An artificial heart valve includes support structure having a first end and second end and defining an interior of the valve. A covering covers the support structure and includes an intermediate portion with a plurality of intermediate strip-shaped sections having cuts between them. Some are attached to the stent and others are not so that a closed configuration prevents retrograde blood flow into an interior of the stent with the free strip-shaped sections abutting the stent and overlapping or abutting the attached strip-shaped sections to prevent retrograde blood flow into the interior. An open configuration is formed with the unattached strip-shaped sections lifting from the stent to allow antegrade blood flow from the interior of the stent.

The described invention provides an endovascular device comprising a tube comprising at least one side-hole, a first segment comprising a primary opening and a second segment. The side-hole and the first segment form a working lumen. The second segment forms a support lumen where the support lumen is curved to effect: (i) to provide stability to the working lumen of the endovascular device; (ii) to anchor the endovascular device within a blood vessel; (iii) to prevent kickback by resting on an arched anatomical structure; and (iv) to facilitate placement of a second endovascular device distally.

An endoluminal prosthesis includes a stent-graft and a temporary aortic valve, typically combined in an integrated assembly suitable for transfemoral or other endoluminal placement in a patient's ascending aorta, aortic root, and aortic valve. The stent-graft has a base end configured to be positioned into over the patient's aortic root and over the aortic annulus. The temporary aortic valve assembly is attached to the base end of the stent-graft and comprises a scaffold configured to be anchored in the patient's aortic annulus and valve leaflets configured to function temporarily after the endoluminal prosthesis has been implanted. At least one fenestration suitable for receiving a guidewire and/or a coronary stent graft is located near a junction between the base end of the stent graft and the temporary aortic valve, wherein said at least one fenestration is disposed on the endoluminal prosthesis to be aligned with one of the patient's coronary ostia after the endoluminal prosthesis has been implanted.

An endoprosthetic device comprises a tubular main body having a length including proximal and distal portions, the tubular main body having a flexible portion between the proximal and distal portions, and at least one adjustable length docking branch extending laterally from the tubular main body, and having sections bearing a tab or loop graspable by a user, and optionally further having at least one auxiliary branch, and at least one access branch, for assembly with at least one tubular branch body having a laterally extending access branch, using a delivery system including a delivery shaft, and a retrieval capsule and corresponding press-fit retrieval pin and retrieval wire, wherein the delivery shaft is provided with a pivotal slotted housing serving as a user handle for the delivery shaft.

A vascular shunt frame with improved apposition including a main body tube; at least one end of the main body tube is provided with a sealing covering; the sealing covering is provided with a main blood flow opening; a shaping component is disposed at the edge of the main blood flow opening. When the main body stent is inserted into the main blood flow opening of the main body tube, the shaping component can be closely attached to the outer surface of the main body stent, such that the sealing covering closely fits the outer surface of the main body stent to prevent endoleaks. The present disclosure also provides a vascular stent provided with an apposition-improved vascular shunt frame.

Systems and methods are provided for extravascularly bypassing an occlusion within a patient's blood vessel. An upstream bypass stent may be implanted at an implant site upstream of the occlusion and a downstream bypass stent may be implanted at an implant site downstream of the occlusion, wherein an outlet of the upstream stent and an inlet of the downstream stent are coupled extravascularly to permit blood to extravascularly bypass the occlusion. The upstream stent further may include an additional outlet that directs blood to flow through the occluded blood vessel. A kit including a percutaneous tumescence tunneler for implanting the extravascular bypass system is also provided.

The techniques of this disclosure generally relate to a modular assembly including first and second stent-grafts. The first stent-graft includes a body portion having a first diameter and a waist portion having a second diameter less than the first diameter. The waist portion is at a distal end of the first stent-graft. The second stent-graft includes a captured proximal portion configured to be located within the first stent-graft. The captured proximal portion includes a seated portion configured to be located proximal to the waist portion. The seated portion has a third diameter greater than the second diameter to form a mechanical interlock between the first stent-graft and the second stent-graft.

A stent graft for placement in a vessel of a patient, the stent graft that has a tubular body of graft material, the tubular body having a proximal inflow end, a distal outflow end, a main lumen therethrough, a longitudinal access, and a sidewall from the first end to the second end. At least one stent is along the length of the tubular body. One or more shaped recesses are formed of a concave or recessed portion of graft material that extends into the lumen of the stent graft. A fenestration is in the recessed portion with a fenestration and an internal branch extends from the or each fenestration toward the proximal end of the tubular body of graft material. The internal branch may have a tubular portion and a funnel portion, wherein the tubular portion extends into the main lumen and the enlarged funnel portion is attached to sidewall and forms the at least one shaped recess.

Apparatus for progressively dilating the lumen of a narrow natural vessel such as an iliac artery and implanting a tubular device enabling access through the dilated lumen to conduct subsequent procedures via the dilated lumen, includes an inflatable integrated balloon locatable at least partially within the tubular device, the tubular device having a length L1 providing a self-expanding tubular body having at least a portion including stents, so that when the integrated balloon is removed the dilated lumen of the natural vessel remains dilated and supported by the tubular device.

A support ring for an aortic prosthesis includes a helical coil extending in an arc and defining a space between a helical coil first end and helical coil second end in opposing relation to each other. A wire extending through the lumen defined by the helical coil includes a wire first end and a wire second end that are fixed to each other, and a length between the wire first end and the wire second end that traverses the space between helical coil first end and the helical coil second end. A branch sleeve assembly includes a graft sleeve having a proximal end that defines a plane that intersects a plane defined by the distal end of the graft sleeve, and a support ring fixed to the graft sleeve wall that is closer to the proximal end of the graft sleeve than to the graft sleeve distal end.