CN101601618A - A kind of aortic blood pipe holder - Google Patents

A kind of aortic blood pipe holder Download PDF

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Publication number
CN101601618A
CN101601618A CN 200910157578 CN200910157578A CN101601618A CN 101601618 A CN101601618 A CN 101601618A CN 200910157578 CN200910157578 CN 200910157578 CN 200910157578 A CN200910157578 A CN 200910157578A CN 101601618 A CN101601618 A CN 101601618A
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China
Prior art keywords
trunk support
stent
sub
aortic
sidewall
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Pending
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CN 200910157578
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Chinese (zh)
Inventor
郭伟
马晓辉
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Individual
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Individual
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Priority to CN 200910157578 priority Critical patent/CN101601618A/en
Publication of CN101601618A publication Critical patent/CN101601618A/en
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Abstract

The invention discloses a kind of aortic blood pipe holder, in ascending aorta, be provided with opening on the sidewall of trunk support, be positioned over sub-stent in the coronary artery in the opening part connection.Sub-stent can be two, respectively with the sidewall of trunk support on two symmetric open communication.Also can establish biological know-how's arterial valve film at the trunk support near heart one end.Trunk support and sub-stent appearance also can cover artificial blood vessel.Sub-stent also can expand cribbing type blood vessel for ball.The present invention is connected the trunk support in the ascending aorta with the split compound mode with sub-stent in the coronary artery, formed good proximal landing zone.Can effectively treat aortic root dilatancy pathological changes, reduce the corrective surgery wound simultaneously.

