2012-04-12 2019-07-23 Sanford Health Combination double-barreled and debranching stent grafts and methods for use
CN111093562A (en) * 2017-09-08 2020-05-01 乔泰克公司 Endoluminal vascular prosthesis system
CN111658230A (en) * 2020-07-09 2020-09-15 北京裕恒佳科技有限公司 Artificial blood vessel
CN112190297A (en) * 2020-10-13 2021-01-08 复旦大学附属中山医院 Adaptive modular occlusion device special for promoting thrombosis of aortic dissection false lumen

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US6814752B1 (en) * 2000-03-03 2004-11-09 Endovascular Technologies, Inc. Modular grafting system and method
CN2817766Y (en) * 2005-03-02 2006-09-20 郭伟 Separated standing blood vessel for prosthesis of aorta ascendens and aortic arches cavity
CN2922835Y (en) * 2006-03-24 2007-07-18 中国人民解放军第二军医大学 Branch-type chest aorta in-cavity isolation transplant
CN101152109A (en) * 2006-09-27 2008-04-02 黄方炯 Three-collateral bracket vascellum for arcus aortae
CN201230914Y (en) * 2008-05-12 2009-05-06 先健科技(深圳)有限公司 Aortic arch bracket type blood vessel

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10357353B2 (en) 2012-04-12 2019-07-23 Sanford Health Combination double-barreled and debranching stent grafts and methods for use
US10350052B2 (en) 2012-04-12 2019-07-16 Sanford Health Debranching visceral stent graft and methods for use
US9370413B2 (en) 2012-04-12 2016-06-21 Sanford Health Combination double-barreled and debranching stent graft and methods for use
US9393101B2 (en) 2012-04-12 2016-07-19 Sanford Health Visceral double-barreled main body stent graft and methods for use
CN104487018A (en) * 2012-04-12 2015-04-01 三福健康公司 Debranching visceral stent graft and methods for use
US9427308B2 (en) 2012-04-12 2016-08-30 Sanford Health Debranching visceral stent graft and methods for use
US9283068B2 (en) 2012-04-12 2016-03-15 Sanford Health Debranching visceral stent graft and methods for use
US11419713B2 (en) 2012-04-12 2022-08-23 Sanford Health Debranching visceral stent graft and methods for use
US9393102B2 (en) 2012-04-12 2016-07-19 Sanford Health Debranching great vessel stent graft and methods for use
US10492900B2 (en) 2012-04-12 2019-12-03 Sanford Health Debranching great vessel stent graft and methods for use
CN111093562A (en) * 2017-09-08 2020-05-01 乔泰克公司 Endoluminal vascular prosthesis system
CN111093562B (en) * 2017-09-08 2023-01-06 乔泰克公司 Endoluminal vascular prosthesis system
CN109833124A (en) * 2017-11-24 2019-06-04 杭州唯强医疗科技有限公司 Improve the vascular shunt frame and intravascular stent of development visibility
CN111658230A (en) * 2020-07-09 2020-09-15 北京裕恒佳科技有限公司 Artificial blood vessel
CN111658230B (en) * 2020-07-09 2023-07-18 北京裕恒佳科技有限公司 Artificial blood vessel
CN112190297A (en) * 2020-10-13 2021-01-08 复旦大学附属中山医院 Adaptive modular occlusion device special for promoting thrombosis of aortic dissection false lumen

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