Method of perfusing the coronary vasculature

Surgery – Means for introducing or removing material from body for... – Treating material introduced into or removed from body...

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058073183

ABSTRACT:
A catheter system is provided for accessing the coronary ostia transluminally from a peripheral arterial access site, such as the femoral artery, and for inducing cardioplegic arrest by direct infusion of cardioplegic solution into the coronary arteries. In a first embodiment, the catheter system is in the form of a single perfusion catheter with multiple distal branches for engaging the coronary ostia. In a second embodiment, multiple perfusion catheters are delivered to the coronary ostia through a single arterial cannula. In a third embodiment, multiple perfusion catheters are delivered to the coronary ostia through a single guiding catheter. In a fourth embodiment, multiple catheters are delivered to the coronary ostia through a single guiding catheter which has distal exit ports that are arranged to direct the perfusion catheters into the coronary ostia. In each embodiment, the catheters are equipped with an occlusion means at the distal end of the catheter for closing the coronary ostia and isolating the coronary arteries from the systemic blood flow. The occlusion means can take the form of an inflatable occlusion balloon cuff, a tapered occlusion device or an O-ring encircling the distal end of the catheter. An optional ventricular venting catheter can be included in the system for venting blood and fluids from the left ventricle of the heart. The catheter system is combined with a femoral-to-femoral cardiopulmonary bypass system to provide a system for cardioplegic arrest and total cardiopulmonary support during minimally invasive cardiac surgical procedures.

REFERENCES:
patent: 3788328 (1974-01-01), Alley et al.
patent: 3903895 (1975-09-01), Alley et al.
patent: 4248224 (1981-02-01), Jones
patent: 4285341 (1981-08-01), Pollack
patent: 4287892 (1981-09-01), Schiff
patent: 4327709 (1982-05-01), Hanson et al.
patent: 4540399 (1985-09-01), Litzie et al.
patent: 4610661 (1986-09-01), Possis et al.
patent: 4658817 (1987-04-01), Hardy
patent: 4712551 (1987-12-01), Rayhanabad
patent: 4714460 (1987-12-01), Calderon
patent: 4770652 (1988-09-01), Mahurkar
patent: 4771777 (1988-09-01), Horzewski et al.
patent: 4790825 (1988-12-01), Bernstein et al.
patent: 4804358 (1989-02-01), Karcher et al.
patent: 4804359 (1989-02-01), Grunwald et al.
patent: 4804365 (1989-02-01), Litzie et al.
patent: 4820271 (1989-04-01), Deutsch
patent: 4832028 (1989-05-01), Patel
patent: 4877035 (1989-10-01), Bogen et al.
patent: 5000743 (1991-03-01), Patel et al.
patent: 5009636 (1991-04-01), Wortley et al.
patent: 5011469 (1991-04-01), Buckberg et al.
patent: 5021045 (1991-06-01), Buckberg et al.
patent: 5041098 (1991-08-01), Loiterman et al.
patent: 5106368 (1992-04-01), Uldall et al.
patent: 5122115 (1992-06-01), Marks
patent: 5122125 (1992-06-01), Deuss
patent: 5125924 (1992-06-01), Rudko
patent: 5125926 (1992-06-01), Rudko et al.
patent: 5171232 (1992-12-01), Castillo et al.
patent: 5195942 (1993-03-01), Weil et al.
patent: 5222941 (1993-06-01), Don Michael
patent: 5312344 (1994-05-01), Grinfeld et al.
patent: 5324260 (1994-06-01), O'Neill et al.
patent: 5370640 (1994-12-01), Kolff
patent: 5374245 (1994-12-01), Mahurkar
patent: 5411027 (1995-05-01), Wiklund et al.
patent: 5433700 (1995-07-01), Peters
patent: 5451207 (1995-09-01), Yock
patent: 5458574 (1995-10-01), Machold et al.
patent: 5476453 (1995-12-01), Mehta
patent: 5478309 (1995-12-01), Sweezer et al.
patent: 5487730 (1996-01-01), Marcadis et al.
patent: 5525388 (1996-06-01), Wand et al.
patent: 5527292 (1996-06-01), Adams et al.
patent: 5558644 (1996-09-01), Boyd et al.
patent: 5584803 (1996-12-01), Stevens et al.
Uchida et al., "Percutaneous Fiberoptic Angioscopy of the Cardiac Valves," American Heart Journal, 1991;121(6, PartI):1791-1798.
Yamaguchi et al. "A Case of a Reoperation Using a Balloon Catheter with Blocked Pars Ascendes Aortae" Kyobu Geka, 42(11):961-964 (1989).
"Cartoid Artery Shunts--A complete line of balloon occlusive, tapered, and straight models." Research Medical, Inc. (2 pages).
Menasche, p. "Experimental Comparison of Manually Inflatable Versus Autoinflatable Retrograde Cardioplegia Catheters," Ann Thorac Surg, 58:533-5 (1994).
Menasche et al. "Retrograde Coronary Sinus Perfusion: A Safe Alternative for Ensuring Cardioplegic Delivery in Aortic Valve Surgery," Ann Thorac Surg, 34(6):647-658 (1982).
Reed et al. "Cardiopulmonary Perfusion" Texas Medical Press, Inc., Houston, Texas, 1975.
William Harvey, Left Ventricular Vent Cannulae Type 1891/Type 1892/Type 1895, BARD Cardiopulmonary Division, p. B57.
William Harvey, Molina Coronary Perfusion Cannulae Type 1880 and Type 1881, BARD Cardiopulmonary Division, p. B53.
William Harvey, DeBakey Coronary Perfusion Cannulae Type 1870, BARD Cardiopulmonary Division, p. B31.
Accessories de Perfusion Coronaire, New Cardicorp S.A., Rue Saint-Pierre 6, 1701 Fribourg, Switzerland.

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