CN200960184Y - Aortic arch three collateral support blood vessels - Google Patents
Aortic arch three collateral support blood vessels Download PDFInfo
- Publication number
- CN200960184Y CN200960184Y CNU2006201379035U CN200620137903U CN200960184Y CN 200960184 Y CN200960184 Y CN 200960184Y CN U2006201379035 U CNU2006201379035 U CN U2006201379035U CN 200620137903 U CN200620137903 U CN 200620137903U CN 200960184 Y CN200960184 Y CN 200960184Y
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- blood vessel
- aortic
- aortic arch
- overlay film
- blood vessels
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Abstract
The utility model relates to a bracket vessel of three collateral branches and has an aorta bracket vessel. The aorta bracket vessel consists of an ascending aortic section, an aortic arch section, a descending aortic section and three collateral artery bracket vessels. The collateral artery bracket vessels are fixed on the circle-arc surface of the aortic arch section in the aorta bracket vessel respectively, which makes up a five-way structure. The three collateral artery bracket vessels are corresponded to an anonyma of the aortic arch, a left common carotid artery and a left subclavian artery respectively. The technique can simplify the surgical plan greatly, and reduce the time of profound hypothermia and circulation arrest. The anastomosis of artificial vessels and the three collateral branches is omitted, which can reduce the possibility of hemorrhage and the risk of surgery. The utility model alters the surgical plan in three collateral branches of aortic arch from partial vessel replacement plus partial endovascular reparation to wholly endovascular reparation.
Description
Technical field
This utility model relates to a kind of support blood vessel, particularly relates 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
Problem to be solved in the utility model 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 this utility model 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 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.
This utility model 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 this utility model aortic arch three side support blood vessels 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 this utility model can effectively solve these variations of adaptation.
Description of drawings
Fig. 1 is the deployed configuration sketch map of a kind of embodiment of this utility model.
Fig. 2 is the deployed configuration sketch map of the another kind of embodiment of this utility model.
Fig. 3 is a practical view of the present utility model.
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 utility model will be further described below in conjunction with accompanying drawing.
As shown in Figure 1, the aortic arch three side support blood vessels that this utility model 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 the innominate artery 8 on the corresponding aortic arch 11 successively, left common carotid artery 9 and left subclavian artery 10.
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 in this utility model 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, among the embodiment of the present utility model, 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 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 |
|---|---|---|---|
| CNU2006201379035U CN200960184Y (en) | 2006-09-27 | 2006-09-27 | Aortic arch three collateral support blood vessels |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNU2006201379035U CN200960184Y (en) | 2006-09-27 | 2006-09-27 | Aortic arch three collateral support blood vessels |
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| CN200960184Y true CN200960184Y (en) | 2007-10-17 |
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| CNU2006201379035U Expired - Fee Related CN200960184Y (en) | 2006-09-27 | 2006-09-27 | Aortic arch three collateral support blood vessels |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102641164A (en) * | 2011-02-16 | 2012-08-22 | 舒畅 | Branching type aortal vascular stent system |
| CN103462727A (en) * | 2012-06-07 | 2013-12-25 | 刘健 | Terylene three-branch arcus aortae artificial blood vessel with self-expandable stent |
| WO2015101292A1 (en) * | 2013-12-30 | 2015-07-09 | 先健科技(深圳)有限公司 | Aortic arch intraoperative stent and manufacturing method thereof |
| CN106388972A (en) * | 2016-10-18 | 2017-02-15 | 福建省立医院 | Composite type intraoperative stent system and using method thereof |
| CN106726001A (en) * | 2017-01-06 | 2017-05-31 | 北京华脉泰科医疗器械有限公司 | Exempt from suture stent-graft and its conveying device, coincide clasp |
| 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 |
| CN110547896A (en) * | 2018-05-30 | 2019-12-10 | 杭州唯强医疗科技有限公司 | Blood vessel covered stent |
-
2006
- 2006-09-27 CN CNU2006201379035U patent/CN200960184Y/en not_active Expired - Fee Related
Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102641164A (en) * | 2011-02-16 | 2012-08-22 | 舒畅 | Branching type aortal vascular stent system |
| CN102641164B (en) * | 2011-02-16 | 2015-08-26 | 舒畅 | Branch type aortic stent vascular system |
| CN103462727A (en) * | 2012-06-07 | 2013-12-25 | 刘健 | Terylene three-branch arcus aortae artificial blood vessel with self-expandable stent |
| WO2015101292A1 (en) * | 2013-12-30 | 2015-07-09 | 先健科技(深圳)有限公司 | Aortic arch intraoperative stent and manufacturing method thereof |
| CN105873543A (en) * | 2013-12-30 | 2016-08-17 | 先健科技(深圳)有限公司 | Aortic arch intraoperative stent and manufacturing method thereof |
| US10548709B2 (en) | 2013-12-30 | 2020-02-04 | Lifetech Scientific (Shenzhen) Co. Ltd. | Aortic arch intraoperative stent and manufacturing method thereof |
| CN106388972A (en) * | 2016-10-18 | 2017-02-15 | 福建省立医院 | Composite type intraoperative stent system and using method thereof |
| CN106726001A (en) * | 2017-01-06 | 2017-05-31 | 北京华脉泰科医疗器械有限公司 | Exempt from suture stent-graft and its conveying device, coincide clasp |
| CN106726001B (en) * | 2017-01-06 | 2019-01-25 | 北京华脉泰科医疗器械有限公司 | Exempt to suture stent-graft and its conveying device, identical retaining ring |
| 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 |
| CN110393605B (en) * | 2018-04-23 | 2022-11-04 | 黄健兵 | Aortic arch area branch tectorial membrane support blood vessel composite set |
| CN110547896A (en) * | 2018-05-30 | 2019-12-10 | 杭州唯强医疗科技有限公司 | Blood vessel covered stent |
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Legal Events
| Date | Code | Title | Description |
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| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| C17 | Cessation of patent right | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20071017 Termination date: 20110927 |