Bifurcated balloon catheters and methods of use
Balloon catheters for treating a diseased bifurcated blood vessel that includes a catheter hub, a proximal balloon hub, a distal balloon hub, a catheter tip, a catheter shaft comprising a proximal shaft and a distal shaft, and a bifurcated balloon assembly with a first balloon and second balloon that are substantially parallel. A proximal end of the proximal shaft is connected to the catheter hub and a distal end of the proximal shaft is connected to the proximal balloon hub. A proximal end of the distal shaft is connected to the distal balloon hub and a distal end of the distal shaft is connected the catheter tip. A proximal end of the first balloon is connected to the proximal balloon hub, a distal end of the first balloon is connected to the distal balloon hub, and a distal end of the second balloon is connected to the distal balloon hub.
1 . A balloon catheter for treating a diseased bifurcated blood vessel, the balloon catheter comprising:
a catheter hub;
a proximal balloon hub;
a distal balloon hub;
a catheter tip;
a catheter shaft comprising a proximal shaft and a distal shaft, wherein a proximal end of the proximal shaft is connected to the catheter hub and a distal end of the proximal shaft is connected to the proximal balloon hub, a proximal end of the distal shaft is connected to the distal balloon hub and a distal end of the distal shaft is connected to the catheter tip;
a bifurcated balloon assembly comprising a first balloon and a second balloon, wherein the first balloon and the second balloon are arranged substantially in parallel;
a first lumen that extends from a first port of the catheter hub through the proximal shaft, the proximal balloon hub, the first balloon, the distal balloon hub, the distal shaft, and the catheter tip; and
a second lumen that extends from a second port of the catheter hub through the proximal shaft, and the proximal balloon hub to a distal opening in the proximal balloon hub,
wherein a proximal end of the first balloon is connected to the proximal balloon hub, a distal end of the first balloon is connected to the distal balloon hub, and a distal end of the second balloon is connected to the distal balloon hub.
2 . The balloon catheter of claim 1 , further comprising a third lumen that extends from a third port of the catheter hub through the proximal shaft, the proximal balloon hub, the first balloon, and the distal balloon hub to a distal opening in the distal balloon hub.
3 . The balloon catheter of claim 2 , further comprising a fourth lumen that extends from a fourth port of the catheter hub through the proximal shaft, the proximal balloon hub, the first balloon, the distal balloon hub, a cavity of the distal balloon hub, and into the second balloon,
wherein a portion of the fourth lumen is formed by the proximal shaft.
4 . The balloon catheter of claim 3 , further comprising a fifth lumen that extends from the distal opening in the distal balloon hub through the distal balloon hub and the second balloon to a contralateral tip of the second balloon.
5 . The balloon catheter of claim 4 , further comprising a sixth lumen formed by the distal shaft,
wherein the sixth lumen extends from the proximal end of the distal shaft to the catheter tip.
6 . The balloon catheter of claim 5 , further comprising a contralateral guidewire assembly comprising:
a first guidewire that extends through the third lumen into the sixth lumen;
a second guidewire that extends from the sixth lumen through the fifth lumen and proximally beyond the contralateral tip of the second balloon; and
a connector coupled to the first guidewire and to the second guidewire, the connector is housed within the sixth lumen.
7 . The balloon catheter of claim 6 , wherein the second guidewire extends into the distal opening of the proximal balloon hub and the second lumen.
8 . The balloon catheter of claim 6 , wherein a proximal pull on a proximal end of the first guidewire proximally translates the connector and proximally translates the second guidewire.
9 . The balloon catheter of claim 6 , wherein a distal push on a proximal end of the first guidewire distally translates the connector and distally translates the second guidewire.
10 . The balloon catheter of claim 5 , further comprising a tether that extends from the second port through the second lumen and out of the distal opening of the proximal balloon hub and configured to connect to the contralateral tip of the second balloon.
11 . The balloon catheter of claim 10 , wherein a distal end of the tether comprises a loop snare configured to connect to the second guidewire.
12 . The balloon catheter of claim 10 , further comprising a loop attached at the proximal end of the first balloon, wherein the tether extends out of the second lumen through the loop and is coupled to the contralateral tip of the second balloon.
13 . The balloon catheter of claim 5 , further comprising:
a first tether that extends from the second port through the second lumen and out of the distal opening of the proximal balloon hub and is coupled to the contralateral tip of the second balloon; and
a second tether that extends from the second port through the second lumen and out of the distal opening of the proximal balloon hub and is coupled to the contralateral tip of the second balloon,
wherein the first tether wraps clockwise around a proximal portion of the first balloon and the second tether wraps counterclockwise around the proximal portion of the first balloon.
