Illuminated intravascular blood filter
View Patent ↗Disclosed is a novel filter and delivery means. The device described within will not interfere with standard practice and tools used during standard surgical procedures and tools such as cannulas, clamps or dissection instruments including valve replacement sizing gauges or other surgical procedures where the patient must be put on a heart-lung machine cross-clamping the aorta.
1. A method of filtering a subject's blood to prevent foreign material from traveling into the carotid circulation during an open chest procedure, comprising
creating an opening in an aorta prior to cross-clamping the aorta and cardiopulmonary bypass to provide access to the aorta;
introducing a first illumination wire through the opening and into the left common carotid artery;
introducing a first filter in a collapsed configuration through the opening and over the illumination wire;
expanding the first filter in the left common carotid artery to trap foreign material in the left common carotid artery;
introducing a second filter in a collapsed configuration through the opening;
expanding the second filter in a brachiocephalic trunk to prevent foreign material from traveling into the right common carotid artery; and
performing a procedure on the heart of the subject without expanding a filter within the aortic arch.
2. The method of claim 1 , further comprising introducing a second illumination wire through the opening and into the brachiocephalic trunk.
3. The method of claim 2 , further comprising advancing the second filter over the second illumination element and into the brachiocephalic trunk.
4. A method of filtering a subject's blood to prevent foreign material from traveling into the carotid circulation during an open chest procedure, comprising
creating an opening in an aorta prior to cross-clamping the aorta and cardiopulmonary bypass to provide access to the aorta;
advancing an introducer element through the opening and into the aorta;
introducing a first filter in a collapsed configuration through the opening by advancing the first filter in the collapsed configuration through the introducer element;
expanding the first filter in a left common carotid artery to trap foreign material in the left common carotid artery;
introducing a second filter in a collapsed configuration through the opening by advancing the second filter in the collapsed configuration through the introducer element;
expanding the second filter in a brachiocephalic trunk to prevent foreign material from traveling into the right common carotid artery;
removing the introducer element from the opening in the aorta while leaving the first filter within the left common carotid artery and second filter in the brachiocephalic trunk; and
performing a procedure on the heart of the subject without expanding a filter within the aortic arch.
5. The method of claim 4 further comprising the steps of after removing the introducing element from the opening in the aorta, inserting an aortic cannula for perfusion into the opening in the aorta, followed by the steps of cross-clamping the aorta and performing cardiopulmonary bypass.
6. A method of positioning a plurality of carotid circulation filters within a patient, comprising:
creating an opening in an aorta to provide access through an introducer to the aorta prior to cardiopulmonary bypass;
advancing an introducer through the opening and into the aorta;
advancing a first illumination element through the introducer and into a left common carotid artery using illumination from the first illumination element as a visual positioning guide;
advancing a second illumination element through the introducer and into a briachiocephalic trunk using illumination from the second illumination element as a visual positioning guide;
advancing a first filter through the introducer and over the first illumination element and into the left common carotid artery using illumination from the first illumination element as a visual positioning guide;
expanding the first filter in the left common carotid artery;
advancing a second filter through the introducer and over the second illumination element and into the brachiocephalic trunk using illumination from the second illumination element as a visual positioning guide;
expanding the second filter in the brachiocephalic trunk;
removing the introducer from the opening and leaving the first and second illumination elements within the patient with a portion of the first and second illumination elements extending through the opening.
7. The method of claim 6 wherein the first illumination element comprises a guiding optical wire, the method further comprising advancing the first filter over the guiding optical wire into the left common carotid artery.
8. The method of claim 6 wherein the second illumination element comprises a guiding optical wire, the method further comprising advancing the second filter over the guiding optical wire into the brachiocephalic trunk.
9. The method of claim 6 further comprising introducing an aortic cannula through the opening.
10. The method of claim 6 further comprising positioning an introducer element through the opening, wherein the advancing steps comprise advancing the first and second illumination elements through the introducer element.
11. The method of claim 6 further comprising cross-clamping the aorta and performing cardiopulmonary bypass.