Description

A kind of aortic blood pipe holder
Technical field:
The present invention relates to a kind of intravascular stent of inserting in the ascending aorta.
Background technology
Ascending aorta blastoma or dissecting aneurysm are the common aortic distensibility diseases of aortic root.Along with the progressively expansion of tumor body, finally can break causes death; Perhaps cause aortic incompetence, and then cause heart failure.Now, can only carry out traditional surgical intervention to this pathological changes, modal modus operandi is " aortic valve replacement+coronary reconstruction+ascending aorta displacement ", sometimes even need carry out the reconstruction operations of aortic arch displacement and brachiocephalic artery.This operation usually need be at profound hypothermia, stop circulating, carry out under the condition of extracorporeal circulation.Therefore, operating time is long, wound is huge, complication is many, mortality rate is high, and this surgical technic is difficult to be popularized.And because the outlet of tumor body near-end next-door neighbour left ventricle, technology in the lumen of vessels does not have the pathological changes of good proximal landing zone must not carry out intracavitary therapy.
Summary of the invention
The invention provides a kind of aortic blood pipe holder, can realize intracavity reconstruction coronary artery and ascending aorta.
The technical solution used in the present invention is: be provided with circular open on the sidewall of trunk support, by above-mentioned opening tubular branch be placed in the coronary artery.The end that sub-stent is communicated with the trunk support is a horn shape, and horn mouth place diameter is greater than the circular open diameter of trunk support.
Sub-stent can be two, respectively with the sidewall of trunk support on two symmetric open communication.Also can establish biological know-how's arterial valve film at the trunk support near heart one end.Trunk support and sub-stent appearance also can cover artificial blood vessel.Sub-stent also can expand cribbing type blood vessel for ball.
The present invention is with the split compound mode, trunk support in the ascending aorta is connected with sub-stent in the coronary artery, formed good proximal landing zone, the aortic root dilatancy disease of the aortic incompetence that can effectively treat ascending aorta blastoma, dissecting aneurysm, causes because of aortic aneurysm.Reduce the corrective surgery wound simultaneously.
Description of drawings
Fig. 1 is the first embodiment of the invention sketch map
Fig. 2 is a partial cutaway sketch map embodiment illustrated in fig. 1
Fig. 3 is a figure second embodiment of the invention sketch map
Fig. 4 is a scheme of installation embodiment illustrated in fig. 3
Among the figure: 1. trunk support 2,7. artificial blood vessel 3,4. opening 5. biological aortic valves 6,8. ascending aorta 10 right coronary arteryes 11 left coronary arterys of sub-stent 9 pathological changes
The specific embodiment
The present invention is further described below in conjunction with accompanying drawing:
Be illustrated in figure 1 as the sketch map of first embodiment of the invention, shown in the aortic blood pipe holder, comprise trunk support 1 and sub-stent 6,8, two openings 3,4 are arranged on trunk support 1 sidewall, opening 3,4 positions are according to patient's coronary ostium set positions.Sub-stent 6,8 has two, is communicated with trunk support 1 at two openings, 3,4 places of above-mentioned trunk support 1 sidewall respectively; Trunk support 1, sub-stent 6,8 are to cover artificial blood vessel 2,7 on the bare bracket to constitute, and sub-stent 6,8 expands cribbing type blood vessel for ball.
The installation process of present embodiment is as follows: trunk support 1 and two sub-stents 6,8 with the aortic blood pipe holder are compressed in the suitable induction system earlier, the trunk support drives in the wrong direction through femoral artery,common along induction system and strides aortic arch, be released to the aortic root correct position, locating aperture 3,4 is in the position of left and right sides coronary artery 10,11 opening correspondences.Then, sub-stent 6,8 is under the effect of induction system seal wire, and the opening 3,4 that passes trunk support 1 enters left and right sides coronary artery 10,11 respectively, and at the expansion compacted under of induction system sacculus.
As Fig. 2, sub-stent 6,8 forms trumpet type near trunk support 1 one ends, is installed in the trunk support 1 by opening 3,4, thereby realizes intracavity reconstruction coronary artery and ascending aorta 9.
Fig. 3 is another embodiment of the present invention sketch map, is biological know-how's arterial valve film 5 at close heart one end of trunk support 1.Trunk support 1, sub-stent 6,8 are to cover artificial blood vessel 2,7 on the bare bracket to constitute, and sub-stent 6,8 expands cribbing type blood vessel for ball.Adopt biological aortic valve 5, can realize intracavity displacement aortic valve.
Be illustrated in figure 4 as the scheme of installation of second embodiment of the invention.Earlier the trunk support 1 of aortic blood pipe holder and two sub-stents 6,8 being compressed in the suitable induction system trunk support 1 drives in the wrong direction through femoral artery,common along induction system and strides aortic arch, be implanted in the proper site of aortic annulus, lobe and ascending aorta 9, the biological aortic valve 5 of close heart one end in location is adjusted opening 3,4 in the position of left and right sides coronary artery 10,11 opening correspondences simultaneously in from the aortic valve place of body incompetence; Then, sub-stent 6,8 is under the effect of induction system seal wire, and the opening 3,4 that passes trunk support 1 enters left and right sides coronary artery 10,11 respectively, and at the expansion compacted under of induction system sacculus.
Biological know-how's arterial valve 5 that trunk support 1 is installed near the heart end has been replaced the aortic valve from the body incompetence, by two openings 3 on the trunk support 1,4, guaranteed that trunk support 1 inserting a process cardiac left side, right coronary artery 10,11 have lasting supply of blood flow, after trunk support 1 is inserted and is finished, again with two sub-stents 6,8 pass above-mentioned two openings 3 respectively, 4, be presented in the coronary artery, by induction system balloon expandable sub-stent 6,8 ends near trunk support 1, sub-stent 6,8 with an end of trunk support 1 UNICOM be horn shape, horn mouth place diameter is greater than the circular open diameter of trunk support, sub-stent 6,8 are installed on trunk support 1 inwall, under the effect of blood pressure, closely be connected with trunk support 1, two sub-stents 6,8 provide biological know-how's arterial valve 5 and artificial blood vessel 2,7 are anchored on the support force on aortic annulus and ascending aorta 9 walls, use the artificial blood vessel 2 that covers support, 7 have completely cut off the impact of blood flow to aortic aneurysm.Like this, the aortic disease of treatment ascending aorta tumor interlayer and aortic incompetence only needs the little otch of inguinal region just can finish, and does not also need profound hypothermia, stops circulating, the surgical condition of extracorporeal circulation, has avoided the open chest surgery of huge wound.

