Apparatus and methods for grafting blood vessel tissue

Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Arterial prosthesis – Stent in combination with graft

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623 141, A61F 206

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active

061171662

ABSTRACT:
Apparatus and methods especially useful for facilitating grafting of healthy blood vessel tissue onto the internal wall of a blood vessel are described. In one embodiment, the apparatus includes a vascular graft secured to an expandable, wire mesh endovascular stent. The vascular graft is a partial thickness section taken through the thickness of the graft donor tissue and includes the intimal layer composed of endothelial cells. The partial thickness section facilitates regeneration of an endothelial cell layer. The vascular graft may be an autograft or homograft, and may have been prepared earlier and cryogenically frozen. The combination of stent and vascular graft is inserted into a blood vessel having damage to an internal wall. The stent is expanded in position at the site of damage, and the vascular graft grafts onto the damaged internal wall of the blood vessel while being supported by the stent. The stent also provides structural support for the blood vessel wall. The stent may be expanded with a balloon catheter inserted through the lumen of the stent. Alternate embodiments employ a variety of expandable and self-expanding endovascular stents.

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Stefanadis, C., Toutouzas, K, et al. Stents Wrapped in Autologous Vein: An Experimental Study, Journal of the American College of Cardiology, 28(4), 1029-1-46, Oct. 1996.
Dorros, G, Jaff et al. "Percutaneous Autologous Vein Covered Palmaz Stents can Repair Arterial Tissues", Journal of the American College of Cardiology, 27(2), 191A-192A, Feb. 1996.

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