Intravascular fluid movement devices, systems, and methods of use
An intravascular fluid movement device that includes an expandable member having a collapsed, delivery configuration and an expanded, deployed configuration, the expandable member having a proximal end and a distal end, a rotatable member disposed radially and axially within the expandable member, and a conduit coupled to the expandable member, the conduit at least partially defining a blood flow lumen between a distal end of the conduit and a proximal end of the conduit, the conduit disposed solely radially inside of the expandable member in a distal section of the expandable member.
1. A method of deploying an intravascular blood pump across an aortic valve, comprising:
advancing an intravascular blood pump to a region of a heart valve, the intravascular blood pump comprising a distal expandable member, a distal impeller, a proximal expandable member, a proximal impeller, and a conduit;
deploying the distal expandable member and the distal impeller each from collapsed delivery configurations to deployed configurations, the distal impeller disposed axially and radially within the distal expandable member in their deployed configurations;
deploying the proximal expandable member and the proximal impeller each from collapsed delivery configurations to deployed configurations, the proximal impeller disposed axially and radially within the proximal expandable member in their deployed configurations,
wherein when the distal and proximal expandable members are in their deployed configurations, they are axially spaced apart such that a proximal end of the distal expandable member is distal to a distal end of the proximal expandable member;
positioning at least a portion of the distal expandable member in a left ventricle so that a distal end of the distal expandable member is distal to aortic valve leaflets;
positioning at least a portion of the proximal expandable member in an ascending aorta so that a proximal end of the proximal expandable member is proximal to the aortic valve leaflets;
positioning a central region of the intravascular blood pump to interface with the aortic valve leaflets, the central region of the intravascular blood pump including a central region of the conduit, the central region of the intravascular blood pump more flexible than a blood pump distal region that is distal to the central region of the intravascular blood pump and more flexible than a blood pump proximal region that is proximal to the central region of the intravascular blood pump;
positioning the central region of the conduit that is axially in between the deployed distal expandable member and the deployed proximal expandable member such that the central region is positioned to interface with the aortic valve leaflets;
maintaining the distal expandable member, the proximal expandable member, and the central region of the conduit in their respective positions at the same time; and
activating the distal and proximal impellers with a common rotatable drive mechanism that extends through a catheter, through the proximal impeller, between the proximal impeller and the distal impeller, through the distal impeller, and is coupled to the proximal and distal impellers, to cause the proximal and distal impellers to rotate and move fluid from the left ventricle towards the ascending aorta,
wherein positioning the central region of the intravascular blood pump to interface with the aortic valve leaflets further comprises positioning a region of the common rotatable drive mechanism that is between the proximal impeller and the distal impeller across the aortic valve leaflets, wherein the region of the common rotatable drive mechanism that is between the proximal impeller and the distal impeller is more flexible than the common rotatable drive mechanism where it extends through the proximal impeller and more flexible than the common rotatable drive mechanism where it extends through the distal impeller.
2. The method of claim 1 , wherein positioning at least a portion of the distal expandable member in a left ventricle comprises positioning the entire distal expandable member distal to aortic valve leaflets.
3. The method of claim 1 , wherein positioning at least a portion of the proximal expandable member in an ascending aorta comprises positioning the entire proximal expandable member proximal to aortic valve leaflets.
4. The method of claim 1 , wherein the deploying steps comprise allowing the distal expandable member and the proximal expandable member to self-expand.
5. The method of claim 1 , wherein the central region of the intravascular blood pump further includes a central expandable member between the distal proximal member and the proximal expandable member.