Methods and systems for establishing retrograde carotid arterial blood flow
First Claim
1. A method of treating a lesion in a carotid artery of a patient having an arterial blood system and a venous blood system, comprising:
- positioning an arterial access sheath into a common carotid artery via an insertion site in the patient'"'"'s neck;
blocking blood flow in at least a portion of the common carotid artery to establish retrograde blood flow through the common carotid artery such that blood flows into a lumen of the arterial access device;
shunting blood from the common carotid artery to a femoral vein of the patient via the arterial access sheath; and
treating the lesion by deploying a stent on the lesion;
wherein the arterial access sheath includes a proximal extension and a proximal hemostasis device at a proximal end of the proximal extension, and wherein the proximal extension has a length sufficient to space the hemostasis device a distance away from a insertion site such that a clinician can introduce a treatment device into the proximal extension and sheath while lessening radiation exposure to the clinician when fluoroscopy is being performed.
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Accused Products
Abstract
Interventional procedures on the carotid arteries are performed through a transcervical access while retrograde blood flow is established from the internal carotid artery to a venous or external location. A system for use in accessing and treating a carotid artery includes an arterial access device, a shunt fluidly connected to the arterial access device, and a flow control assembly coupled to the shunt and adapted to regulate blood flow through the shunt between at least a first blood flow state and at least a second blood flow state. The flow control assembly includes one or more components that interact with the blood flow through the shunt.
473 Citations
20 Claims
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1. A method of treating a lesion in a carotid artery of a patient having an arterial blood system and a venous blood system, comprising:
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positioning an arterial access sheath into a common carotid artery via an insertion site in the patient'"'"'s neck; blocking blood flow in at least a portion of the common carotid artery to establish retrograde blood flow through the common carotid artery such that blood flows into a lumen of the arterial access device; shunting blood from the common carotid artery to a femoral vein of the patient via the arterial access sheath; and treating the lesion by deploying a stent on the lesion; wherein the arterial access sheath includes a proximal extension and a proximal hemostasis device at a proximal end of the proximal extension, and wherein the proximal extension has a length sufficient to space the hemostasis device a distance away from a insertion site such that a clinician can introduce a treatment device into the proximal extension and sheath while lessening radiation exposure to the clinician when fluoroscopy is being performed. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification