CN103300940A - Integrated thoracic aortic branch support - Google Patents
Integrated thoracic aortic branch support Download PDFInfo
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- CN103300940A CN103300940A CN201310263349XA CN201310263349A CN103300940A CN 103300940 A CN103300940 A CN 103300940A CN 201310263349X A CN201310263349X A CN 201310263349XA CN 201310263349 A CN201310263349 A CN 201310263349A CN 103300940 A CN103300940 A CN 103300940A
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Abstract
The invention relates to an integrated thoracic aortic branch support which comprises a main support and a first branch support arranged on the sidewall of the main support, wherein the main support is communicated with the first branch support; the main support and the first branch support are composed of memory alloy wire frames and tectorial membranes fixedly coating the frames. The first branch support is arranged on the main support, a most important branch artery channel is reserved when the important arteries are coated, so as to enable the thoracic aortic support to achieve the left side of the right brachiocephalic trunk opening, the first branch support carried by the main support is placed in the left common carotid artery, or conducting bridging to the right common carotid artery and the left common carotid artery, and conducting bridging to the left common carotid artery and the left subclavian artery firstly and then covering all the arcus aortas by the support, the first support is placed in the right brachiocephalic trunk, so that the support can also be used for lesion near the aortic arch, exaggerated thoracic surgery is avoided, and the surgical risk and medical cost of a patient are decreased accordingly.
Description
Technical field
The present invention relates to medical instruments field, particularly a kind of integral type thoracic aorta branch stent.
Background technology
Along with carrying out of interventional technique, stent applications is more and more, but at present because of apparatus and technical reason, the support of some privileged sites still can not be used, and for example the artery dissection pathological changes just can't be used covered stnet near the aortic arch.Because covered stnet is applied to aortic arch, can block head to blood flow, namely cover the blood flow of left subclavian artery, left common carotid artery and right brachiocephalic trunk, cause cerebrum ischemia, cause apoplexy, in addition dead.If need to cover aortic arch with covered stnet, can only right brachiocephalic trunk be transplanted to ascending aorta by opening first breast at present, and then with right common carotid artery and left common carotid artery put up a bridge, left common carotid artery puts up a bridge to finish covered stnet with left subclavian artery again and covers aortic arch.
For above-mentioned technical barrier, need research and development and design a kind of branch stent that can accurately implant, can be applied near the pathological changes of aortic arch blood vessel, thereby avoid excessive open chest surgery, greatly reduce patient's risk and medical treatment cost.
Summary of the invention
In view of this, the purpose of this invention is to provide a kind of integral type thoracic aorta branch stent, can directly it be inserted near the aortic arch by invasive methods, with near the pathological changes of this stent applications aortic arch blood vessel, thereby avoid excessive open chest surgery, reduce patient's operation risk and medical treatment cost.
The objective of the invention is to realize by following technological means: a kind of integral type thoracic aorta branch stent, comprise main support and the first sub-stent that is arranged on the main support sidewall, main support and the first sub-stent are connected; Described main support and the first sub-stent form by memory alloy wire skeleton and the overlay film that fixedly covers on the skeleton.
Further, the distance between the front end of described main support and the first sub-stent 1 is 5mm-20mm.
Further, the diameter a of described main support is 24mm-36mm; The diameter b of the first sub-stent is 6mm-12mm.
Further, the Axis arc length of described main support is 80mm-100mm; The length of described the first sub-stent is 10mm-30mm.
Further, described main support is arc, and its central angle β is 28 °-36 °.
Further, also comprise the second sub-stent that is arranged on the main support sidewall, the arc length along main support between the first sub-stent and the second sub-stent is 15mm mm-30mm apart from d, and the angle between the first sub-stent and the second sub-stent two axial lines is 0 °-30 °.
Further, the diameter c of described the second sub-stent is 6mm-12mm, and the length of the second sub-stent is 10mm-30mm.
