Bifurcation stent and method of positioning in a body lumen

• US 7,686,846 B2
• Filed: 04/19/2007
• Issued: 03/30/2010
• Est. Priority Date: 06/06/1996
• Status: Expired due to Fees

• Current Assignee: Biosensors International Group, Ltd.
• Original Assignee: DEVAX, Inc. (Biosensors International Group, Ltd.)
• Inventors: Seguin, Jacques, Elicker, Robert John, Laborde, Jean-Claude, Trauthen, Brett
• Primary Examiner(s): McDermott; Corrine M
• Assistant Examiner(s): STRASZHEIM, REBECCA L
• Application Number:
  US11/737,652
• Publication Number:
  US 20080046072A1
• Time in Patent Office: 1,076 Days
• Field of Search: 623/1.3, 623/1.31, 623/1.34, 623/1.35
• US Class Current: 623/1.35
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• 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 2/91 made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
• CPC Class Codes: A61F 2/915 with bands having a meander structure, adjacent bands being connected to each other
• 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 2002/067 modular
• CPC Class Codes: A61F 2002/825 having longitudinal struts
• CPC Class Codes: A61F 2002/91541 Adjacent bands are arranged out of phase
• CPC Class Codes: A61F 2002/91558 connected peak to peak
• CPC Class Codes: A61F 2002/91575 connected peak to trough
• CPC Class Codes: A61F 2002/9583 Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
• CPC Class Codes: A61F 2230/0008 elliptical or oval
• CPC Class Codes: A61F 2230/0039 H-shaped
• CPC Class Codes: A61F 2230/0054 V-shaped
• CPC Class Codes: A61F 2250/0032 differing in radiographic density
• CPC Class Codes: A61F 2250/0039 differing in diameter
• CPC Class Codes: A61F 2250/0096 Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
• CPC Class Codes: A61F 2250/0098 radio-opaque, e.g. radio-opaque markers

Abstract

A method of deploying a bifurcation stent at a vascular bifurcation of a main vessel into first and second branch vessels includes: positioning a bifurcation stent at a vascular bifurcation, the bifurcation stent expandable from a reduced diameter to an expanded diameter, the bifurcation stent comprising a first end, a second end, and a marker near the first end, wherein the first end diameter is larger than the second end diameter when the bifurcation stent is expanded, and wherein the bifurcation stent is positioned such that the marker is approximately aligned with a carinal plane at the vascular bifurcation; partially expanding the first end of the bifurcation stent; adjusting the position of the bifurcation stent such that the marker is positioned past the carinal plane and towards the first branch vessel; and deploying the bifurcation stent at the bifurcation. Devices are also disclosed.

Claims

1. A method of deploying a bifurcation stent at a vascular bifurcation of a main vessel into first and second branch vessels, the method comprising:

partially deploying a bifurcation stent at the bifurcation, the stent expandable from a reduced diameter to an expanded diameter, the stent comprising a plurality of distal struts extending around a distal portion of the stent;

advancing the partially deployed stent towards the branch vessels so the stent at least partially straddles the carina; and

deploying the stent at the bifurcation by positioning distal peaks formed by at least some of the distal struts at least about 1 mm distal of the carina, such that when the stent is fully deployed, at least some of the distal struts extend past the carina.

2. The method of deploying a stent as in claim 1, further comprising expanding a balloon at the bifurcation.

3. The method of deploying a stent as in claim 1, wherein the stent comprises one or more markers affixed to selected ones of the distal struts.

4. The method of deploying a stent as in claim 1, further comprising delivering a branch stent to the first branch vessel, such that the branch stent at least partially overlaps the bifurcation stent.

5. The method of deploying a stent as in claim 1, wherein said positioning the distal peaks comprises positioning the distal peaks at least about 2 mm to about 4 mm distal of the carina.

6. The method of deploying a stent as in claim 1, wherein the distal struts are longer than proximal struts of the stent.

7. A method of deploying a stent at a bifurcation of a main vessel to two branch vessels, the two branch vessels forming a carina at the bifurcation, the method comprising:

positioning a bifurcation stent at a vascular bifurcation, the bifurcation stent comprising proximal and distal segments, the proximal and distal segments each comprising a plurality of struts that form peaks, wherein the struts of the distal segment are longer than struts of the proximal segment;

partially expanding the bifurcation stent; and

deploying the partially expanded bifurcation stent at the bifurcation by positioning distal peaks of at least some of the struts of the distal segment at least about 1 mm distal of the carina, such that at least some of the peaks formed by the struts of the distal segment are positioned past the carina.

8. The method of deploying a stent as in claim 7, wherein said positioning the distal peaks comprises positioning the distal peaks at least about 2 mm to about 4 mm distal of the carina.

9. The method of deploying a stent as in claim 7, wherein said partially expanding the bifurcation stent comprises partially retracting a catheter sheath to expose a distal-most segment of the stent such that the peaks of the distal segment are at a location proximal of the carina.

10. The method of deploying a stent as in claim 7, wherein said deploying the bifurcation stent comprises positioning the stent such that when the stent is fully deployed, at least some of the struts of the distal segment extend past the carina.