Method of deploying a bifurcated side-access intravascular stent graft
View Patent ↗A bifurcated intravascular stent graft comprises primary stent segments and a primary graft sleeve, forming a main fluid channel and having a side opening therethrough. An external graft channel formed on the primary graft sleeve has a first end communicating with the side opening and an open second end outside the primary graft sleeve, thereby providing a branch flow channel from the main channel out through the side opening and external graft channel. The primary stent segments and graft sleeve engage an endoluminal surface of a main vessel and form substantially fluid-tight seals. The stent graft further comprises a secondary stent graft, which may be positioned partially within the external graft channel, through the open second end thereof, and partially within a branch vessel. The secondary stent graft engages the inner surface of the external graft channel and the endoluminal surface of the branch vessel, thereby forming substantially fluid-tight seals.
1. A method for deploying an intravascular stent graft comprising the steps of:
providing an intravascular stent graft comprising first and second primary stent segments; a primary graft sleeve operatively coupled near an open first end thereof to the first primary stent segment, operatively coupled near an open second end thereof to the second primary stent segment, having a side opening therethrough, and forming a main fluid flow channel between the open first and second ends of the primary graft sleeve; and a strip of graft material having opposite side edges that are fixedly secured to an outer surface of the primary graft sleeve to form an external graft channel between the strip graft material and the primary graft sleeve, the external graft channel having a first open end secured to and communicating with the side opening of the primary graft sleeve and a second open end extending toward the second end of the primary graft sleeve and secured to the exterior surface of the primary graft sleeve, thereby forming at least a portion of a branch fluid flow channel between the main fluid flow channel and the second open end of the external graft channel, wherein the external graft channel further includes at least one stent segment at or near the side opening of the intravascular stent graft;
delivering transluminally the intravascular stent graft to a repair site of the main vessel;
locating the intravascular stent graft to substantially align the second open end of the external graft channel with a lumen of a branch vessel of the main vessel at the repair site;
engaging the first primary stent segment and the first end of the primary graft sleeve with the endoluminal surface of the first segment of the main vessel; and
engaging the second primary stent segment and the second end of the primary graft sleeve with the endoluminal surface of the second segment of the main vessel.
2. The method of claim 1 , further comprising the steps of:
compressing radially at least one of the first primary stent segment, the second primary stent segment, and the primary graft sleeve to a respective delivery diameter for delivering transluminally the stent graft to the repair site of the main vessel; and
expanding radially at least one of the first primary stent segment, the second primary stent segment, and the primary graft sleeve to a respective deployed diameter for engaging the endoluminal surface of the main vessel.
3. The method of claim 2 , further comprising the steps of:
providing a secondary stent graft; and
passing the secondary stent graft through the side opening of the primary graft sleeve, into the external graft channel, and into the branch vessel.
4. The method of claim 1 , wherein the second open end of the external graft channel is beveled and longitudinally spaced apart from the side opening, thereby enabling the secondary stent graft to form at least a portion of the branch fluid flow channel and accommodating bending of the secondary stent graft to form an angle ranging from about 0° up to about 180° with the primary stent graft.
5. The method of claim 3 , further comprising the step of bending the secondary stent graft through an angle ranging from about 0° up to about 180° for passing the secondary stent graft into the branch vessel and forming at least a portion of the branch fluid flow channel.