Endoluminal prosthesis assembly

1. An endoluminal prosthesis assembly comprising:

a first stent graft comprising a biocompatible graft material and having a first end and a second end and an interior lumen, the first stent graft having an expanded position and a compressed position, the first stent graft defining an access port disposed through a wall of the first stent graft between the first end and the second end of the first stent graft; and

a second stent graft comprising a biocompatible graft material and having a first end and a second end and a lumen disposed therethrough, the second stent graft disposed within the interior lumen of the first stent graft, the second stent graft having an expanded position and a compressed position where the second stent graft in the compressed position is compressed against an interior wall of the interior lumen of the first stent graft positioned opposite the wall comprising the access port, and wherein the second stent graft in the compressed position is positioned diametrically opposite to the wall comprising the access port:

where when the first stent graft is in the expanded position and the second stent graft is in the compressed position, the second stent graft contacts only a portion of the interior wall of the interior lumen of the first stent graft and the access port is in fluid communication with the interior lumen of the first stent graft, and where when the first stent graft is in the expanded position and the second stent graft is in the expanded position, the second stent graft engages substantially all of the interior wall of the first stent graft and seals the access port from fluid communication with the interior lumen of the first stent graft.

2. The endoluminal prosthesis assembly of claim 1 , where a portion of the second stent graft is secured to the interior wall of the first stent graft.

3. The endoluminal prosthesis assembly of claim 1 , where the first stent graft has a length and the second stent graft has a length shorter than the length of the first stent graft.

4. The endoluminal prosthesis assembly of claim 1 , where the first stent graft has a length and the second stent graft has a length longer than the length of the first stent graft.

5. The endoluminal prosthesis assembly of claim 1 , where the second stent graft is restrained in the compressed position by a trigger wire arrangement.

6. The endoluminal prosthesis assembly of claim 5 , where the trigger wire arrangement engages the first end of the second stent graft and the second end of the second stent graft.

7. The endoluminal prosthesis assembly of claim 5 , where the trigger wire arrangement engages a first suture arrangement on the first end of the second stent graft.

8. The endoluminal prosthesis assembly of claim 7 , where the trigger wire arrangement engages a second suture arrangement of the second end of the second stent graft.

9. The endoluminal prosthesis assembly of claim 1 , where the second stent graft is concentric with the first stent graft and has a diameter in the expanded position that is less than the first stent graft in the expanded position.

10. An endoluminal prosthesis assembly comprising:

a first stent graft comprising a biocompatible graft material and having a first end and a second end and an interior lumen, the first stent graft having an expanded position and a compressed position, the first stent graft defining an access port disposed through a wall of the first stent graft between the first and second ends of the first stent graft; and

a second stent graft comprising a biocompatible graft material and having a first end and a second end and a lumen disposed therethrough, the second stent graft disposed entirely within the interior lumen of the first stent graft, the second stent graft having an expanded position and a compressed position where the second stent graft in the compressed position is compressed against an interior wall of the interior lumen of the first stent graft positioned opposite the wall comprising the access port, and wherein the second stent graft in the compressed position is positioned diametrically opposite to the wall comprising the access port;

where when the first stent graft is in the expanded position and the second stent graft is in the compressed position, the first end and the second end of the second stent graft are restrained and the access port is in fluid communication with the interior lumen of the first stent graft, and where when the first stent is in the expanded position and the second stent graft is in the expanded position, the second stent graft engages substantially all of the interior wall of the first stent graft and seals the access port from fluid communication with the interior lumen of the first stent graft.

11. The endoluminal prosthesis assembly of claim 10 , where the first end and the second end of the second stent graft are restrained in the compressed position by a trigger wire arrangement.

12. The endoluminal prosthesis assembly of claim 11 , where the trigger wire arrangement engages a first suture arrangement on the first end of the second stent graft.

13. The endoluminal prosthesis assembly of claim 12 , where the trigger wire arrangement engages a second suture arrangement of the second end of the second stent graft.

14. The endoluminal prosthesis assembly of claim 10 , where the second stent graft is concentric with the first stent graft and has a diameter in the expanded position that is less than the first stent graft in the expanded position.

15. The endoluminal prosthesis assembly of claim 10 , where the first stent graft has a length and the second stent graft has a length shorter than the length of the first stent graft.

16. A delivery system for an endoluminal prosthesis, comprising

an introducer, the introducer having a distal end configured to remain outside a patient in use and a proximal end,

a carrier for an endoluminal prosthesis assembly disposed within the introducer, the endoluminal prosthesis assembly comprising,

a first stent graft comprising a biocompatible graft material and having a first end and a second end and an interior lumen, the first stent graft having an expanded position and a compressed position, the first stent graft defining an access port disposed through a wall of the first stent graft between the first and second ends of the first stent graft; and

a second stent graft comprising a biocompatible graft material and having a first end and a second end and a lumen disposed therethrough, the second stent graft being disposed within the first stent graft, the second stent graft having an expanded position and a compressed position where the second stent graft in the compressed position is compressed against an interior wall of the interior lumen of the first stent graft positioned opposite the wall comprising the access port, and wherein the second stent graft in the compressed position is positioned diametrically opposite to the wall comprising the access port; and

a trigger wire arrangement at least partially disposed through the lumen of the second stent graft and engaging the first end and the second end of the second stent graft to restrain the second stent graft in the compressed position.

17. The delivery system of claim 16 , where the trigger wire arrangement comprises one or more wires.

18. The delivery system of claim 16 , where the first end and the second end of the second stent graft include suture arrangements.

19. The delivery system of claim 18 , where the suture arrangements include a plurality of loops to engage the trigger wire arrangement.

20. The delivery system of claim 16 , where the trigger wire arrangement is substantially disposed through an auxiliary catheter.