CN2817766Y - Separated standing blood vessel for prosthesis of aorta ascendens and aortic arches cavity - Google Patents
Separated standing blood vessel for prosthesis of aorta ascendens and aortic arches cavity Download PDFInfo
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- CN2817766Y CN2817766Y CN 200520005218 CN200520005218U CN2817766Y CN 2817766 Y CN2817766 Y CN 2817766Y CN 200520005218 CN200520005218 CN 200520005218 CN 200520005218 U CN200520005218 U CN 200520005218U CN 2817766 Y CN2817766 Y CN 2817766Y
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- aortic arch
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Abstract
The utility model relates to a separated bracket type blood vessel used for the prosthesis of ascending arta and aorta bow cavity, which is composed of three modules, wherein the main part of a second module is sheathed with a short arm branch of a first module and the thin end of a third module is sheathed with a short arm branch of the second module. The utility model is suitable for an intra-cavity prosthesis of the ascending aorta, aneurysmectomy of aortic arch and interlayer. The utility model can be used for an operation under local anesthesia and does not need surgical operation assist, operative wounds can be reduced to the lowest degree and the blood supply of the important branch blood vessels of the aortic arch part is ensured by the design of branches. The brackets of the utility model is positioned in the bracket of blood vessels of the aortic arch and have functions of fixing the brackets and preventing the shift of the brackets. The possibility of common complications of bracket internal leakage, narrow bracket and thrombosis forming in the brackets can be reduced via the design. The position fix in an operation can be conveniently and easily carried out through the markers of multiple regions.
Description
Affiliated technical field
This utility model is a kind of separating stent-graft type blood vessel that is used for ascending aorta and aortic arch EVAR, is repair materials in the lumen of vessels.
Background technology
Wicresoft intracavity kposthesis treatment aortic aneurysm or dissection of aorta are the intracavity recovery technique to be used for a new technique having grown up since clinical for the first time from Parodi in 1991.Its ultimate principle is: the compressible stent that will be covered with the artificial blood periosteum, discharge after by induction system they being transported to the vascular lesion position, utilize the elasticity of support self, behind the lumen of vessels intramedullary expansion, diseased region (as the breach of aneurysm or artery dissection) is isolated from outside the lumen of vessels, finish the reparation of in lumen of vessels, carrying out vascular lesion.It is based on diagnosis, intervention, image technology and material science high speed development and a brand-new subject growing up, and has obtained in the world popularizing within surplus in the of short 10 years, it with safety, Wicresoft, fast be characteristics.
At present, intracavity minimally-invasive treatment technology has obtained ideal solution in the technology of aortic aneurysm that relates to descending aorta or artery dissection, and obtained in the world using and development, substituted traditional surgery to a great extent, made the patient that much can't bear traditional surgery obtain ideal treatment.But because this technology to the high request of material, technology, equipment, is also thought the forbidden zone that Wicresoft's intracavity repairing is treated by numerous scholars for aneurysm that is positioned at ascending aorta and aortic arch or artery dissection at present.Process along with the world population aging, the aneurysm of ascending aorta, aortic arch portion and the patient of artery dissection often have characteristics such as many, body constitution difference of advanced age, complication, can't bear out the strike of traditional surgery such as breast, extracorporeal circulation to a great extent.This just presses for aneurysm or artery dissection that a kind of stent is treated ascending aorta and aortic arch.American scholar Chuter is being undertaken inserting the branching type support from innominate artery behind left subclavian artery-left common carotid artery-innominate artery turn of tidal stream by surgical operation at present, and by being connected with the another one support of inserting from femoral artery, treatment is positioned at the aneurysm or the interlayer of ascending aorta and aortic arch under the situation that guarantees the incidence blood supply, other has Japanese scholar Inoue to adopt the stent of integral type band branch vessel to treat the aneurysm and the interlayer at this position, but this two kinds of processing schemes or need the auxiliary of traditional surgery, rack making and dispose procedure are quite complicated, have limited applying of this technology to a great extent.
Summary of the invention
The purpose of this utility model is that design a kind of technology treatment succinct, safe in utilization, that effect is sure is positioned at the stent that Wicresoft's intracavity of the aneurysm of ascending aorta and aortic arch or artery dissection is repaired.Fill up the blank of minimally-invasive vascular intracavity kposthesis to ascending aorta and the treatment of aortic arch pathological changes.
This utility model is made up of three modules, and module one has a tubulose trunk portion, and trunk is communicated with a long-armed branch of tubulose and a tubulose galianconism branch respectively; Module two has a tubulose trunk portion, and trunk is communicated with a long-armed branch of tubulose and a tubulose galianconism branch respectively; Module three is that one one end is thick, and is middle excessively to the thin tube of the other end; The galianconism branch of the trunk portion of module two and module one connects together; Module three thin ends connect together with the galianconism branch of module two.
Module one is identical with module two shapes, and module two is little than module one size.Three modules are moved towards coiling by stainless steel silk or nitinol alloy wire with the Z type and are formed, and form the supporter of column as artificial blood vessel.Artificial blood vessel is made in the inboard of support or the outside.
This support is its characteristics with the absolute Wicresoft in modular type, branching type and the dispose procedure.Under local anaesthesia or general anesthesia, can insert, need open breast when having avoided huge operation wound of traditional operation and processing to be positioned at ascending aorta and aortic arch portion aneurysm or interlayer, stop situations such as circulation, aortic occlusion from peripheral arterial.Compare with other intracavitary therapy technology of handling the aortic arch disease, this support has shortened the distance that stent delivery system moves in vivo in dispose procedure, overcome restive shortcoming in the support dispose procedure, thereby simplified the operation process of intracavitary therapy, reduced operation wound, improved therapeutic effect patient.And the particular design by support reduced internal hemorrhage due to trauma, displacement, thrombosis etc. may.
Description of drawings
Accompanying drawing 1-3 is depicted as three module sections of this support, and first module is the proximal part of integral support, and the 3rd module is the end portion of integral support, and second module is between the two.
Accompanying drawing 4-6 is depicted as each module bodies and ramose length and diameter.
Accompanying drawing 7 is depicted as this utility model integrality figure.
Wherein: 1-module one trunk portion 2-module one 3-of the galianconism branch module one long-armed 4-of branch module two trunk portion 5-modules two 6-of the galianconism branch modules two long-armed 7-of branch module three thin end 8-module three butt end 9-long arm end support bar 10-labels
Specific embodiments
This support is formed (seeing accompanying drawing 1-3) by three modules, and first and second modular shape is identical, but second module is little than first module size.Three modules are moved towards coiling by stainless steel silk or nitinol alloy wire with the Z type and are formed, and form the supporter of column as artificial blood vessel.Artificial blood vessel makes in the inboard of support or the outside (proximal body of module one, two part with and whole artificial blood vessel of long-armed branch, module three be fixed on the support outside, the artificial blood vessel of two galianconism components of module one, two is fixed on the support inboard).In module one, its proximal part is this module trunk 1, also be the start-up portion of entire bracket, be anchored to ascending aorta, tell a thin and long branch 3 when continuing backward, for stretching into and be anchored to the part of innominate artery, this branch head and thin except having to the function of innominate artery blood supply, can also play fixed support, prevent the effect of its displacement, another short and thick branch 2 is the link of next modular type support.The trunk portion 4 of second module stretches into the galianconism branch 2 of first module, forms butt joint, and this module has the length of the left common carotid artery of stretching into and thin branch 6 and the galianconism branch 5 that links to each other with the 3rd support equally.The 3rd module is the tip part of entire bracket, and proximal part 7 is thinner, stretches into the galianconism branch 5 of second module, forms butt joint, is thicker end 8 downwards, is the anchor portion of entire bracket at descending thoracic aorta.In the practical operation, three modules are compressed in respectively in the suitable induction system, under radiography observation, earlier insert first module from right common carotid artery, insert second module and it is connected with first module from left common carotid artery then, insert the 3rd module from femoral artery at last, link to each other with second module.
In the making of this support, when making the artificial blood vessel of first module, its branch 2 and 3 is fixed together, does not form bifurcated,, play the situation that further prevents the support displacement through mutual restriction.5 and 6 branches of second module adopt to use the same method and are fixed together.
Three modules will have the vacancy part of a joint support ring at the lap of two long-armed 3,6 of module one, two and galianconism 2,5 ends after connection finishes, adopt the higher support bar 9 of 2-4 root intensity to remedy the deficiency of their support force weakness.Accurately locate for making things convenient in the art,, be fixed with radiotransparent label 10 at the proximal end and the connecting portion of module.
Diameter between each module bodies of this support and the branch requires following (accompanying drawing 4-6):
D1, D3, D6, D8 determine according to the blood vessel diameter of actual measurement, for the 1.1-1.2 of measured value doubly.
D2=D4,D5=D7。
Length relation between each module bodies of this support and the branch and require as follows:
L1, L3, L4, L7, L8 determine according to the length of vessel of actual measured value.
L2=L6, L7 〉=L5 (when L5=L7, can be directly by the opening of module three shutoff left subclavian arteries)
The support total length is: L2+L3+L7+L8 is equivalent to the part to aorta descendens from ascending aorta.During actual fabrication, it is identical with the human body actual measured value to require it totally to reach each branch length.
