Devices and methods for treating bifurcating blood vessels
Medical devices and methods for placing a bifurcated stent into a bifurcating blood vessel are described herein. Also, described herein are methods for treating aorto-iliac occlusive disease. The bifurcated stent can be mounted onto a catheter comprising at least two balloons by mounting a first branch stent of the bifurcated stent onto a first balloon and a second branch stent of the bifurcated stent onto a second balloon, and a main body of the bifurcated stent onto the first balloon and second balloon.
1 . A system for treating a diseased bifurcating blood vessel, the system comprising:
a bifurcated stent comprising a main body stent, a first branch stent, and a second branch stent;
a catheter for delivering the bifurcated stent into the diseased bifurcated blood vessel, the catheter comprising:
a first balloon and a second balloon arranged substantially in parallel; and
a looped guidewire lumen that passes a guidewire through the first balloon and second balloon;
wherein the first branch stent is crimped onto the first balloon, the second branch stent is crimped onto the second balloon, and the main body stent is crimped onto the first balloon and the second balloon.
2 . The system of claim 1 , wherein the first balloon and the second balloon comprise a waist positioned between the branch stents and the main body stent.
3 . The system of claim 1 , wherein the catheter further comprises an inflation port that is in fluid communications with the first and second balloon.
4 . The system of claim 1 , wherein the first and the second branch stents are crimped into an oval cross-section and the main body stent is crimped into a circular cross-section.
5 . The system of claim 1 , wherein the bifurcated stent comprises a cover of a biocompatible material.
6 . The system of claim 5 , wherein a distal segment of the main body stent is not covered with the biocompatible material.
7 . The system of claim 5 , wherein the cover of a distal segment of the main body stent comprises an opening or a cutout.
8 . A method for treating a diseased bifurcating blood vessel including a main vessel and two branch vessels, the method comprising:
mounting a bifurcated stent including a main body stent and a first branch stent and a second branch stent onto a catheter having a first balloon and a second balloon;
advancing the bifurcated stent through a first branch vessel toward a bifurcation point of the diseased bifurcating blood vessel;
placing the bifurcated stent into the bifurcating blood vessel;
expanding the first branch stent into the first branch vessel by inflating the first balloon;
expanding the second branch stent into a second branch vessel by inflating the second balloon; and
expanding the main body stent into the main vessel by simultaneously inflating the first balloon and the second balloon.
9 . The method of claim 8 , wherein the branch stents are expanded from an oval cross-section into a circular cross-section.
10 . The method of claim 8 , wherein the main body stent is expanded from a circular cross-section into an oval cross-section.
11 . The method of claim 10 , further comprising:
removing the catheter;
advancing a first percutaneous transluminal balloon to the main body stent; and
inflating the first percutaneous transluminal balloon to expand the main body stent from the oval cross-section to a circular cross-section.
12 . The method of claim 8 , wherein the first and second balloons are arranged in a substantially parallel configuration when inserted into the bifurcated blood vessel.
13 . The method of claim 8 , wherein the catheter further comprises a looped guidewire lumen that passes a guidewire through the first balloon and second balloon.
14 . A balloon catheter for delivering a bifurcated stent into a bifurcated blood vessel, the balloon catheter comprising:
a proximal hub;
a shaft;
a first balloon connected to the shaft;
a second balloon in fluid communication with the first balloon, wherein the first and second balloons are arranged in a substantially parallel configuration when inserted into the bifurcated blood vessel;
an inflation port at the proximal hub in fluid communication with the first balloon and second balloon;
a first guidewire lumen extending through the proximal hub, the shaft, and the first balloon; and
a second guidewire lumen extending through the proximal hub, the first balloon, and the second balloon.
15 . The balloon catheter of claim 14 , wherein the first and second balloons are cylindrical in shape and have a narrowing in the midsection.
16 . The balloon catheter of claim 14 , wherein the first and second balloons are arranged in a expandable configuration when inflated in the bifurcated blood vessel.
17 . The balloon catheter of claim 16 , wherein a distal end of the second guidewire comprises a snare.
18 . The balloon catheter of claim 17 , wherein the snare comprises a plurality of antenna-like structures.
19 . The balloon catheter of claim 16 , further comprising a shaft connector that couples the first balloon to the second balloon, wherein the shaft connector is reinforced by a metal coil, and wherein an inflation lumen extends through the proximal hub, the shaft, the first balloon, the shaft connector, and wherein the second guidewire lumen extends through the shaft connector.
20 . The balloon catheter of claim 14 , wherein the first and second balloons are arranged in series when removed from the bifurcated blood vessel.