Further, the end of described main support is fixedly installed naked skeleton, the end of the first sub-stent is fixedly installed the first naked skeleton, the end of the second sub-stent is fixedly installed the second naked skeleton, all is provided for observing the MarK sign of overlay film frame position on naked skeleton, the first naked skeleton and the second naked skeleton.
Further, described memory alloy wire is nitinol alloy wire.
Further, described overlay film is made by polytetrafluoroethylmaterial material.
Beneficial effect of the present invention: integral type thoracic aorta branch stent of the present invention, comprise main support and the first sub-stent that is arranged on the main support sidewall, main support and the first sub-stent are connected; Described main support and the first sub-stent form by memory alloy wire skeleton and the overlay film that fixedly covers on the skeleton.Its using method and beneficial effect are: at main support the first sub-stent is set, plan is in these important arteries of covering, keep an of paramount importance bifurcated artery passage, so just can make the breast main support arrive right brachiocephalic trunk tremulous pulse opening left side, main support self with the first sub-stent insert left common carotid artery, perhaps first right common carotid artery and left common carotid artery are put up a bridge, left common carotid artery is put up a bridge with left subclavian artery again and then cover whole aortic arch with this support, its first sub-stent is inserted in the right brachiocephalic trunk tremulous pulse.This support also can be applied near the pathological changes of aortic arch blood vessel like this, thereby avoids excessive open chest surgery, reduces patient's operation risk and medical treatment cost.
Description of drawings
The invention will be further described below in conjunction with drawings and Examples:
Fig. 1 is the structural representation of embodiment 1;
Fig. 2 is the structural representation of embodiment 2;
Fig. 3 is the perspective view of embodiment 2.
The specific embodiment
Embodiment 1:
As shown in Figure 1, the integral type thoracic aorta branch stent of the present embodiment comprises main support 1 and the first sub-stent 2 that is arranged on the main support sidewall, and main support and the first sub-stent are connected; Described main support and the first sub-stent form by memory alloy wire skeleton and the overlay film that fixedly covers on the skeleton.Wherein, the distance 1 between the front end of described main support 1 and the first sub-stent 2 is 5mm-20mm; Setting is no more than 20mm, guarantees that it can not cover adjacent tremulous pulse, guarantees blood supply.The diameter a of main support 1 is 24mm-36mm; Get 30mm in the present embodiment, the diameter b of the first sub-stent 2 is 6mm-12mm; Get 10mm in the present embodiment, the Axis arc length of main support 1 is 80mm-100mm; Get 90mm in the present embodiment, the length of described the first sub-stent 2 is 10mm-30mm.Get 20mm in the present embodiment, accurately control diameter and the length of each support, both guaranteed that support can play a role to greatest extent, can accurately put fast pipe again; Described main support is arc, and its central angle β is 28 °-36 °.Get 32 ° in the present embodiment, with accurate adaptation shape of blood vessel, prevent that the support shape from not mating and cause angiorrhexis etc.Described memory alloy wire is nitinol alloy wire, and described overlay film is made by polytetrafluoroethylmaterial material, and technology maturity is high, and is safe and reliable, and cost is lower.At main support the first sub-stent is set, plan is in these important arteries of covering, keep an of paramount importance bifurcated artery passage, so just can make the breast main support arrive right brachiocephalic trunk tremulous pulse opening left side, main support self with the first sub-stent insert left common carotid artery, perhaps first right common carotid artery and left common carotid artery are put up a bridge, left common carotid artery is put up a bridge with left subclavian artery again, then just can make the breast main support arrive right brachiocephalic trunk tremulous pulse opening right side, cover whole aortic arch with this support again, its first sub-stent is inserted in the right brachiocephalic trunk tremulous pulse.This support also can be applied near the pathological changes of aortic arch blood vessel like this, thereby avoids excessive open chest surgery, reduces patient's operation risk and medical treatment cost.
