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 located distal to a second endoluminal device, wherein a guidewire extends proximally from the first endoluminal device past the second endoluminal device and beyond to a proximal end of the guidewire extending out of a patient's body, the method comprising:
providing a catheter assembly comprising an inner tube with a tapered distal end and an outer tube fitted around the inner tube, both tubes having walls with openings through the walls and distal ends with distal 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 and 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 from a first end through the tapered distal end of the inner tube;
positioning the distal end of the inner tube so that it extends distally beyond the distal end of the outer tube;
inserting the proximal end of the guidewire into the distal end of the inner tube and continuing to pass the guidewire through the inner tube until the proximal end of the guidewire extends through the openings through the walls of both tubes;
passing the catheter assembly in a distal direction over the guidewire until the distal ends of the inner tube and outer tube have passed beyond the second endoluminal device and the distal end of the inner tube is located proximal to the first endoluminal device;
positioning the distal end of the outer tube so that it extends distally beyond the distal end of the inner tube;
moving the distal end opening of the outer tube with respect to the first endoluminal device to cause the first endoluminal device to enter the distal end opening of the outer tube and reside in the distal end of the outer tube; and
withdrawing the catheter.
2. 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 tapered distal end and an outer tube fitted around the inner tube, both tubes having walls with openings through the walls and distal ends with distal 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 from a first end through the tapered distal end of the inner tube; and
positioning the distal end of the inner tube so that it extends distally beyond the distal end of the outer tube; and
inserting the proximal end of the guidewire into the distal end of the inner tube and continuing to pass the guidewire through the inner tube until the proximal 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 distal direction over the guidewire until the distal ends of the inner tube and outer tube have passed beyond the second endoluminal device and the distal end of the inner tube is located proximal to the first endoluminal device; and
positioning the distal end of the outer tube so that it extends distally beyond the distal end of the inner tube; and
moving the distal end opening of the outer tube with respect to the first endoluminal device to cause the first endoluminal device to enter the distal end opening of the outer tube and reside in the distal end of the outer tube; and
withdrawing the catheter.
3. 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 distal end, and a dilator exchange port through the dilator sidewall, wherein the dilator exchange port forms a longitudinally oriented slot that extends from a first end through a tapered distal end of the dilator;
retracting the distal 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 distal to the dilator; and
retrieving the catheter assembly and the endoluminal device.
4. The method of claim 3 , wherein the first end of the dilator is a proximal end of the dilator.
5. The method of claim 3 , wherein the endoluminal device includes a filter that is retrieved into the sheath.
6. The method of claim 3 , wherein the endoluminal device includes a balloon that is retrieved into the sheath.
7. The method of claim 3 , further comprising delivering the catheter assembly to an endoluminal location within a body of a patient over the guidewire.
8. The method of claim 3 , further comprising extending the guidewire through the distal end of the dilator.
9. The method of claim 3 , 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.