Bifurcated stent and method for implanting same

• US 5,632,763 A
• Filed: 01/18/1996
• Issued: 05/27/1997
• Est. Priority Date: 01/19/1995
• Status: Expired due to Fees

• Current Assignee: Cordis Corporation (Cardinal Health, Inc.)
• Original Assignee: Cordis Corporation (Cardinal Health, Inc.)
• Inventors: Glastra, Hendrik
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US08/588,513
• Time in Patent Office: 495 Days
• Field of Search: 606/191, 606/192, 606/194, 606/197, 606/198, 606/195, 604/1, 604/12
• US Class Current: 623/1.15
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels

Abstract

A stent particularly useful in reinforcing bifurcated arteries includes a first primary stent arranged inside a major artery, such the aorta at the level of the bifurcation and at least two secondary cylindrical stents. Each secondary stent is placed inside of a branching artery and inside the lumen of the first primary stent. The secondary stents engage interior portions of the primary stent and are anchored thereto by expansion.

Claims

1. A bifurcated stent assembly useful for repairing a compromised section of a bifurcated blood vessel, the compromised section of the blood vessel occurring near the bifurcation, said bifurcation including at least two subsidiary blood vessels branching off from said blood vessel, the stent assembly comprising:

a primary stent adapted to engage said blood vessel proximate to said bifurcation and at least two secondary stents adapted to engage respective ones of said at least two subsidiary blood vessels, each of the secondary stents having a length sufficient to extend from its respective subsidiary blood vessel into said primary stent and into engagement with at least a portion of an interior surface of said primary stent whereby said secondary stents are held in place within said bifurcation.

2. The stent assembly as claimed in claim 1, wherein said primary stent is generally conical in configuration and has two opposing ends, a first of said two ends being disposed generally adjacent said subsidiary blood vessels and a second of said two ends being disposed generally away from said subsidiary blood vessels, said primary stent second end having a diameter which greater than that of said primary stent first end.

3. The stent assembly as claimed in claim 1, wherein said secondary stents are generally cylindrical.

4. The stent assembly as claimed in claim 2, wherein said secondary stents are generally cylindrical.

5. The stent assembly as claimed in claim 2, wherein said secondary stents have portions which project past said primary stent second end.

6. The stent assembly as claimed in claim 1, wherein at least one of said primary and secondary stents is formed from a radiation-curable material.

7. The stent assembly as claimed in claim 1, wherein said primary and secondary stents are formed from radiation-curable materials.

8. The stent assembly as claimed in claim 6, wherein said radiation-curable material is an acrylate.

9. The stent assembly as claimed in claim 1, wherein at least one of said primary and secondary stents includes a sleeve of radiation-curable material.

10. The stent assembly as claimed in claim 1, wherein said secondary stents are expanded into place against said primary stent interior surface.

11. The stent assembly as claimed in claim 1, wherein said primary stent has a generally conical lumen.

12. An implantable stent for repairing a compromised section of a bifurcated section of a blood vessel, the bifurcated blood vessel section including a primary blood vessel and at least two secondary blood vessels meeting at and branching off from the primary blood vessel, the stent comprising a hollow base portion having a generally conical configuration and adapted to be expanded into place within said primary blood vessel, the base portion having opposing first and second openings communicating with an internal passage of said base portion, said base portion first opening facing away from said secondary blood vessels and said base portion second opening facing said secondary blood vessels, said stent further including at least two elongated, hollow secondary portions having generally cylindrical configurations, each of the secondary portions having respective first and second openings disposed at opposing first and second ends thereof which communicate with respective internal passages of secondary portions, said secondary portions extending through said base portion, said secondary portions having generally common lengths such that said second ends thereof extend into said secondary blood vessels and said first ends pass through said base portion, outer surfaces of said secondary portions near said first ends thereof engaging parts of said base portion internal passage.

13. The stent as claimed in claim 12, wherein said base portion internal passage is generally conical and said base portion first opening is larger than said base portion second opening.

14. The stent as claimed in claim 12, wherein said two secondary portions have substantially the same length.

15. The stent as claimed in claim 12, wherein said base and secondary portions are formed from a radiation-curable material.

16. The stent as claimed in claim 15, wherein said radiation-curable material is an acrylate.

17. The stent as claimed in claim 12, wherein said secondary portion first ends project past said base portion first opening.

18. The stent as claimed in claim 12, wherein said secondary portions are expanded against each other and said base portion within said base portion to occupy substantially all of said base portion internal passage.

19. A method for forming a bifurcated stent within a bifurcated area of a blood vessel wherein the bifurcated area includes a primary blood vessel portion and at least two secondary blood vessel portions branching off from said primary blood vessel portion, the method comprising the following steps:

positioning a first stent having a interior lumen within said primary blood vessel portion by expanding the first stent against said primary blood vessel portion;

positioning a secondary stent in each of the secondary blood vessel portions branching off of said primary blood vessel portion such that first portions of said secondary stents at least partially extend into said first stent lumen and second portions of said secondary stents respectively extend into said secondary blood vessel portions; and

fixing said secondary stents in place within said first stent lumen and said secondary blood vessel portions.

20. The method according to claim 19, wherein said positioning steps are accomplished by placing such first and secondary stents into inflatable balloon portions of balloon catheters and inflating said balloon portions to expand said first and secondary stents into place within said primary and secondary blood vessel portions.

21. The method according to claim 19, further including the step of positioning said secondary stents within said first stent lumen such that common opposing ends of said secondary stents project past opposing ends of said first stent.

22. The method according to claim 19, wherein said first stent lumen is conical in shape and said first stent is positioned in said primary blood vessel portion such that the largest opening of said lumen is directed away from the secondary blood vessel portions.

23. The method according to claim 19, wherein said first and secondary stents include a radiation-curable material and said method further includes the step of exposing said first and secondary stents to radiation to cure said radiation curable material after said first and secondary stents are positioned in place.