Claims (4)
1. separating stent-graft type blood vessel that is used for ascending aorta and aortic arch EVAR is characterized in that: forms by three modules,
Module one has a tubulose trunk portion, and trunk is communicated with a long-armed branch of tubulose and a tubulose galianconism branch respectively;
Module two has a tubulose trunk portion, and trunk is communicated with a long-armed branch of tubulose and a tubulose galianconism branch respectively;
Module three is that one one end is thick, and is middle excessively to the thin tube of the other end;
The galianconism branch of the trunk portion of module two and module one connects together; Module three thin ends connect together with the galianconism branch of module two.
2. the separating stent-graft type blood vessel of ascending aorta according to claim 1 and aortic arch EVAR is characterized in that: module one is identical with module two shapes, and module two is little than module one size.
3. the separating stent-graft type blood vessel of ascending aorta according to claim 1 and aortic arch EVAR is characterized in that: support bar is equipped with in the long-armed branch of module one and module two.
4. the separating stent-graft type blood vessel of ascending aorta according to claim 1 and aortic arch EVAR is characterized in that: proximal end and connecting portion in each module are fixed with radiotransparent label.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN 200520005218 CN2817766Y (en) | 2005-03-02 | 2005-03-02 | Separated standing blood vessel for prosthesis of aorta ascendens and aortic arches cavity |
Applications Claiming Priority (1)
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CN 200520005218 CN2817766Y (en) | 2005-03-02 | 2005-03-02 | Separated standing blood vessel for prosthesis of aorta ascendens and aortic arches cavity |
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CN2817766Y true CN2817766Y (en) | 2006-09-20 |
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CN 200520005218 Expired - Fee Related CN2817766Y (en) | 2005-03-02 | 2005-03-02 | Separated standing blood vessel for prosthesis of aorta ascendens and aortic arches cavity |
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Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN100457197C (en) * | 2007-03-07 | 2009-02-04 | 中国人民解放军第二军医大学 | Adjustable artificial aortic arch transplant |
CN101917929A (en) * | 2007-10-04 | 2010-12-15 | 特里瓦斯库拉尔公司 | Modular vascular graft for low profile percutaneous delivery |
CN101579265B (en) * | 2008-05-12 | 2011-03-30 | 先健科技(深圳)有限公司 | Aortic arch stent-graft |
CN101444441B (en) * | 2008-12-31 | 2011-06-29 | 南京医科大学第一附属医院 | Support type artificial venous blood vessel with valve |
CN103202735A (en) * | 2013-04-01 | 2013-07-17 | 杭州启明医疗器械有限公司 | Pulmonary artery valve replacement device and support thereof |
CN109091271A (en) * | 2018-04-25 | 2018-12-28 | 上海长海医院 | Aorta ascendens stent graft |
CN109998745A (en) * | 2019-03-07 | 2019-07-12 | 深圳市美好创亿医疗科技有限公司 | Branch type silicone airway stent |
WO2019205599A1 (en) * | 2018-04-25 | 2019-10-31 | 上海长海医院 | Ascending aortic stent graft |
CN113813091A (en) * | 2021-09-18 | 2021-12-21 | 复旦大学附属中山医院青浦分院 | Support for reconstructing arch branch artery in aortic arch intracavity repair operation |
-
2005
- 2005-03-02 CN CN 200520005218 patent/CN2817766Y/en not_active Expired - Fee Related
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN100457197C (en) * | 2007-03-07 | 2009-02-04 | 中国人民解放军第二军医大学 | Adjustable artificial aortic arch transplant |
CN101917929A (en) * | 2007-10-04 | 2010-12-15 | 特里瓦斯库拉尔公司 | Modular vascular graft for low profile percutaneous delivery |
CN101579265B (en) * | 2008-05-12 | 2011-03-30 | 先健科技(深圳)有限公司 | Aortic arch stent-graft |
CN101444441B (en) * | 2008-12-31 | 2011-06-29 | 南京医科大学第一附属医院 | Support type artificial venous blood vessel with valve |
CN103202735A (en) * | 2013-04-01 | 2013-07-17 | 杭州启明医疗器械有限公司 | Pulmonary artery valve replacement device and support thereof |
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 |
CN109998745A (en) * | 2019-03-07 | 2019-07-12 | 深圳市美好创亿医疗科技有限公司 | Branch type silicone airway stent |
CN113813091A (en) * | 2021-09-18 | 2021-12-21 | 复旦大学附属中山医院青浦分院 | Support for reconstructing arch branch artery in aortic arch intracavity repair operation |
CN113813091B (en) * | 2021-09-18 | 2023-04-25 | 复旦大学附属中山医院青浦分院 | Support for reconstructing branch artery of aortic arch part in aortic arch intracavity repair operation |
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