CARDIOPLEGIA CATHETER SYSTEM
    2.
    发明申请
    CARDIOPLEGIA CATHETER SYSTEM 审中-公开
    CARDIOPLEGIA导管系统

    公开(公告)号:WO1996017644A1

    公开(公告)日:1996-06-13

    申请号:PCT/US1995015014

    申请日:1995-11-21

    Abstract: A catheter system is provided for accessing the coronary ostia (176, 180) transluminal from a peripheral arterial access site, such as the femoral artery, and for inducing cardioplegia arrest by direct infusion of cardioplegia solution into the coronary arteries. In a first embodiment, the catheter system is in the form of a single perfusion catheter (20) with multiple distal branches (24, 26, 28) for engaging the coronary ostia (176, 180). In a second embodiment, multiple perfusion catheters (82, 84) are delivered to the coronary ostia (176, 180) through a single arterial cannula (104). In a third embodiment, multiple perfusion catheters (112, 114, 116) are delivered to the coronary ostia (176, 180) through a single guiding catheter (126). In a fourth embodiment, multiple catheters (140, 142, 144) are delivered to the coronary ostia (176, 180) through a single guiding catheter (130) which has distal exit ports (134, 136, 138) that are arranged to direct the perfusion catheters into the coronary ostia (176, 180). In each embodiment, the catheters (20) are equipped with an occlusion means (30, 50) at the distal end of the catheter (20) for closing the coronary ostia (176, 180), and isolating the coronary arteries from the systemic blood flow.

    Abstract translation: 提供导管系统用于从外周动脉进入部位(例如股动脉)进入腔内的冠状动脉口(176,180),并通过将心麻痹液直接输注到冠状动脉中诱导停搏。 在第一实施例中,导管系统是具有用于接合冠状动脉口(176,180)的多个远端分支(24,26,28)的单个灌注导管(20)的形式。 在第二实施例中,多个灌注导管(82,84)通过单个动脉插管(104)输送到冠状动脉口(176,180)。 在第三实施例中,多个灌注导管(112,114,116)通过单个引导导管(126)输送到冠状动脉口(176,180)。 在第四实施例中,多个导管(140,142,144)通过具有远端出口(134,136,138)的单个引导导管(130)输送到冠状动脉口(176,180),所述导向导管设置成引导 灌注导管进入冠状动脉口(176,180)。 在每个实施例中,导管(20)在导管(20)的远端配备有闭塞装置(30,50),用于封闭冠状动脉口(176,180),并将冠状动脉与全身血液隔离 流。

    SYSTEM AND METHODS FOR PERFORMING ENDOVASCULAR PROCEDURES
    7.
    发明申请
    SYSTEM AND METHODS FOR PERFORMING ENDOVASCULAR PROCEDURES 审中-公开
    用于执行内膜手术的系统和方法

    公开(公告)号:WO1996030072A1

    公开(公告)日:1996-10-03

    申请号:PCT/US1996003266

    申请日:1996-03-11

    CPC classification number: A61M25/1011 A61M25/0041 A61M25/0152 A61M2025/0161

    Abstract: This invention is a system for inducing cardio-plegia arrest and performing an endovascular procedure within the heart or blood vessels of a patient. An endo-aortic partitioning catheter (10) has an inflatable balloon (11) which occludes the ascending aorta (12) when inflated. Cardio-plegia fluid may be infused through a lumen of the endo-aortic partitioning catheter (39) to stop the heart while the patient's circulatory system is supported on cardiopulmonary bypass. One or more endovascular devices (500) are introduced through an internal lumen (40) of the endo-aortic partitioning catheter (30) to perform a diagnostic or therapeutic endovascular procedure within the heart or blood vessels of the patient. Surgical procedures such as coronary artery bypass surgery or heart valve replacement may be performed in conjunction with the endovascular procedure while the heart is stopped. Embodiments of the system are described for performing, e.g., fiberoptic angioscopy of structures within the heart and its blood vessels, and valvuloplasty for correction of valvular stenosis.

    Abstract translation: 本发明是一种用于诱导心脏 - 瘫痪并在患者的心脏或血管内进行血管内手术的系统。 内主动脉分隔导管(10)具有充气气囊(11),其在膨胀时封闭升主动脉(12)。 可以通过内主动脉分隔导管(39)的内腔输注心脏 - 小便液,以便在患者的循环系统被支持在体外循环时停止心脏。 一个或多个血管内装置(500)通过内主动脉分支导管(30)的内​​腔(40)引入,以在患者的心脏或血管内执行诊断或治疗性血管内手术。 外科手术如冠状动脉旁路手术或心脏瓣膜置换可以在心脏停止时与血管内手术一起进行。 描述了该系统的实施例,用于执行例如在心脏及其血管内的结构的光纤血管镜检查和用于矫正瓣膜狭窄的瓣膜成形术。

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