An endovascular stent-graft includes a generally tubular body configured to assume a radially-compressed delivery state and a radially-expanded deployment state. The body includes a flexible stent member, and a tubular fluid flow guide attached to the stent member. The body includes a compliance-restoration body portion extending axially along a portion of the body, and including portions of the stent member and fluid flow guide. When the body is in the radially-expanded deployment state, the compliance-restoration body portion characterized by a greatest diastolic outer radius when the body is internally pressurized by fluid having a pressure of 80 mmHg, and radially expandable to a greatest systolic outer radius when the body is internally pressurized by fluid having a pressure of 120 mmHg. The greatest systolic outer radius (R.sub.S) is at least 5% greater than the greatest diastolic outer radius.

A vascular filter device comprises a support; and a filter comprising one or more filter elements configured to capture thrombus passing through a blood vessel. A holder holds the filter in a closed filtering state and releases to convert the filter to an open state after a period of time. The filter is adapted to retain thrombus after said conversion. In one case the filter elements are arranged to remain in a closed state after release by the holder, because they are blocked by a retained clot from opening fully, and the filter elements are biased to the open state with a bias level which is counter balanced by force exerted by a retained clot under action of blood flow.

An intravascular filter assembly has an expanded state for capturing thrombi in a patient's blood vessel, a first a collapsed state for removal from the patient's blood vessel in a first direction and a second collapsed state for removal from the patient's blood vessel in a second direction. A plurality of first struts extends from a first axial side of a fixed hub, and a plurality of second struts extends from the opposite axial side of the fixed hub. An axially movable hub has a first position radially surrounding the tubular body, a second position axially spaced apart from the fixed hub along the first struts, and a third position axially spaced apart from the fixed hub along the second struts. The first struts are collapsed when the movable hub is in the second position, and the second struts are collapsed when the movable hub is in the third position.

Catheter devices provide for rolling movement between the inner and outer catheter tubes with a roller assembly in a radial gap between the inner and outer catheter tubes. Devices of the invention are particularly useful in minimally invasive implantations, such as the implantation of a vascular implant. A particular application is interventional catheter-assisted aortic valve implantation.

Apparatus for endovascularly replacing a patient's heart valve, including: a replacement valve adapted to be delivered endovascularly to a vicinity of the heart valve; an expandable anchor adapted to be delivered endovascularly to the vicinity of the heart valve; and a lock mechanism configured to maintain a minimum amount of anchor expansion. The invention also includes a method for endovascularly replacing a patient's heart valve. In some embodiments the method includes the steps of: endovascularly delivering a replacement valve and an expandable anchor to a vicinity of the heart valve; expanding the anchor to a deployed configuration; and locking the anchor in the deployed configuration.

A prosthetic heart valve for replacing a native valve includes a collapsible and expandable stent having a proximal end and a distal end, the stent being formed of a plurality of struts forming cells. A valve assembly is disposed within the stent, the valve assembly including a plurality of leaflets and a cuff. At least one runner is coupled to a cell and configured to transition from a first configuration to a second configuration when the stent moves from the collapsed condition to the expanded condition.

Systems and methods for the manufacture of an hourglass shaped stent-graft assembly comprising an hourglass shaped stent, graft layers, and an assembly mandrel having an hourglass shaped mandrel portion. Hourglass shaped stent may have superelastic and self-expanding properties. Hourglass shaped stent may be encapsulated using hourglass shaped mandrel assembly coupled to a dilatation mandrel used for depositing graft layers upon hourglass shaped mandrel assembly. Hourglass shaped mandrel assembly may have removably coupled conical portions. The stent-graft assembly may be compressed and heated to form a monolithic layer of biocompatible material. Encapsulated hourglass shaped stents may be used to treat subjects suffering from heart failure by implanting the encapsulated stent securely in the atrial septum to allow blood flow from the left atrium to the right atrium when blood pressure in the left atrium exceeds that on the right atrium. The encapsulated stents may also be used to treat pulmonary hypertension.

This invention relates to the design and function of a single-tether compressible valve replacement prosthesis which can be deployed into a beating heart without extracorporeal circulation using a transcatheter delivery system. The design as discussed combats the process of wear on anchoring tethers over time by using a plurality of stent-attached, centering tethers, which are themselves attached to a single anchoring tether, which extends through the ventricle and is anchored to a securing device located on the epicardium.

A method of implanting a prosthetic mitral heart valve includes advancing a guidewire through a femoral vein, an atrial septum, and a native mitral valve. A guide catheter is advanced over the guidewire and a delivery catheter is advanced through the guide catheter. A mitral valve assembly is disposed along a distal end of the delivery catheter. The mitral valve assembly includes a stent and a valve having three leaflets. The stent has a flared inlet end, an outlet end, and an intermediate portion with a plurality of prongs disposed along its outer surface. The mitral valve assembly is deployed with the flared inlet end positioned in a left atrium and the intermediate portion positioned between native mitral valve leaflets. The prongs penetrate surrounding tissue for preventing upward migration of the mitral valve assembly and the flared inlet end is shaped for preventing downward migration.

An intraluminal support structure having a delivery configuration that is a crimped open configuration to increase flexibility while maneuvering in the anatomy and having a small scarring signature.