Retrieval catheter
A retrieval catheter operable by a single clinician that will neither displace a deployed stent nor cause undue trauma to the vascular lumen or lesion. The retrieval catheter may be sized to accommodate both a guidewire and a balloon wire. The retrieval catheter is easy to navigate through tortuous passageways and will cross a previously deployed stent or stent-graft easily with minimal risk of snagging on the deployed stent or stent graft. The sheath and dilator are adapted to allow a guidewire or balloon wire to pass through the walls of both and to allow the sheath and dilator to move axially with respect to each other.
1 . A method of retrieving a first endoluminal device through a sidewall of a second endoluminal device, the method comprising:
providing a catheter assembly comprising an inner tube with a first end that is tapered and an outer tube fitted around the inner tube, both tubes having walls with openings through the walls and first ends with first end openings, wherein the openings are provided through the walls of both tubes in cooperative relationship to allow a guidewire to pass through the walls of both tubes, wherein the inner and outer tubes are movable axially with respect to each other, wherein the opening in the inner tube forms a longitudinally oriented slot that extends through the first end of the inner tube; and
positioning the first end of the inner tube so that it extends beyond the first end of the outer tube; and
inserting a first end of the guidewire into the first end of the inner tube and continuing to pass the guidewire through the inner tube until the first end of the guidewire extends through the openings through the walls of both tubes; and
inserting the catheter assembly through the sidewall of the second endoluminal device; and
passing the catheter assembly in a first direction over the guidewire until the first ends of the inner tube and outer tube have passed beyond the second endoluminal device; and
positioning the first end of the outer tube so that it extends beyond the first end of the inner tube; and
moving the first end opening of the outer tube with respect to the first endoluminal device to cause the first endoluminal device to enter the first end opening of the outer tube and reside in the first end of the outer tube.
2 . The method of claim 1 , wherein the first end of each of the inner tube and the outer tube is the distalmost end of each of the inner tube and the outer tube.
3 . The method of claim 1 , wherein the first end of the guidewire is the proximal end of the guidewire.
4 . The method of claim 1 , further comprising withdrawing the catheter assembly.
5 . A method of retrieving an endoluminal device, the method comprising:
receiving a guidewire in a catheter assembly, the catheter assembly comprising a sheath having a sheath sidewall and a sheath exchange port through the sidewall, the sheath exchange port having a first longitudinal dimension and a dilator having a dilator sidewall, a first end, and a dilator exchange port through the dilator sidewall, wherein the dilator exchange port forms a longitudinally oriented slot that extends through the first end of the dilator from a distalmost end of the dilator;
retracting the first end of the dilator into the sheath while the guidewire is received through the sheath exchange port and the dilator exchange port;
retrieving the endoluminal device into the sheath; and
retrieving the catheter assembly and the endoluminal device.
6 . The method of claim 5 , wherein the longitudinally oriented slot that extends from a second end of the dilator to the first end of the dilator.
7 . The method of claim 5 , wherein the endoluminal device includes a filter that is retrieved into the sheath.
8 . The method of claim 5 , wherein the endoluminal device includes a balloon that is retrieved into the sheath.
9 . The method of claim 5 , further comprising delivering the catheter assembly to an endoluminal location within a body of a patient over the guidewire.
10 . The method of claim 5 , further comprising extending the guidewire through the first end of the dilator.
11 . The method of claim 5 , wherein the dilator and the sheath are moved axially with respect to each other for a length at least equal to a length of the dilator exchange port.
12 . A method of retrieving a first endoluminal device located adjacent to a second endoluminal device, the method comprising:
positioning a first end of an inner tube so that it extends beyond a first end of an outer tube, the outer tube fitted around the remainder of the inner tube, the inner tube having a first end that is tapered;
inserting a first end of a guidewire into the first end of the inner tube;
passing the guidewire through the inner tube until the first end of the guidewire extends through a first end opening of the inner tube and a first end opening of the outer tube, wherein the first end opening of the inner tube is a longitudinally oriented slot formed in a wall of the inner tube that extends from a distalmost end of the inner tube and the first end opening of the outer tube is formed in a wall of the outer tube;
passing an assembly comprised of the inner tube and the outer tube over the guidewire until the first end of the inner tube and the first end of the outer tube have passed beyond the second endoluminal device and the first end of the inner tube is located adjacent to the first endoluminal device;
positioning the first end of the outer tube so that it extends beyond the first end of the inner tube; and
moving the first end opening of the outer tube with respect to the first endoluminal device to cause the first endoluminal device to enter the first end opening of the outer tube.
13 . The method of claim 12 , wherein, before the first end of the guidewire is inserted into the first end of the inner tube, the first end of the guidewire extends out of a patient's body.
14 . The method of claim 12 , further comprising withdrawing the assembly.
15 . The method of claim 12 , wherein the inner tube and the outer tube are movable axially with respect to each other.