Embodiment 2:
As the further improvement to embodiment 1, comprise that also the arc length along main support 1 is 15mm-30mm apart from d between the second sub-stent 3, the first sub-stents 2 of being arranged on main support 1 sidewall and the second sub-stent 3, specifically get 25mm in the present embodiment; Angle between the first sub-stent 2 and the second sub-stent 3 two axial lines is 0 °-30 °.Specifically get 15 ° in the present embodiment; Wherein, the diameter c of the second sub-stent 3 is 6mm-12mm, specifically gets 8mm in the present embodiment; The length of the second sub-stent 3 is 10mm-30mm.Specifically get 20mm in the present embodiment; At main support the second sub-stent is set, plan is in these important arteries of covering, keep two of paramount importance bifurcated artery passages, so just can make the breast main support arrive right brachiocephalic trunk tremulous pulse opening right side, main support self with the first sub-stent insert right brachiocephalic trunk, the second sub-stent is inserted left common carotid artery, this support also can be applied near the pathological changes of aortic arch blood vessel like this, thereby avoid excessive open chest surgery and the bypass surgery between right brachiocephalic trunk and the left common carotid artery, reduce patient's operation risk and medical treatment cost.
As the further improvement to above-mentioned two embodiment, the end of described main support 1 is fixedly installed naked skeleton 1a, the end of the first sub-stent 2 is fixedly installed the first naked skeleton 2a, the end of the second sub-stent 3 is fixedly installed the second naked skeleton 3a, all is provided for observing the MarK sign of overlay film frame position on naked skeleton 1a, the first naked skeleton 2a and the second naked skeleton 3a.The MarK sign is set conveniently observes the position of overlay film frame, make things convenient for the medical worker accurately to operate.
Explanation is at last, above embodiment is only unrestricted in order to technical scheme of the present invention to be described, although with reference to preferred embodiment the present invention is had been described in detail, those of ordinary skill in the art is to be understood that, can make amendment or be equal to replacement technical scheme of the present invention, and not breaking away from aim and the scope of technical solution of the present invention, it all should be encompassed in the middle of the claim scope of the present invention.
Claims (10)
1. integral type thoracic aorta branch stent is characterized in that: comprise main support (1) and be arranged on first sub-stent (2) of main support sidewall, main support and the first sub-stent are connected; Described main support and the first sub-stent form by memory alloy wire skeleton and the overlay film that fixedly covers on the skeleton.
2. integral type thoracic aorta branch stent according to claim 1 is characterized in that: the distance 1 between the front end of described main support (1) and the first sub-stent (2) is 5mm-20mm.
3. integral type thoracic aorta branch stent according to claim 2, it is characterized in that: the diameter a of described main support (1) is 24mm-36mm; The diameter b of the first sub-stent (2) is 6mm-12mm.
4. integral type thoracic aorta branch stent according to claim 1, it is characterized in that: the Axis arc length of described main support (1) is 80mm-100mm; The length of described the first sub-stent (2) is 10mm-30mm.
5. integral type thoracic aorta branch stent according to claim 4, it is characterized in that: described main support is arc, its central angle β is 28 °-36 °.
6. integral type thoracic aorta branch stent according to claim 1, it is characterized in that: also comprise the second sub-stent (3) that is arranged on main support (1) sidewall, arc length along main support (1) between the first sub-stent (2) and the second sub-stent (3) is 15mm-30mm apart from d, and the angle between the first sub-stent (2) and the second sub-stent (3) two axial lines is 0 °-30 °.
7. integral type thoracic aorta branch stent according to claim 6, it is characterized in that: the diameter c of described the second sub-stent (3) is 6mm-12mm, the length of the second sub-stent (3) is 10mm-30mm.
8. integral type thoracic aorta branch stent according to claim 6, it is characterized in that: the end of described main support (1) is fixedly installed naked skeleton (1a), the end of the first sub-stent (2) is fixedly installed the first naked skeleton (2a), the end of the second sub-stent (3) is fixedly installed the second naked skeleton (3a), all is provided for observing the MarK sign of overlay film frame position on naked skeleton (1a), the first naked skeleton (2a) and the second naked skeleton (3a).
9. integral type thoracic aorta branch stent according to claim 1, it is characterized in that: described memory alloy wire is nitinol alloy wire.
