Modular multibranch stent assembly and method
The techniques of this disclosure generally relate to an assembly including a single branch stent device and a modular stent device configured to be coupled to the single branch stent device. The single branch stent device includes a main body and a branch coupling extending radially from the main body. The modular stent device includes a main body configured to be coupled inside of the main body of the single branch stent device, a bypass gate extending distally from a distal end of the main body of the modular stent device, and an artery leg extending distally from the distal end of the main body of the modular stent device.
1. A method comprising:
introducing a single branch stent device via femoral access;
advancing the single branch stent device into the ascending aorta;
deploying the single branch stent device such that a main body of the single branch stent device engages the aorta and a branch coupling perfuses the brachiocephalic artery;
advancing a modular stent device such that a main body of the modular stent device is located within the main body of the single branch stent device; and
deploying the modular stent device such that the main body of the modular stent device and an artery branch of the modular stent device engage the main body of the single branch stent device, a bypass gate of the modular stent device extends within the aorta, and the artery branch of the modular stent device is located within an artery distal of the brachiocephalic artery, wherein a distal end of the bypass gate terminates at or near the left subclavian artery after the second deploying step.
2. The method of claim 1 further comprising deploying a bridging stent graft within the branch coupling and the brachiocephalic artery.
3. The method of claim 1 wherein the artery distal of the brachiocephalic artery is selected from the group consisting of the left common carotid artery and the left subclavian artery.
4. The method of claim 3 wherein the artery distal of the brachiocephalic artery is the left subclavian artery.
5. A method comprising:
introducing a single branch stent device via femoral access;
advancing the single branch stent device into the ascending aorta;
deploying the single branch stent device such that a main body of the single branch stent device engages the aorta and a branch coupling perfuses the brachiocephalic artery, wherein the branch coupling aligns with the brachiocephalic artery after the first deploying step;
introducing a modular stent device via femoral access;
advancing the modular stent device such that a main body of the modular stent device is located within the main body of the single branch stent device; and
deploying the modular stent device such that the main body of the modular stent device and an artery branch of the modular stent device engage the main body of the single branch stent device, a bypass gate of the modular stent device extends within the aorta, and the artery branch of the modular stent device perfuses an artery distal of the brachiocephalic artery.
6. The method of claim 5 further comprising:
deploying a bridging stent graft in the artery branch and the artery distal of the brachiocephalic artery.
7. The method of claim 6 wherein the bypass gate of the modular stent device flares at a distal end of the bypass gate after the second deploying step.
8. The method of claim 6 wherein the artery branch of the modular stent device engages the aorta after the second deploying step.
9. The method of claim 5 wherein the artery distal of the brachiocephalic artery is the left subclavian artery.
10. The method of claim 9 wherein a distal end of the bypass gate terminates at or near the left subclavian artery after the second deploying step.
11. The method of claim 9 wherein the main body of the single branch stent extends distally past the left common carotid artery after the first deploying step.
12. The method of claim 9 wherein a portion of the artery branch longitudinally extends within the aorta between the left common carotid artery and the left subclavian artery after the second deploying step.