The techniques of this disclosure generally relate to a method including navigating an adhesive catheter to a proximal end of a false lumen of a dissection. The false lumen is defined by a septum and a vessel wall. The method further includes delivering an adhesive from the adhesive catheter to the proximal end of the false lumen. The adhesive is compressed between the septum and the vessel wall to close the false lumen.

A medical device, having a body that is tubular at least in some sections. The body can be transferred from a compressed state into an expanded state and has a circumferential wall having at least one first lattice structure and one second lattice structure. The first lattice structure and the second lattice structure form separate layers of the circumferential wall, which are arranged coaxially one inside the other and connected to each other at least at points in such a way that the first lattice structure and the second lattice structure can be moved relative to each other at least in some sections. A system having such a device is also disclosed.

A covered stent(20) is provided, including a stent body(21) and a filter membrane(22). The stent body(21) has a proximal end(211) and a distal end(212). The proximal end(211) is configured to be arranged upstream in the blood vessel with respect to the distal end(212). The filter membrane(22) has a mounting portion(222) and a free portion(221). The mounting portion(222) is connected with the stent body(21), and the free portion(221) is connected with the mounting portion(222) and free from the stent body(21).

Aneurysms are treated by placing a scaffold across an aneurysmal sac to provide a blood flow lumen therethrough. An aneurysmal space surrounding the scaffold is filled with one or more expandable structures which are simultaneously or sequentially expanded to fill the aneurysmal space and reduce the risk of endoluminal leaks and scaffold migration. The expandable structures are typically inflatable and delivered by delivery catheter, optionally with an inflation tube or structure attached to the expandable structure.

Implantable medical devices for connecting tissue layers or occluding body conduits and tissue structures include apposition portions, a central region, and a covering material. The methods of using the devices include endoscopic deployment, and the devices may include self-expanding frameworks that facilitate a secure connection between the tissue structures. In some embodiments, one or more tethers are used to longitudinally contract the device in situ.

A stent graft comprises a plurality of wavy rings sequentially arranged in a spaced manner, and membranes fixed to the plurality of wavy rings, wherein the stent graft comprises, in a circumferential direction, at least one keel region and a non-keel region connected to the keel region, the keel region having an axial shortening rate that is less than that of the non-keel region, and the axial shortening rate of the keel region is 10-40%. The stent graft can be bent in all directions, and the keel region on the stent graft can provide a sufficient amount of an axial support force for the stent.

A shaft-shaped member 30 of an indwelling device 1 has an engaged portion 33 with which an engaging portion 15 of a tubular treatment device 10 engages, and a restriction portion 34 that restricts expansion of the engaging portion 15 engaged with the engaged portion 33 in a radial direction in cooperation with a linear member 36. The restriction portion 34 releases restriction on the expansion of the engaging portion 15 in the radial direction by releasing winding of the linear member 36 around the engaging portion 15.

A device for occluding a vasculature of a patient including a micrograft having an absorbent polymeric structure with a lumen of transporting blood. The micrograft has a series of peaks and valleys formed by crimping. The occluding device is sufficiently small and flexible to be tracked on a guidewire and/or pushed through a microcatheter to a site within the vasculature of the patient. Delivery systems for delivering the micrografts are also disclosed.

Stents that are adapted to be balloon-expanded and include a plurality of rings of repeating cells, wherein adjacent rings are connected by s-shaped or omega-shaped crosslink connectors or a combination of both connectors. The configurations, materials, and/or dimensions of these devices, including the unit cells and/or crosslink connectors allow the stents to be expanded to a greater extent (e.g., up to or greater than 12 mm of diameter), and optionally with reduced foreshortening and without increasing the strain on the materials forming the crosslink connectors and unit cells. The biphasic arrangement of trapezoidal unit cells, as well as the configuration and arrangement of the s-shaped connectors, may allow these stents to expand while maintaining their radial compression strength and longitudinal compression strength with minimal recoil and stent foreshortening.

This application relates to methods, systems, and apparatus for replacing native heart valves with prosthetic heart valves and treating valvular insufficiency. In some implementations, a heart valve leaflet clipping mechanism includes a delivery apparatus and clipping arms. The clipping arms are coupled to the delivery apparatus. The clipping arms are movable between an open position and a closed position. The two clipping arms are biased to the closed position. The delivery apparatus is configured to hold the clipping arms in the open position. The delivery apparatus is configured to allow the clipping arms to move to the closed position to engage native heart valve leaflet tissue.