Stent delivery system
A stent delivery system includes a guide catheter, a tubular stent into which the guide catheter can be inserted, and a tubular pusher catheter into which the guide catheter can be inserted and disposed nearer to a proximal end side than the stent. The pusher catheter includes a diameter expansion-suppressing part provided at a distal end part and having the same inner diameter as the stent and an intermediate part provided at a proximal end side of the diameter expansion-suppressing part and having a bending stiffness less than that of the diameter expansion-suppressing part. When the stent is pushed toward a distal end side by pushing the intermediate part of the pusher catheter toward the distal end side and bringing a distal end part of the diameter expansion-suppressing part into contact with a proximal end part of the stent, an inner diameter of the pusher catheter is prevented from expanding.
1. A stent delivery system comprising:
a guide catheter formed in a tube shape;
a stent formed in a tube shape and into which the guide catheter is inserted; and
a pusher catheter formed in a tube shape and into which the guide catheter is inserted, the pusher catheter being disposed proximally relative to the stent,
wherein the pusher catheter includes:
an intermediate part having a distal end part and a proximal end part; and
a diameter expansion-suppressing part joined to the distal end part of the intermediate part, the diameter expansion-suppressing part having a bending stiffness greater than a bending stiffness of the intermediate part and having an inner diameter the same as an inner diameter of the stent;
an outer diameter of the diameter expansion-suppressing part is the same as an outer diameter of the intermediate part, the diameter expansion-suppressing part and the intermediate part comprise a mixture of at least a first material and a second material respectively, a mixing ratio of an amount of the first material and an amount of the second material of the diameter expansion-suppressing part being different from a mixing ratio of an amount of the first material and an amount of the second material of the intermediate part, and
wherein, when the stent is pushed toward a distal end side by pushing the intermediate part of the pusher catheter toward the distal end side and causing a distal end part of the diameter expansion-suppressing part to come into contact with a proximal end part of the stent, the diameter expansion-suppressing part prevents an inner diameter of the distal end part of the pusher catheter from expanding.
2. The stent delivery system according to claim 1 ,
wherein a thickness of a tube wall of the stent in a radial direction is the same as a thickness of a tube wall of the pusher catheter in the radial direction, and
wherein a difference between the inner diameter of the stent and an outer diameter of the guide catheter is less than or equal to 8% of the inner diameter of the stent.
3. The stent delivery system according to claim 1 ,
wherein the pusher catheter is formed of a monolayer tube, and
wherein the stent is formed of a multilayer tube obtained by stacking different materials in a radial direction.
4. The stent delivery system according to claim 1 , wherein the bending stiffness of the diameter expansion-suppressing part is greater than a bending stiffness of the stent.
5. The stent delivery system according to claim 4 , wherein the bending stiffness of the intermediate part is less than the bending stiffness of the stent.
6. The stent delivery system according to claim 5 ,
wherein the bending stiffness of the diameter expansion-suppressing part is less than or equal to 200% of the bending stiffness of the stent, and
wherein the bending stiffness of the intermediate part is greater than or equal to 50% of the bending stiffness of the stent.
7. The stent delivery system according to claim 1 , wherein at least one of the first material and the second material is thermoplastic resin.
8. The stent delivery system according to claim 1 , wherein the first material is an elastomer resin, the second material is a thermoplastic resin, the mixing ratio of the amount of the thermoplastic resin relative to the elastomer resin in the diameter expansion-suppressing part is greater than the mixing ratio of the amount of the thermoplastic resin relative to the elastomer resin in the intermediate part.
9. The stent delivery system according to claim 1 , wherein a length of the diameter expansion-suppressing part in a longitudinal axis direction is set to be shorter than a length of the stent in a longitudinal axis direction.