Dual wire placement catheter
First Claim
1. A method of positioning a first wire through a portion of the ipsilateral iliac, across the bifurcation of the aorta and through a portion of the contralateral iliac, and a second wire through the portion of the ipsilateral iliac and into the aorta, comprising the steps of:
- introducing a catheter through a first access site and into a first iliac, the catheter having at least first and second lumens;
advancing the catheter superiorly to the bifurcation of the aorta and inferiorly down a second iliac to a second access site;
introducing a first wire through the first lumen and between the first access site and the second access site;
introducing a second wire through the second lumen superiorly through the ipsilateral iliac and into the aorta; and
removing the catheter, while leaving the first and second wires in place.
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Accused Products
Abstract
Disclosed is a dual lumen access catheter, for facilitating placement of two procedure wires across a treatment site. In one application, the catheter is used to place a first wire extending between a contralateral iliac and an ipsilateral iliac across the terminal bifurcation of the aorta, and a second wire extending through a portion of the ipsilateral iliac and into the aorta. Methods of placing the wires, such as for subsequent deployment of an abdominal aortic aneurysm bifurcation graft, are also disclosed.
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Citations
26 Claims
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1. A method of positioning a first wire through a portion of the ipsilateral iliac, across the bifurcation of the aorta and through a portion of the contralateral iliac, and a second wire through the portion of the ipsilateral iliac and into the aorta, comprising the steps of:
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introducing a catheter through a first access site and into a first iliac, the catheter having at least first and second lumens;
advancing the catheter superiorly to the bifurcation of the aorta and inferiorly down a second iliac to a second access site;
introducing a first wire through the first lumen and between the first access site and the second access site;
introducing a second wire through the second lumen superiorly through the ipsilateral iliac and into the aorta; and
removing the catheter, while leaving the first and second wires in place. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method of transluminally deploying a bifurcation graft at the bifurcation of the aorta into the ipsilateral and contralateral iliacs, comprising the steps of:
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introducing a catheter through a first access site and into the ipsilateral iliac, the catheter having at least first and second lumens;
advancing the catheter superiorly to the bifurcation of the aorta and inferiorly down the contralateral iliac to a second access site;
introducing a first wire through the first lumen from the first access site through the second access site;
introducing a second wire through the second lumen from the first access site superiorly through the ipsilateral iliac and into the aorta;
removing the catheter, while leaving the first and second wires in place; and
deploying a bifurcation graft at the bifurcation of the aorta into the ipsilateral and contralateral iliacs. - View Dependent Claims (12, 13, 14, 15)
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16. A method of transluminally deploying a bifurcation graft at the bifurcation of the aorta into the ipsilateral and contralateral iliacs, comprising the steps of:
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introducing a catheter through a first access site and into the contralateral iliac, the catheter having at least first and second lumens;
advancing the catheter superiorly to the bifurcation of the aorta and inferiorly down the ipsilateral iliac to a second access site;
introducing a first wire through the first lumen between the first access site and the second access site;
introducing a second wire through the second lumen from the second access site superiorly through the ipsilateral iliac and into the aorta;
removing the catheter, while leaving the first and second wires in place; and
deploying a bifurcation graft at the bifurcation of the aorta into the ipsilateral and contralateral iliacs. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23, 24, 25, 26)
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Specification