Distal perfusion sheath
A distal perfusion sheath (DPS) is provided for cases where blood perfusion is needed for downstream arteries (distal) to the insertion point of the DPS within the target artery. The ability to provide distal perfusion with the DPS allows the DPS to be positioned in the target artery for long periods without causing lack of blood flow (ischemia) to an extremity that the target artery supplies. In embodiments, the DPS can still be used for surgical arterial access while allowing blood flow downstream.
1. A sheath for insertion into an artery, said sheath comprising:
an inner lumen;
an outer lumen encapsulating said inner lumen;
scaffolds joining said inner lumen and said outer lumen;
a shunt tube in fluid communication with said outer lumen, said shunt tube extending from an inserted portion of said sheath into the artery to allow blood flow to a distal portion of the artery downstream of a point of insertion of said sheath into said artery; wherein said outer lumen is expandable; and
a hemostatic port sealing said inner lumen, said hemostatic port controlling blood flow in said inner lumen, and is configured to accept at least one of: a catheter, a guide wire, or a camera.
2. The sheath of claim 1 further comprising at least one of the catheter, the guide wire, or the camera entering said inner lumen and in fluid communication with the artery.
3. The sheath of claim 1 wherein said outer lumen has a vent therein.
4. The sheath of claim 1 further comprising the guidewire within said lumen to afford simultaneous guidewire access to a target artery without disrupting blood flow to the distal portion of the artery.
5. The sheath of claim 1 further comprising:
a series of scaffolds distributed along the circumference of said inner lumen and supporting an outer wall that defines said outer lumen; and
an injection port with a control valve in fluid communication with said series of scaffolds, where said injection port introduces a fluid to expand said series of scaffolds.
6. The sheath of claim 5 wherein said inner lumen and said outer lumen are concentric, where said series of scaffolds are evenly distributed along the circumference of said inner lumen.
7. The sheath of claim 5 wherein said inner lumen and said outer lumen are ecentric, where said series of scaffolds are positioned primarily to one side of said inner lumen.