Retaining apparatus and procedure for transseptal catheterizatio

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

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600 16, 606194, 128898, 604280, A61M 2500

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active

053123417

ABSTRACT:
The invention comprises retaining apparatus for transseptal catheterization and a procedure for the use of same. The retaining apparatus is a selectively deployable retaining means disposed at or proximal to the tip of a transseptal catheter or sheath which is placed across a septum, such as the interatrial septum, into the left atrium. The retaining means is configured to cooperate with the distal portion of the sheath to present a uniform cylindrical circumferential periphery when the retaining means is undeployed and to present a shape generally transverse to the longitudinal axis of the sheath when deployed. In a preferred embodiment, the retaining means is a retaining balloon which, upon inflation, presents a relatively flat, disk-like shape to comprise a physical barrier preventing inadvertent retraction of the distal tip of the sheath from the left atrium during subsequent portions of the catheterization procedure. The transseptal catheterization procedure includes the steps of placing the distal tip of the transseptal sheath across a septum, deploying the retaining means for retaining the distal tip within the left atrium, completing the transseptal portion of the catheterization procedure, retracting the selectively deployable retaining means, withdrawing the distal tip from the septum and completing the procedure.

REFERENCES:
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patent: 4985014 (1991-01-01), Orejola
patent: 5030199 (1991-07-01), Barwick et al.
patent: 5042976 (1991-08-01), Ishitsu et al.
patent: 5073166 (1991-12-01), Parks et al.
patent: 5112310 (1992-05-01), Grobe
C. Cope, "Technique for Transseptal Catheterization of the Left Atrium" J. Thoracic Surg., Apr. 1959, pp. 482 et seq.
E. Brockenbrough et al., "New Technic for Left Ventricular Angiocardiography & Transseptal Left Heart Catheterization" Am. Jo. of Cardiology, Dec. 1960, pp. 1062 et seq.
K. Kotoda et al., "Transseptal Left-Heart Catheterization w/Swan-Ganz Flow-Directed Catheter" Am. Heart J., Mar. 1983, pp. 436 et seq.
C. Mullin, "Transseptal Left Heart Catheterization: Experience with New Technique . . . " Pediatric Cardiology, vol. 4, No. 3, 1983, pp. 239 et seq.
N. Bridges et al., "Transcatheter Closure of Large Patent Ductus Arteriosus with the Clamshell Septal Umbrella", J. Am. Coll. Cardiology, vol. 18, No. 5, Nov. 1, 1991, p. 1297.
Photograph of Retrieval Basket Catheter.

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