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    • 4. 发明申请
    • METHODS AND APPARATUS FOR TRANSMYOCARDIAL DIRECT CORONARY REVASCULARIZATION
    • 转移性直接冠状动脉再狭窄的方法和装置
    • WO1998008456A1
    • 1998-03-05
    • PCT/US1997014801
    • 1997-08-25
    • TRANSVASCULAR, INC.
    • TRANSVASCULAR, INC.MAKOWER, JoshuaMACHOLD, TimothyFLAHERTY, Christopher, J.WHITT, Jason, Brian
    • A61B19/00
    • A61F2/94A61B2017/00247A61B2017/00252A61B2018/00392A61F2/07A61F2/2412A61F2/2493A61F2220/0008
    • This invention is methods and apparatus for direct coronary revascularization wherein a transmyocardial passageway (10) is formed between a chamber of the heart (LV) and a coronary blood vessel (CBV) to permit blood to flow therebetween. In some embodiments, the transmyocardial passageway (10) is formed between a chamber of the heart (LV) and a coronary vein (CV). The invention includes unstent transmyocardial passageways (10), as well as transmyocardial passageways (10) wherein protrusive stent devices (90) extend from the transmyocardial passageway (10) into an adjacent coronary vessel (CBV) or chamber of the heart (LV). The apparatus of the present invention includes protrusive stent devices (90) for stent of transmyocardial passageways (10), intraluminal valve devices (40) for valving of transmyocardial passageways (10), intra-cardiac valve devices (80) for valving of transmyocardial passageways (10), endogenous tissue valves (50) for valving of transmyocardial passageways (10), and ancillary apparatus for use in conjunction therewith.
    • 本发明是用于直接冠状动脉血运重建的方法和装置,其中在心脏室(LV)和冠状血管(CBV)之间形成经心肌通路(10),以允许血液在其间流动。 在一些实施例中,经心肌通路(10)形成在心脏室(LV)和冠状静脉(CV)之间。 本发明包括不稳定的经心肌通道(10)以及其中突出的支架装置(90)从心肌通路(10)延伸到相邻的冠状血管(CBV)或心脏室(LV)的经心肌通道(10)。 本发明的装置包括用于经心肌通路(10)的支架的突出支架装置(90),用于跨心肌通道(10)阀门的腔内阀装置(40),用于跨心肌通道阀的心脏内瓣膜装置(80) (10),用于经心肌通道(10)的阀门的内源性组织瓣膜(50)以及与其结合使用的辅助装置。