Branched stent graft
View Patent ↗A branched stent graft comprises a main body portion and a branch portion. Each of the main body portion and the branch portion includes a stent and a tubular graft. The stent of the main body portion includes a plurality of stent segments, at least one of which is a varying-height stent segment ( 102 ). The stent of the branch portion includes one or more stent segments, at least one of which is a varying-height stent segment ( 103 ). The distance between the proximal-most stent segment of the branch portion and the main body portion is in the range of 2-8 mm. A positioning ring ( 105 ) may be used at a side opening which connects the branch portion and the main body portion, and the positioning ring ( 105 ) can be sutured inside the graft of the main body, between the graft of the main body and the graft of the branch, or outside the graft of the branch.
1. A branched stent graft, comprising a main body portion and a branch portion, each of the main body portion and the branch portion including a stent and a tubular graft sutured with the stent, and the graft of the branch portion being sutured with the graft of the main body portion,
characterized in that:
the stent of the main body portion includes a plurality of stent segments, at least one of which is a varying-height stent segment;
the stent of the branch portion includes one or more stent segments, at least one of which is a varying-height stent segment, and
the distance between the proximal-most stent segment of the branch portion and the main body portion is in the range of 2-8 mm;
wherein a proximal end of the main body portion is provided with an equal-height stent segment, and the proximal-most end of the branch portion is connected to the proximal end of the main body portion such that a plane, that is perpendicular to the longitudinal axis of the main body, is both tangent to the branch portion and flush with the proximal-most end of the main body.
2. The branched stent graft according to claim 1 , characterized in that:
a waveform of the varying-height stent segment of the main body portion and/or the branch portion after a cylindrical single coil forming the stent segment is deployed is substantially sinusoidal.
3. The branched stent graft according to claim 2 , characterized in that:
the main body portion includes at least one additional equal-height stent segment,
wherein the equal-height stent segment refers to a stent segment, in which, after a cylindrical single coil forming the stent segment is deployed, all the wave troughs of the waveform thereof are on the same horizontal line, and all the wave crests are also on the same horizontal line.
4. The branched stent graft according to claim 3 , characterized in that:
the distal-most stent segment of the main body portion is the equal-height stent segment.
5. The branched stent graft according to claim 4 , characterized in that:
the stent segment(s) of the branch portion is(are) sutured outside the graft, and
the stent segments of the main body portion are sutured inside the graft, or the proximal and distal stent segments of the main body portion are sutured inside the graft but the intermediate stent segment(s) of the main body portion is(are) sutured outside the graft.
6. The branched stent graft according to claim 5 , characterized in that:
the graft of the main body portion has a length in the range of 40-133 mm and a diameter in the range of 16-36 mm;
the number of the stent segments of the main body portion is in the range of 3-7, wherein a distance between the stent segments is in the range of 1-5 mm;
the graft of the branch portion has a length in the range of 13-30 mm and a diameter in the range of 6-14 mm;
the number of the stent segments of the branch portion is in the range of 1-2, wherein a distance between the stent segments is in the range of 1-5 mm; and
the distance between the proximal-most stent segment of the branch portion and the main body portion is in the range of 2-4 mm.
7. The branched stent graft according to claim 6 , characterized in that:
the main body portion and the branch portion are further sutured with radiopaque markers.
8. The branched stent graft according to claim 7 , characterized in that:
the stent is made of a shape memory alloy, a 316L medical stainless steel, a Ni-based alloy or a Co-based alloy;
the graft is made of polytetrafluoroethylene, a polyester textile, a polyamide textile or a polypropylene textile; and
the radiopaque markers are made of a platinum-iridium alloy, pure platinum, pure gold, a NiTi shape memory alloy or a stainless steel.
9. The branched stent graft according to any one of claims 1 - 8 , characterized in that:
a positioning ring is used at a side opening which connects the branch portion and the main body portion, and
the positioning ring is sutured inside the graft of the main body, between the graft of the main body and the graft of the branch, or outside the graft of the branch.
10. The branched stent graft according to claim 9 , characterized in that:
the positioning ring is provided with a flange, and
the flange is provided in an axial direction of the main body portion.
11. The branched stent graft according to claim 10 , characterized in that:
the positioning ring is made of nickel-titanium wires, stainless steel wires, nylon or polyurethane.