Abstract:
Devices and methods for delivering a sealing element post-implantation of valve prosthesis that functions to occlude or fill gaps present between the valve prosthesis and the native valve tissue, thereby reducing, minimizing, or eliminating leaks there through. In a first method, an injectable material is placed within a native valve sinus to form a sealing element that presses native valve leaflets against an outer surface of a heart valve prosthesis. In a second method, an injectable sealing material or a preformed annular sealing component is positioned between the outer surface or perimeter of a heart valve prosthesis and native heart valve tissue. In a third method, a preformed sealing element or component is placed within a heart valve prosthesis to press the prosthesis against native valve tissue.
Abstract:
Maximum and minimum dimensional characteristics of a conduit are determined by imaging a portion of the conduit into which an expandable medical device is to be implanted at appropriate points in the cardiac cycle (or other suitable cycle, such as the respiratory cycle, or at other suitable times). The dimensional characteristics of the conduits within the portion of interest may be evaluated and compared to the maximum and minimum dimensional characteristics of the medical device to be implanted in the conduit to determine whether the medical device is of an appropriate size for properly fitting in the conduit.