Claims (6)

1, a kind of aortic blood pipe holder, comprise the tubulose trunk support (1) in the ascending aorta (9) that places pathological changes, it is characterized in that: the sidewall of trunk support (1) is provided with circular open (3,4), by described opening (3,4) tubular branch frame (6,8) is placed in the coronary artery (10,11); The end that sub-stent (6,8) is communicated with trunk support (1) is a horn shape, and horn mouth place diameter is greater than circular open (11, the 12) diameter of trunk support (1).
2, intravascular stent as claimed in claim 1, it is characterized in that: the opening that two balanced configurations are arranged on the sidewall of trunk support (1) (3,4), two place the sub-stent (2,3) in the left and right sides coronary artery (10,11) to be communicated with two openings (3,4) on the sidewall of trunk support (1) respectively.
3, intravascular stent as claimed in claim 1 or 2 is characterized in that: described trunk support (1) is an aortic valve near heart one end.
4, intravascular stent as claimed in claim 3 is characterized in that: described aortic valve is biological know-how's arterial valve film (5).
5, intravascular stent as claimed in claim 1 or 2 is characterized in that: described trunk support (1) and sub-stent (6,8) appearance covers artificial blood vessel (2,7).
6, intravascular stent as claimed in claim 1 or 2 is characterized in that: described sub-stent (6,8) expands cribbing type blood vessel for ball.
CN 200910157578 2009-07-15 2009-07-15 A kind of aortic blood pipe holder Pending CN101601618A (en)

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CN 200910157578 CN101601618A (en) 2009-07-15 2009-07-15 A kind of aortic blood pipe holder

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Application Number Priority Date Filing Date Title
CN 200910157578 CN101601618A (en) 2009-07-15 2009-07-15 A kind of aortic blood pipe holder

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Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102048603A (en) * 2011-01-28 2011-05-11 中国人民解放军第101医院 Valve aortal stent planted above opening of percutaneous coronary
CN102379757A (en) * 2011-04-27 2012-03-21 郭伟 Stent-type blood vessel for intracavity treatment of complex abdominal aortic aneurysm
CN102626354A (en) * 2012-04-26 2012-08-08 姬尚义 Valved homograft conduit
WO2013159308A1 (en) * 2012-04-26 2013-10-31 Ji Shangyi Valved conduit
CN105726179A (en) * 2016-05-16 2016-07-06 南京医科大学第一附属医院 Te-type side branch double-balloon stent system for bifurcation lesion interventional therapy
CN105853035A (en) * 2016-04-28 2016-08-17 南京医科大学第附属医院 Special-type main and side branch saccule stent system for interventional therapy of bifurcation lesions
CN107320219A (en) * 2017-07-03 2017-11-07 中国人民解放军第二军医大学第二附属医院 Aortic root valved conduit device
CN108392293A (en) * 2017-08-31 2018-08-14 北京裕恒佳科技有限公司 Bifurcated artificial blood vessel
CN109091271A (en) * 2018-04-25 2018-12-28 上海长海医院 Aorta ascendens stent graft
CN109152639A (en) * 2016-05-25 2019-01-04 波顿医疗公司 Stent graft and for treating aneurysmal application method
WO2019205599A1 (en) * 2018-04-25 2019-10-31 上海长海医院 Ascending aortic stent graft
WO2020042668A1 (en) * 2018-08-31 2020-03-05 高峰 Transvalvular anchoring device for retaining aortic valve
WO2021005211A1 (en) * 2019-07-10 2021-01-14 P+F Cardiovascular Gmbh Implant, delivery device and method of delivering an implant
CN112914792A (en) * 2021-03-09 2021-06-08 北京昕为医疗科技有限公司 Graft suitable for treating diseases of the root of the ascending aorta
US11065100B2 (en) 2014-09-23 2021-07-20 Bolton Medical, Inc. Vascular repair devices and methods of use
CN113397761A (en) * 2021-05-27 2021-09-17 华中科技大学同济医学院附属协和医院 Suturing-free artificial blood vessel and conveying device thereof
US11154392B2 (en) 2016-04-05 2021-10-26 Bolton Medical, Inc. Stent graft with internal tunnels and fenestrations and methods of use
US11547549B2 (en) 2011-11-16 2023-01-10 Bolton Medical, Inc. Aortic graft assembly
RU2802268C2 (en) * 2019-07-10 2023-08-24 П+Ф Кардиоваскулар Гмбх Implant, delivery device and implant delivery method

