A vein cover that can reduce or prevent intimal thickening by delivering blood to the downstream veins while gradually buffering the blood pressure, pulse pressure, and blood flow rate of the blood flowing through the lumen is provided.

A cylindrical vein cover (10) is to be placed outside a vein (4) that is anastomosed to an artery (3) or to an artificial vessel (5), and has a portion (A) that has a 10% elastic index of 25 N or less when the inner diameter of the vein cover (10) is expanded by 10% from its natural state.

A prosthetic assembly configured for endovascular placement within an aortic arch and method of use thereof. The prosthetic assembly includes a proximal aortic stent-graft prosthesis configured to be positioned within a proximal portion of the aortic arch adjacent to the brachiocephalic artery, a distal aortic stent-graft prosthesis configured to be positioned within a distal portion of the aortic arch adjacent to the left subclavian artery, a first branch stent-graft prosthesis configured to be positioned within the brachiocephalic artery and a second branch stent-graft prosthesis configured to be positioned in one of the left common carotid and the left subclavian artery. When deployed, a proximal end of the first branch stent-graft prosthesis is disposed within a lumen of the proximal aortic stent-graft prosthesis to proximally displace the ostium of the brachiocephalic artery. When deployed, a proximal end of the distal aortic stent-graft prosthesis is disposed within the distal end of the proximal aortic stent-graft prosthesis to form an overlap between the proximal and distal aortic stent-graft prostheses. The overlap is relatively increased by the first branch stent-graft prosthesis proximally displacing the ostium of the brachiocephalic artery.

Vascular endografts and methods of making and using the same are provided. The vascular endograft includes an elongated body defining a lumen configured to allow blood to flow therethrough and further defining an exterior surface, and a plurality of bristles extending outwardly from the exterior surface of the elongated body. In an instance in which the endograft is positioned within a blood vessel at a location corresponding to a blood vessel pathology, the bristles encourage positive remodeling of the blood vessel.

Devices and methods for assisting valve function, replacing venous valves, and predicting valve treatment successes. In an exemplary embodiment of an endograft body configured for expansion within a luminal organ, the endograft body comprises (a) a first portion having a proximal end defining a proximal end aperture and a distal end defining a distal end aperture, the first portion configured to increase a velocity of fluid flowing therethrough, (b) a second portion having a second portion proximal end defining a second portion proximal end aperture and a second portion distal end defining a second portion distal end aperture, wherein the distal end of the first portion is adjacent to the second portion proximal end, and (c) a valve portion positioned at or near the second portion proximal end, the valve portion configured to receive the fluid flowing through the distal end aperture of the first portion.

Endovascular stents and endovascular device platforms and related methods that allow for the modulation/regulation of vascular flow to treat certain disease states are provided. In particular, a covered endovascular stent is provided that, upon deployment, is configured to an installed shape. A balloon catheter comprising a stem and an angioplasty balloon on an end of the stem can be provided to expand the stent. The angioplasty balloon can have a dumbbell shape when inflated with a first head on a first end of the angioplasty balloon having a first outer diameter and a second head on a second end of the angioplasty balloon having a second outer diameter and a narrow center portion having a third outer diameter that is less than the first outer diameter of the first end and the second outer diameter of the second end of the angioplasty balloon. Thereby, the covered stent configured in the installed shape can comprise a dumbbell shaped tubular structure having a first inner diameter of a first end portion and a second inner diameter of a second end portion that are larger than a third inner diameter within a center portion of the tubular structure.

A pulmonary artery flow restrictor system includes a funnel shaped membrane with a proximal base, a restrictive distal opening which is stretchable to larger sizes, an internal strut structure, and an external stent structure.

A device and method for diverting a portion of oxygenated blood from a lower pressure region, e.g., left atrium or pulmonary vein, and providing it to the aorta, bypassing the left ventricle, operating at least in part, on the Venturi effect. The device includes a first conduit that diverts a portion of blood from the aorta to a parallel flow path. The device includes a second conduit that delivers blood from the lower pressure region to the first conduit. The blood from the lower pressure region in the second conduit is combined with the blood from the aorta in the first conduit and returned to the aorta. The second conduit is coupled to the first conduit at or near a narrow segment of the first conduit. A Venturi effect at or near the narrow segment draws the blood from the lower pressure region into the first and/or second conduit.

A branched graft method includes securing a first end of a branch graft into a first conduit and subsequently moving the second end into a second conduit. The first conduit may be a branch vessel, such as a renal artery and the second conduit may be a main graft that extends over an aortic aneurysm. The branch graft may be deployed starting at an offset distance from the first end, thereby preventing the deployed portion from insertion into the first conduit and predetermining the insertion length into the target vessel. The first end may then be deployed to secure the first end to the first conduit. A branch graft may be a self-expanding stent graft having one or more ripcords, and/or a serpentine ripcord that enables non-linear deployment of the branch graft, or deployment that does not progress from one end to the opposing end.

Embodiments of the disclosed technology provide flow diverting devices for dialysis vascular access, and methods for use therewith. According to some embodiments of the disclosed technologies, a medical device comprises: a tubular vascular stent; and a flow restrictor disposed within the tubular vascular stent. According to some embodiments of the disclosed technologies, a method comprises: providing a medical device, the medical device comprising: a tubular vascular stent, and a flow restrictor disposed within the tubular vascular stent; and deploying the medical device at a site within a vascular access of a patient. According to some embodiments of the disclosed technologies, a medical device comprises: a tubular vascular stent; one or more anchor struts formed on at least one end of the tubular stent; a flow restrictor disposed within the tubular vascular stent; and a tubular stent cover, wherein the vascular stent is disposed within the tubular stent cover.

A flow reducing implant for reducing blood flow in a blood vessel having a cross sectional dimension, the flow reducing implant comprising a hollow element adapted for placement in the blood vessel defining a flow passage therethrough, said flow passage comprising at least two sections, one with a larger diameter and one with a smaller diameter, wherein said smaller diameter is smaller than a cross section of the blood vessel. A plurality of tabs anchor, generally parallel to the blood vessel wall, are provided in some embodiments of the invention.