Methods and devices for delivery of a prosthetic valve
A valve prosthesis and a system for delivering a valve prosthesis are described herein. The system can include a support frame, a valve anchor comprising an anchoring leg and a plurality of U-shaped members, and a connection member coupled to the support frame and slidably coupled to the anchoring leg.
1. A method for delivering a valve prosthesis to a target location in a vessel of a subject, the method comprising:
introducing a delivery system into the vessel to position a valve anchor of the valve prosthesis at the target location;
proximally retracting a sheath of the delivery system to permit anchoring members of the valve anchor to expand for anchoring the valve anchor at the target location;
distally advancing a support frame of the valve prosthesis within the valve anchor while distally sliding a suture coupled to the support frame along an anchoring leg of the valve anchor, the suture sliding from a proximal position in which the suture provides a radial restriction on a proximal portion of the valve anchor to a distal position in which the radial restriction is relieved to thereby permit radial expansion of the proximal portion of the valve anchor; and
expanding the support frame within the valve anchor.
2. The method of claim 1 , further comprising:
radially restricting a distal portion of the anchoring leg with a pin extending through a connection aperture of the anchoring leg when the suture is in the proximal position; and
disengaging the pin from the connection aperture when the suture is in the distal position to permit radial expansion of the distal portion of the anchoring leg.
3. The method of claim 1 , wherein distally sliding the suture comprises moving the suture along a slot of the anchoring leg.
4. The method of claim 1 , wherein distally sliding the suture comprises sliding the suture along a longitudinal slot extending along a length of the anchoring leg.
5. The method of claim 1 , further comprising radially restricting a distal portion of the anchoring leg with an engagement mechanism during the distally sliding of the suture.
6. The method of claim 1 , wherein the expanding the support frame comprises proximally retracting the sheath from over the support frame to permit the support frame to self-expand within the valve anchor.
7. The method of claim 1 , wherein the target location comprises an aortic valve, wherein the anchoring members each comprise a U-shaped member, and wherein the method further comprises advancing the U-shaped members into respective aortic valve sinuses of the aortic valve.
8. The method of claim 1 , wherein the valve anchor comprises U-shaped members that are coupled to the anchoring leg at a peak portion of the valve anchor.
9. The method of claim 1 , wherein the valve anchor comprises three U-shaped members and three anchoring legs that are coupled to peak portions of the valve anchor, interposed between adjacent U-shaped members.