The present invention concerns novel stent apparatuses for use in treating lesions at or near the bifurcation point in bifurcated cardiac, coronary, renal, peripheral vascular, gastrointestinal, pulmonary, urinary and neurovascular vessels and brain vessels More particularly, the invention concerns a stent apparatus with at least one side opening which may further comprise an extendable stent portion laterally extending from the side opening and at least partly in registry with the wall of the side opening Devices constructed in accordance with the invention include, singularly or in combination, a main expandable stent comprising at least one substantially circular side opening located between its proximal and distal end openings, which side opening may further comprise an expandable portion extending radially outward from the edges of the side opening; and a branch stent comprising proximal and distal end openings and which may further comprise a contacting portion at its proximal end, and which may optionally be constructed to form either a perpendicular branch or a non-perpendicular branch when inserted through a side opening of the main stent The stents of the invention are marked with, or at least partially constructed of, a material which is imageable during intraluminal catheterization techniques, most preferably but not limited to ultrasound and x-ray

Extendible Stent Apparatus

An apparatus and method is provided for stenting bifurcated vessels. A proximal angled stent is configured for implanting in a side-branch vessel wherein the proximal angled stent has an angulated portion that corresponds to the angle formed by the intersection of the side-branch vessel and the main vessel so that all portions of the side-branch vessel at the bifurcation are covered by the proximal angled stent. A main-vessel stent is provided for implanting in the main vessel, wherein the main-vessel stent has an aperture or stent cell that aligns with the opening to the side-branch vessel to permit unobstructed blood flow between the main vessel and the side-branch vessel. Side-branch and main-vessel catheter assemblies are advanced over a pair of guide wires for delivering, appropriately orienting, and implanting the proximal angled stent and the apertured stent.

Stent and catheter assembly and method for treating bifurcations

The present invention is directed to a stent for use in a bifurcated body lumen having a main branch and a side branch. The stent comprises a radially expandable generally tubular stent body having proximal and distal opposing ends with a body wall having a surface extending therebetween. The surface has a geometrical configuration defining a first pattern, and the first pattern has first pattern struts and connectors arranged in a predetermined configuration. The stent also comprises a branch portion comprised of a second pattern, wherein the branch portion is at least partially detachable from the stent body.

Stent with protruding branch portion for bifurcated vessels

An instrument for deploying a cardiac valve prosthesis, including a plurality of radially expandable portions, at an implantation site, includes a plurality of deployment elements each independently operable to obtain the radial expansion of a radially expandable portion of the valve prosthesis. A method for deploying the cardiac valve prosthesis includes advancing the instrument to an implant site and independently actuating the radially expandable portions.

Instrument and method for in situ deployment of cardiac valve prostheses

A conduit is provided to provide a bypass around a blockage in the coronary artery. The conduit is adapted to be positioned in the myocardium or heart wall to provide a passage for blood to flow between a chamber of the heart such as the left ventricle and the coronary artery, distal to the blockage. The stent is self-expanding or uses a balloon to expand the stent in the heart wall. Various attachment means are provided to anchor the stent and prevent its migration.

Designs for left ventricular conduit

Methods and apparatus for deploying a stent (20) in a bifurcated body lumen (10). The stent comprises a tubular body defining a lumen therethrough and having a side hole. The tubular body has a first portion (28) with a first wall mass and a second portion (26) with a second wall mass. The first wall mass is less than the second wall mass. When deployed, first portions of two stents overlap in a bifurcated body lumen. The side holes of the two stents are aligned with ostium of branch vessels (14, 16) at a bifurcated body lumen.

Bifurcation stent system and method

A stent design (10) is provided for placement at a bifurcation, which provides support and coverage of a vessel. The stent (10) has ring sections made up of expansion segments arranged circumferentially around the stent (10), each of the expansion segments having a narrow strut and a wide strut joined by a joining segment, wherein the joining segment is alternatingly located at one end of the narrow and wide struts for one expansion segment, and at another end of the narrow and wide struts for another expansion segment. The ring sections are connected to one another by a series of sinusoidal connectors. Struts and connectors are non-parallel to axes of the stent. Optionally, a side hole (30) is provided for ease of access into a branch vessel.

Stent for vessel support, coverage and side branch accessibility

The present invention provides exemplary apparatus, systems and methods for accurately delivering and positioning a stent within a body lumen, particularly within a bifurcated body lumen. In one embodiment, a stent delivery system (100) includes a catheter (15) comprising a catheter body having a distal end, a proximal end, a longitudinal axis (200) and a lumen. An expansion device, which in one embodiment is a balloon (20), is disposed near the catheter body distal end, and a stent (10) having a side hole (12) is disposed over the expansion device. An ultrasound transducer (22) is disposed near the catheter body distal end and positioned for transmitting and receiving ultrasound signals through the side hole to help properly align the stent side hole with a branch vessel (16).

Stent range transducers and methods of use

A stent (10) for placement in a body lumen comprises multiple sections (20, 22, 24). Each of the sections expand at a particular pressure or at a rate in the absence of a constraining pressure. Thus, a predetermind sequence of expansion is provided across the stent.

Differentially expanding stent and methods of use

A balloon arrangement that includes a balloon layer having a base layer formed of polymer material and a cage independent from the balloon layer. The cage is braided. Additionally, a method for treating tissue includes inserting a balloon arrangement into a subject having the tissue, pressurizing the balloon arrangement so as to expand a diameter of the balloon layer and/or the braided cage, removing and/or moving the tissue and retracting the balloon arrangement.

Medical balloon with reinforcement structure

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