Partially crimped stent

• US 8,821,562 B2
• Filed: 03/24/2011
• Issued: 09/02/2014
• Est. Priority Date: 09/25/2008
• Status: Active Grant

• Current Assignee: Advanced Bifurcation Systems, Inc.
• Original Assignee: Advanced Bifurcation Systems, Inc.
• Inventors: Bourang, Henry, Khorsandi, Mehran
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): HOLLM, JONATHAN A
• Application Number:
  US13/071,149
• Publication Number:
  US 20110282427A1
• Time in Patent Office: 1,258 Days
• Field of Search: 606/108, 623/1.11, 623/1.12, 623/1.15, 623/1.16, 623/1.35
• US Class Current: 623/1.11
• CPC Class Codes: A61F 2/856 Single tubular stent with a side portal passage
• 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: A61M 2025/1045 for treating bifurcations, e.g. balloons in y-configuration, separate balloons or special features of the catheter for treating bifurcations
• CPC Class Codes: A61M 2025/1079 having radio-opaque markers in the region of the balloon

Abstract

A crimping method that crimps a stent over multiple catheters. The method includes differentially crimping a stent on certain portions of a balloon catheter so that a second catheter can be threaded through the uncrimped portion of the stent and exit through the links of a conventional stent design or through a specific hole in the stent designed for a branched vessel.

Claims

1. A method for treating a bifurcated vessel having a mother vessel and a daughter vessel, said method comprising:

providing a catheter system for delivery of a stent at the bifurcated vessel, the catheter system comprising;

a mother catheter having a mother expandable member with a mother stent disposed thereon, the mother stent having a side hole for alignment with an ostium of the daughter vessel, wherein the mother stent has a crimped configuration for delivery through a vessel and an expanded configuration in which the stent supports a vessel wall of the mother or daughter vessel; and

a daughter catheter having a daughter expandable member, the daughter catheter extending through the side hole of the mother stent in the crimped configuration;

advancing the catheter system through the mother vessel having the bifurcated vessel with the daughter expandable member distal of and advanced concurrently with the mother expandable member, while the mother stent is in the crimped configuration;

advancing the daughter expandable member into the daughter vessel;

advancing the mother catheter through the mother vessel until the mother stent is positioned at the bifurcated vessel and the side hole is adjacent the ostium of the daughter vessel;

proximally retracting the daughter catheter relative to the mother catheter so that the daughter expandable member is partially within the mother stent, and so that a proximal end of the daughter expandable member is proximal of a proximal end of the mother stent and a distal portion of the daughter expandable member is within the daughter vessel, while the mother stent is in the crimped configuration;

expanding the daughter expandable member so as to align the side hole with the ostium of the daughter vessel, wherein expanding the daughter expandable member expands a proximal portion of the mother stent from the crimped configuration.

2. The method of claim 1, further comprising:

expanding the mother expandable member to fully expand the mother stent into the expanded configuration after expansion of the proximal portion of the mother stent from the crimped configuration by the expansion of the daughter expandable member.

3. The method of claim 1, wherein advancing the mother catheter comprises advancing the mother catheter distally until tension of the daughter catheter on the mother stent prevents the mother catheter from moving further distally.

4. The method of claim 1, wherein advancing the mother catheter comprises advancing both the mother and daughter catheters until resistance to further advancement is felt by an operator.

5. The method of claim 1, wherein each of the mother and daughter catheter comprises at least one radiopaque marker observable with fluoroscopy, and wherein retracting the daughter catheter comprises retracting the daughter catheter until the at least one radiopaque marker of the daughter catheter is aligned with the at least one radiopaque marker of the mother catheter so as to indicate when the daughter expandable member is sufficiently retracted within the mother stent.

6. The method of claim 1, wherein the mother and daughter catheters are slidably coupled to each other with an exchange tube to prevent tangling of the catheters during delivery.

7. The method of claim 6, wherein the exchange tube is attached to a side of the mother catheter, and wherein retracting the daughter catheter comprises retracting the daughter catheter through the exchange tube.

8. The method of claim 1, wherein one of the mother catheter and daughter catheter comprises an exchange tube embedded in a side of the catheter through which the other catheter is slidably attached.

9. The method of claim 1, wherein the daughter catheter further comprises a daughter stent disposed on the daughter expandable member, the daughter stent having a crimped configuration for delivery through a vessel and an expanded configuration in which the stent supports a vessel wall of the mother or daughter vessel, and wherein expanding the daughter expandable member expands the daughter stent into the expanded configuration.

10. The method of claim 9, wherein expanding the daughter expandable member concurrently expands at least the proximal portion of the mother stent from the crimped configuration and the daughter stent.

11. The method of claim 10, further comprising:

expanding the mother expandable member to fully expand the mother stent into the expanded configuration after expansion of the daughter expandable member.

12. The method of claim 11, wherein the daughter expandable member is contracted before expanding the mother expandable member.

13. The method of claim 11, wherein the daughter expandable member and the mother expandable member are expanded concurrently so as to kiss one another to ensure proper alignment of the side hole with the ostium of the daughter vessel and expansion of the mother stent at the bifurcation.

14. The method of claim 11, wherein the daughter expandable member and the mother expandable member are re-expanded concurrently after each of the daughter and mother expandable members have been expanded and contracted.