10. integral type thoracic aorta branch stent according to claim 1, it is characterized in that: described overlay film is made by polytetrafluoroethylmaterial material.
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CN201310263349.XA CN103300940B (en) | 2013-06-27 | 2013-06-27 | Integrated thoracic aortic branch support |
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CN201310263349.XA CN103300940B (en) | 2013-06-27 | 2013-06-27 | Integrated thoracic aortic branch support |
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CN103300940A true CN103300940A (en) | 2013-09-18 |
CN103300940B CN103300940B (en) | 2015-06-24 |
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CN201310263349.XA Expired - Fee Related CN103300940B (en) | 2013-06-27 | 2013-06-27 | Integrated thoracic aortic branch support |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109172043A (en) * | 2018-09-12 | 2019-01-11 | 于存涛 | Close to the aorta ascendens bracket being anchored by innominate artery and transportation system of dissection |
Citations (9)
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JPH07308330A (en) * | 1994-05-17 | 1995-11-28 | Ube Ind Ltd | Branched artificial blood vessel |
WO2006028925A1 (en) * | 2004-09-02 | 2006-03-16 | Med Institute, Inc. | Modular prosthesis and method for branch vessels |
CN101015478A (en) * | 2007-02-28 | 2007-08-15 | 许尚栋 | Collateral covered graft-stent and releasing method thereof |
CN101836911A (en) * | 2009-03-18 | 2010-09-22 | 微创医疗器械(上海)有限公司 | Collateral filmed stent |
CN201617973U (en) * | 2009-12-22 | 2010-11-03 | 孙立忠 | Bracket type artificial blood vessel for aortic operation |
CN201701341U (en) * | 2010-06-29 | 2011-01-12 | 李卫校 | Integral great vessel branch stent |
CN201855316U (en) * | 2010-09-16 | 2011-06-08 | 复旦大学附属中山医院 | Single-branched stent for surgical operation |
CN202122626U (en) * | 2011-05-11 | 2012-01-25 | 微创医疗器械(上海)有限公司 | Intraoperative branch coated stent |
CN202568546U (en) * | 2012-03-22 | 2012-12-05 | 王志伟 | Branching type aorta cover membrane bracket and delivery system thereof |
-
2013
- 2013-06-27 CN CN201310263349.XA patent/CN103300940B/en not_active Expired - Fee Related
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH07308330A (en) * | 1994-05-17 | 1995-11-28 | Ube Ind Ltd | Branched artificial blood vessel |
WO2006028925A1 (en) * | 2004-09-02 | 2006-03-16 | Med Institute, Inc. | Modular prosthesis and method for branch vessels |
CN101015478A (en) * | 2007-02-28 | 2007-08-15 | 许尚栋 | Collateral covered graft-stent and releasing method thereof |
CN101836911A (en) * | 2009-03-18 | 2010-09-22 | 微创医疗器械(上海)有限公司 | Collateral filmed stent |
CN201617973U (en) * | 2009-12-22 | 2010-11-03 | 孙立忠 | Bracket type artificial blood vessel for aortic operation |
CN201701341U (en) * | 2010-06-29 | 2011-01-12 | 李卫校 | Integral great vessel branch stent |
CN201855316U (en) * | 2010-09-16 | 2011-06-08 | 复旦大学附属中山医院 | Single-branched stent for surgical operation |
CN202122626U (en) * | 2011-05-11 | 2012-01-25 | 微创医疗器械(上海)有限公司 | Intraoperative branch coated stent |
CN202568546U (en) * | 2012-03-22 | 2012-12-05 | 王志伟 | Branching type aorta cover membrane bracket and delivery system thereof |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109172043A (en) * | 2018-09-12 | 2019-01-11 | 于存涛 | Close to the aorta ascendens bracket being anchored by innominate artery and transportation system of dissection |
WO2020052185A1 (en) * | 2018-09-12 | 2020-03-19 | 于存涛 | Ascending aorta stent anchored by innominate artery for dissection, and delivery system |
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CN103300940B (en) | 2015-06-24 |
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