FENESTRATED VASCULAR AORTIC REPAIR STENT, SYSTEMS, AND METHODS

1 . A fenestrated endovascular prosthesis comprising:

a body comprising a body wall defining a bore extending a length of the body, the body wall comprising a first material structure and a second material structure; and

a lumen, wherein:

the lumen extends from an interior of the second material structure to an exterior of the first material structure;

the lumen comprises a proximal opening in fluid communication with the bore and a distal opening in fluid communication with an exterior of the body; and

the lumen is configured to be selectively transitioned from a sealed configuration to an open configuration.

2 . The fenestrated endovascular prosthesis of claim 1 , wherein the lumen comprises a seal region configured to prevent blood flow through the lumen when the lumen is in the sealed configuration.

3 . The fenestrated endovascular prosthesis of claim 2 , wherein the seal region is configured to be selectively un-sealed to allow blood flow through the lumen when the lumen is in the open configuration.

4 . The fenestrated endovascular prosthesis of claim 2 , wherein the seal region has a length in a range from 2 mm to 8 mm.

5 . The fenestrated endovascular prosthesis of claim 2 , wherein the seal region comprises an adhesive.

6 . The fenestrated endovascular prosthesis of claim 5 , wherein the adhesive comprises fluorinated ethylene propylene (FEP).

7 . The fenestrated endovascular prosthesis of claim 1 , wherein the lumen extends from proximal a proximal edge of the first material structure to distal a distal edge of the second material structure.

8 . The fenestrated endovascular prosthesis of claim 1 , further comprising a plurality of lumens, the plurality of lumens comprising the lumen.

9 . The fenestrated endovascular prosthesis of claim 1 , wherein the lumen is defined by walls comprising at least one of polytetrafluoroethylene (PTFE), silicone, or polyurethane (PU).

10 . The fenestrated endovascular prosthesis of claim 1 , wherein the lumen is configured to sealingly receive a secondary endovascular prosthesis within the lumen when in the open configuration.

11 . The fenestrated endovascular prosthesis of claim 1 , further comprising a wire stent coupled to the body, the wire stent comprising a proximal portion, a distal portion, and a spine extending between the proximal portion and the distal portion.

12 . The fenestrated vascular prosthesis of claim 1 , wherein the first material structure comprises two material layers, and wherein the second material structure comprises two material layers.

13 . A vascular prosthesis system, comprising:

a fenestrated endovascular prosthesis comprising:

a body comprising a body wall defining a bore extending a length of the body; and

a fenestration defining a lumen extending a length of the fenestration, wherein:

the fenestration extends between a first material structure and a second material structure of the body wall;

the lumen comprises a proximal opening in fluid communication with the bore and a distal opening in fluid communication with an exterior of the body; and

the lumen is selectively transitionable from a sealed configuration to an open configuration; and

a branch prosthesis configured to be sealingly disposed in the lumen when the lumen is in the open configuration.

14 . The vascular prosthesis system of claim 13 , wherein:

a proximal end of the branch prosthesis is configured to be disposed in the bore of the body when the branch prosthesis is sealingly disposed in the lumen of the fenestration; and

the branch prosthesis comprises a branch lumen configured to be in fluid communication with the bore when the branch prosthesis is sealingly disposed in the lumen of the fenestration.

15 . The vascular prosthesis system of claim 13 , wherein the fenestrated endovascular prosthesis comprises a plurality of fenestrations, the plurality of fenestrations comprising the fenestration.

16 . The vascular prosthesis system of claim 13 , further comprising a second branch prostheses configured to be sealingly disposed in a second fenestration of the fenestrated endovascular prosthesis.

17 . The vascular prosthesis system of claim 13 , wherein the fenestration extends from proximal a proximal edge of the first material structure to distal a distal edge of the second material structure.

18 . An endovascular prosthesis system comprising:

a fenestrated endovascular prosthesis comprising:

a tubular body, the tubular body comprising:

a bore defined by a wall;

a proximal portion; and

a distal portion;

a fenestration opening extending from the bore to an exterior of the tubular body, wherein:

the fenestration opening is in fluid communication with the bore in the proximal portion of the tubular body; and

the fenestration opening is in fluid communication with the exterior of the tubular body in the distal portion; and

a guidewire extending through the fenestration opening from the bore to the exterior of the tubular body, wherein:

the fenestration opening is configured to be sealed around the guidewire in a sealed configuration.

19 . The endovascular prosthesis system of claim 18 , further comprising a secondary endovascular prosthesis configured to be advanced along the guidewire, wherein the secondary endovascular prosthesis is configured to be sealingly disposed in a lumen of the fenestration opening when the fenestration opening is in an open configuration.

20 . The endovascular prosthesis system of claim 18 , wherein:

the tubular body comprises a first material structure defining the wall in the distal portion;

the tubular body comprises a second material structure defining the wall in the proximal portion; and

the fenestration opening extends from inside the second material structure to outside the first material structure.