Method for deploying an endovascular graft having a bifurcation

• US 5,800,518 A
• Filed: 11/01/1996
• Issued: 09/01/1998
• Est. Priority Date: 04/11/1991
• Status: Expired due to Term

• Current Assignee: Lifeport Sciences LLC (Acacia Research Corporation)
• Original Assignee: EndoVascular Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Sterman, Wesley D., Piplani, Alec A., Quiachon, Dinah B.
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/742,360
• Time in Patent Office: 669 Days
• Field of Search: 623/1, 623/12, 606/194, 606/195
• US Class Current: 128/898
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/88 the wire-like elements formed as helical or spiral coils forming a net-like or mesh-like structure A61F2/90
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/958 Inflatable balloons for placing stents or stent-grafts
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/075 the stent being loosely attached to the graft material, e.g. by stitching
• CPC Class Codes: A61F 2002/8486 provided on at least one of the ends
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: Y10S 623/903 Blood vessel

Abstract

Graft having a bifurcation for repairing an aneurysm in the vicinity of an aortic bifurcation in a patient comprising a main tubular body and first and second tubular legs joined to said main body in a bifurcation. The main body and the legs are formed of a flexible surgically implantable material. The main body and each of the first and second legs having an opening therein in communication with the other openings. Expandable spring attachments are secured to the main body adjacent the opening in the main body. An additional expandable spring attachment is secured to one of said legs adjacent the opening in said one leg.

Claims

1. A method for deploying a graft having a bifurcation for repairing an aortic aneurysm proximate to an aortic bifurcation associated with first and second iliac arteries of a patient, the method comprising the steps of:

providing a graft having a main tubular body, a first tubular leg and second tubular leg the main tubular body having a main opening associated therewith, the first tubular leg having a first opening associated therewith and the second tubular leg having a second opening associated therewith the second tubular leg further includes a lead tube attached to the second tubular leg proximate the second opening;

folding the second tubular leg of the graft so the second opening and the main opening are oriented in the same general direction and so that the second tubular leg lies substantially parallel to the main tubular body of the graft to provide a folded-over second leg;

introducing the lead tube attached to the folded-over second leg through a first iliac artery of a patient and continuing to advance the graft until the main tubular body of the graft is disposed proximate an aortic aneurysm proximate to an aortic bifurcation, the aortic aneurysm having a proximal end;

securing the main tubular body proximal to the proximal end of the aortic aneurysm;

moving the folded-over second leg of the graft into a second iliac artery by pulling on the lead tube;

securing the first tubular leg of the graft in the first iliac artery; and

securing the second tubular leg of the graft in the second iliac artery.

2. The method of claim 1, wherein the graft has a bifurcated junction where the main tubular body joins the first tubular leg and the second tubular leg wherein the step of folding further includes folding the second leg to create a fold proximate the bifurcated junction.

3. The method of claim 1, wherein the step of folding includes folding the second leg towards the extremity of the main tubular body.

4. The method of claim 1, further comprising the step of affixing a first attachment means to the main tubular body and affixing a second attachment means to the first tubular leg.

5. The method of claim 4, wherein the step of securing the tubular graft further comprises securing the first attachment means to the aorta and the step of securing the first iliac artery further comprises securing the second attachment means to the first iliac artery.

6. The method of 5, wherein the first attachment means has outwardly protruding hooks that are configured to penetrate the wall of the aorta and wherein the second attachment means has outwardly protruding hooks that are configured to penetrate the wall of the first iliac artery.

7. A method for deploying a graft having a bifurcation to repair an aneurysm proximate a bifurcated blood vessel having main vessel, a first branch and a second branch, the method comprising:

providing a graft having a main tubular body, a first tubular leg and a second tubular leg joined at a bifurcated junction, the main tubular body having a main opening associated therewith, the first tubular leg having a first opening associated therewith and the second tubular leg having a second opening associated therewith, the second tubular leg further includes a lead tube attached to the second tubular leg proximate the second opening;

folding the second tubular leg proximate the bifurcated junction so that the second opening and main opening are oriented in the same general direction;

positioning the lead tube attached to the second tubular leg across the bifurcated blood vessel;

advancing the main tubular body so that it is proximate to the main vessel and the bifurcated junction is proximate to the bifurcation of the graft;

positioning the first tubular leg proximate the first branch; and

unfolding the second tubular leg to position it proximate the second branch.

8. The method of claim 7, wherein main tubular body has proximal extremity the step of folding includes folding the second tubular leg towards the extremity.

9. The method of claim 7, wherein the step of folding occurs prior to the step positioning the main tubular body.

10. The method of claim 7, wherein the step of unfolding occurs after the step of positioning the main tubular body.

11. The method of claim 7, further comprising the steps of:

attaching the main tubular body to the main vessel;

attaching the first tubular leg to the first branch; and

attaching the second leg to the second branch.

12. The method of claim 11, wherein the step of attaching the main tubular body occurs prior to the unfolding step.

13. The method of claim 11, wherein the step of attaching the second leg occurs after the unfolding step.

14. The method of claim 11, wherein the step of attaching the main tubular body includes attaching the main tubular body to the main vessel with a self-expanding attachment means.

15. The method of claim 14, wherein the self-expanding attachment means has outwardly protruding hooks.

16. The method of claim 11, wherein the step of attaching the first tubular leg includes attaching the first tubular leg to the first branch with a self-expanding attachment means.

17. The method of claim 14, wherein the self-expanding attachment means has outwardly protruding hooks.

18. The method of claim 11, wherein the step of attaching the second tubular leg includes attaching the second tubular leg to the second branch with a self-expanding attachment means.

19. The method of claim 14, wherein the self-expanding attachment means has outwardly protruding hooks.

20. The method of claim 7, wherein the step of folding causes a fold to occur proximate the bifurcated junction.