14 . A bifurcated stent assembly for placing a bifurcated stent into a diseased bifurcated blood vessel, the bifurcated stent assembly comprising:
a catheter hub;
a proximal balloon hub;
a distal balloon hub;
a catheter tip;
a catheter shaft comprising a proximal shaft and a distal shaft, wherein a proximal end of the proximal shaft is connected to the catheter hub and a distal end of the proximal shaft is connected to the proximal balloon hub, a proximal end of the distal shaft is connected to the distal balloon hub and a distal end of the distal shaft is connected the catheter tip;
a bifurcated balloon assembly comprising a first balloon and a second balloon, wherein the first balloon and the second balloon are arranged substantially in parallel;
a first lumen that extends from a first port of the catheter hub through the proximal shaft, the proximal balloon hub, the first balloon, the distal balloon hub, the distal shaft, and the catheter tip;
a second lumen that extends from a second port of the catheter hub through the proximal shaft, and the proximal balloon hub to a distal opening in the proximal balloon hub; and
a bifurcated stent comprising a main body portion, a first branch portion, and a second branch portion,
wherein a proximal end of the first balloon is connected to the proximal balloon hub, a distal end of the first balloon is connected to the distal balloon hub, and a distal end of the second balloon is connected to the distal balloon hub, and
wherein the main body portion is disposed around distal portions of the first balloon and the second balloon, the first branch portion is disposed around a proximal portion of the first balloon, and the second branch portion is disposed around a proximal portion of the second balloon.
15 . The bifurcated stent assembly of claim 14 , further comprising a tether that extend through a lumen of the catheter hub through the proximal shaft, and the proximal balloon hub to a distal opening of the proximal balloon hub, wherein the tether extends through the first branch portion and curves into the second branch portion and is coupled to a contralateral tip of the second balloon.
16 . A method for placing a bifurcated stent into a diseased bifurcated blood vessel comprising:
advancing a bifurcated stent assembly over a guidewire to the bifurcated blood vessel through a first vessel, the bifurcated blood vessel comprising the first vessel, a second vessel, and a third vessel, the bifurcated stent assembly comprising:
a catheter hub;
a proximal balloon hub;
a distal balloon hub;
a catheter tip;
a catheter shaft comprising a proximal shaft and a distal shaft, wherein a proximal end of the proximal shaft is connected to the catheter hub and a distal end of the proximal shaft is connected to the proximal balloon hub, a proximal end of the distal shaft is connected to the distal balloon hub and a distal end of the distal shaft is connected the catheter tip;
a bifurcated balloon assembly comprising a first balloon and a second balloon, wherein the first balloon and the second balloon are arranged substantially in parallel, and wherein a proximal end of the second balloon has a contralateral tip;
a first lumen that extends from a first port of the catheter hub through the proximal shaft, the proximal balloon hub, the first balloon, the distal balloon hub, the distal shaft, and the catheter tip;
a second lumen that extends from a second port of the catheter hub through the proximal shaft, and the proximal balloon hub to a distal opening in the proximal balloon hub; and
a bifurcated stent comprising a main body portion, a first branch portion, and a second branch portion,
wherein a proximal end of the first balloon is connected to the proximal balloon hub, a distal end of the first balloon is connected to the distal balloon hub, and a distal end of the second balloon is connected to the distal balloon hub, and
wherein the main body portion is disposed around distal portions of the first balloon and the second balloon, the first branch portion is disposed around a proximal portion of the first balloon, and the second branch portion is disposed around a proximal portion of the second balloon;
advancing the bifurcated stent assembly into the second vessel until the contralateral tip clears the bifurcated blood vessel;
retracting a contralateral guidewire from the proximal balloon hub, the contralateral guidewire extends from the distal shaft through the distal balloon hub, the second balloon, the contralateral tip, and the proximal balloon hub;
extending the contralateral guidewire into the third vessel adjacent to the first vessel and the second vessel;
advancing the second balloon and the second branch portion into the second vessel and simultaneously retracting the first balloon and the first branch portion into the first vessel, wherein the first balloon and the second balloon are not parallel;
inflating the first balloon and the second balloon to expand the bifurcated stent against walls of the first vessel, the second vessel, and the third vessel;
deflating the first balloon and the second balloon;
advancing the first balloon and the second balloon into the second vessel;
pulling the second balloon against the first balloon so that the first balloon and the second balloon are substantially parallel; and
retracting the bifurcated stent assembly from the first vessel.
17 . The method of claim 16 , further comprising injecting contrast medium through the proximal balloon hub into the second vessel after the contralateral tip clears the bifurcated blood vessel.
18 . The method of claim 16 , further comprising injecting contrast medium through the proximal balloon hub into the second vessel after the bifurcated stent is deployed.