Cited By (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102048603A (en) * 2011-01-28 2011-05-11 中国人民解放军第101医院 Valve aortal stent planted above opening of percutaneous coronary
CN102379757A (en) * 2011-04-27 2012-03-21 郭伟 Stent-type blood vessel for intracavity treatment of complex abdominal aortic aneurysm
CN102379757B (en) * 2011-04-27 2014-04-09 郭伟 Stent-type blood vessel for intracavity treatment of complex abdominal aortic aneurysm
US11547549B2 (en) 2011-11-16 2023-01-10 Bolton Medical, Inc. Aortic graft assembly
CN102626354A (en) * 2012-04-26 2012-08-08 姬尚义 Valved homograft conduit
WO2013159308A1 (en) * 2012-04-26 2013-10-31 Ji Shangyi Valved conduit
US20130289712A1 (en) * 2012-04-26 2013-10-31 Shangyi Ji Valved conduit
US11065100B2 (en) 2014-09-23 2021-07-20 Bolton Medical, Inc. Vascular repair devices and methods of use
US11918451B2 (en) 2014-09-23 2024-03-05 Bolton Medical, Inc. Vascular repair devices and methods of use
US11154392B2 (en) 2016-04-05 2021-10-26 Bolton Medical, Inc. Stent graft with internal tunnels and fenestrations and methods of use
CN105853035A (en) * 2016-04-28 2016-08-17 南京医科大学第附属医院 Special-type main and side branch saccule stent system for interventional therapy of bifurcation lesions
CN105726179A (en) * 2016-05-16 2016-07-06 南京医科大学第一附属医院 Te-type side branch double-balloon stent system for bifurcation lesion interventional therapy
CN109152639A (en) * 2016-05-25 2019-01-04 波顿医疗公司 Stent graft and for treating aneurysmal application method
US11395750B2 (en) 2016-05-25 2022-07-26 Bolton Medical, Inc. Stent grafts and methods of use for treating aneurysms
CN107320219A (en) * 2017-07-03 2017-11-07 中国人民解放军第二军医大学第二附属医院 Aortic root valved conduit device
CN108392293A (en) * 2017-08-31 2018-08-14 北京裕恒佳科技有限公司 Bifurcated artificial blood vessel
WO2019205599A1 (en) * 2018-04-25 2019-10-31 上海长海医院 Ascending aortic stent graft
CN109091271A (en) * 2018-04-25 2018-12-28 上海长海医院 Aorta ascendens stent graft
WO2020042668A1 (en) * 2018-08-31 2020-03-05 高峰 Transvalvular anchoring device for retaining aortic valve
WO2021005211A1 (en) * 2019-07-10 2021-01-14 P+F Cardiovascular Gmbh Implant, delivery device and method of delivering an implant
CN114025713A (en) * 2019-07-10 2022-02-08 P+F心血管有限公司 Implant, delivery device and method of delivering an implant
RU2802268C2 (en) * 2019-07-10 2023-08-24 П+Ф Кардиоваскулар Гмбх Implant, delivery device and implant delivery method
CN112914792A (en) * 2021-03-09 2021-06-08 北京昕为医疗科技有限公司 Graft suitable for treating diseases of the root of the ascending aorta
CN113397761A (en) * 2021-05-27 2021-09-17 华中科技大学同济医学院附属协和医院 Suturing-free artificial blood vessel and conveying device thereof

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Open date: 20091216