CN108542552A - Intravascular stent and its application method - Google Patents

Intravascular stent and its application method Download PDF

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Publication number
CN108542552A
CN108542552A CN201810189791.5A CN201810189791A CN108542552A CN 108542552 A CN108542552 A CN 108542552A CN 201810189791 A CN201810189791 A CN 201810189791A CN 108542552 A CN108542552 A CN 108542552A
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China
Prior art keywords
intravascular stent
slotted vane
sacculus
holder
net beam
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CN201810189791.5A
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Chinese (zh)
Inventor
吴万里
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First Affiliated Hospital of Guangxi Medical University
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First Affiliated Hospital of Guangxi Medical University
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Priority to CN201810189791.5A priority Critical patent/CN108542552A/en
Publication of CN108542552A publication Critical patent/CN108542552A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention discloses a kind of intravascular stent and its application methods.Intravascular stent includes:Sacculus and the holder net beam for surrounding the sacculus;Central chamber runs through the sacculus;Slotted vane runs through the intravascular stent, and the slotted vane has notch, and the notch is opposite with the holder net beam, is passed through for seal wire in the slotted vane, forms the periphery chamber of the intravascular stent.The present invention can realize passes through intravascular stent outside wire guides, enormously simplifies originally complicated operation, reduces operating difficulty, improve success rate of operation, shorten operating time.

Description

Intravascular stent and its application method
Technical field
The present invention relates to the field of medical instrument technology, more particularly, to a kind of intravascular stent and its application method.
Background technology
Intravascular stent is usually made of holder and/or transport system.There is usually one central chambers, for guiding seal wire guiding Holder reaches at vascular lesion.Holder first usually is discharged in bifurcation when treating bifurcated lesions, if branch to be intervened It needs to pass through holder net beam with seal wire under fluoroscopy and enters branch, then sacculus, holder is guided to pass through holder net beam and enter branch.
Bifurcation coronary artery is a kind of complex lesions type of Coronary Artery Disease Intervention Treatment, accounts for about all interventional treatment and suffers from The 15%~20% of person is still the emphasis of domestic and international intervention doctor research and the weight of percutaneous coronary intervention (pci) at present One of challenge.Its success rate of operation is relatively low, and restenosis incidence is higher.Current processing strategy is broadly divided into single-side stand art (branch stent implantation when necessary) and double bracket implantation.Its main problem has:Another branch ostium is blocked in patch displacement;Seal wire Across holder mesh, it is difficult by sacculus or holder, it is finally low with " holder when necessary " success rate to kiss expansion;Side branch ostium Main branch deformation of timbering after expansion;The metal load weight of bifurcation and the lesion covering of holder when necessary are not all blood when double bracket Bolt is formed and the hidden danger of restenosis;Operation is complicated, and the technology and experience of patient often decide whether operation succeeds.
It is very necessary to explore a kind of technology simplifying complicated bifurcated lesions treatment.Simplify bifurcated lesions intervention at present There are two ways to treatment:Bifurcated special stand and external seal wire pass through holder mesh technology.Bifurcated special stand mainly has 3 Class:Bifurcated stent, spine holder and the side branch holder of branch openings.Since the position of bifurcated lesions is different, length of lesion and master, Branch vessel angle is different, therefore is difficult to produce a kind of bifurcated stent suitable for different lesions blood vessel.Related bifurcated is special at present It is also less with the clinical prognosis data of holder, clinically also fail to conventional use.External seal wire, which passes through holder mesh technology, list The petal technology of ring Culotte stentings, Szabo technologies and improvement, but these technologies are built upon to original-pack ordinary stent knot On the basis of structure progress destructiveness is pretreated, there are the de- loads of holder and merging after-poppet proximal end steel for Szabo technologies and petal technology The risk of beam deformation, and the external seal wire crossing technology of monocycle Culotte stentings is straight in vitro with the main hard end of branch seal wire Connect the least significant end support ring for passing through side branch holder, there are the risks that seal wire punctures holder sacculus, in addition cannot pass through holder other The net beam at position, operation strategies are limited.
Therefore it provides a kind of can realize the intravascular stent and its application method that holder net beam is passed through outside wire guides, it is this Field urgent problem to be solved.
Invention content
In view of this, the present invention provides a kind of intravascular stent and its application method, solves and pass through holder outside wire guides The technical issues of net beam.
In order to solve the above-mentioned technical problem, the present invention proposes a kind of intravascular stent, including:
Sacculus and the holder net beam for surrounding sacculus;
Central chamber runs through sacculus;
Slotted vane runs through intravascular stent, and slotted vane has notch, and notch is opposite with holder net beam, is passed through for seal wire in slotted vane, Form the periphery chamber of intravascular stent.
Optionally, the making material of slotted vane is medical plastic.
Optionally, the making material of slotted vane is polyvinyl chloride or polypropylene.
Optionally, slotted vane includes slot bottom and two cell walls being connected with slot bottom,
In the section of the slotted vane on the direction that slotted vane extends:Slot bottom is semicircle.
Optionally, a diameter of 0.36mm of slot bottom;The height of cell wall is 0.18mm.
Optionally, the thickness of slotted vane is 0.1mm.
Optionally, slotted vane further includes slotted vane handle, and slotted vane handle is tilted to central cavity direction.
Optionally, when sacculus is expanded state, sacculus includes proximal shoulder and distal shoulder, and slotted vane is super through intravascular stent Go out proximal shoulder, and exceed distal shoulder, slotted vane handle is located at distal shoulder side.
Optionally, the length of slotted vane handle is 3mm.
Further, the present invention also provides a kind of application method of intravascular stent, intravascular stent includes sacculus and encirclement ball The holder net beam of capsule;Central chamber runs through sacculus;Slotted vane, runs through intravascular stent, and slotted vane has notch, notch and holder net beam phase It is right, it is passed through for seal wire in slotted vane, forms the periphery chamber of intravascular stent;Application method includes:
Holder net beam is passed through into and out of periphery chamber outside wire guides;
Slotted vane is extracted out from intravascular stent.
Compared with prior art, intravascular stent of the invention and its application method realize following advantageous effect:
Intravascular stent provided by the invention includes central chamber and periphery chamber is total to two chambers, and central chamber and periphery intracavitary all may be used To ensure that seal wire passes through, and seal wire pass through periphery intracavitary when, slotted vane can play a protective role to sacculus, and branch is passed through in seal wire Ensure that sacculus is not damaged when frame net beam.Notch is corresponding with holder net beam in the present invention, and holder is worn without special setting seal wire The opening crossed extracts seal wire after slotted vane out in use, seal wire can pass through the disengaging periphery chamber of the mesh on the arbitrary segment net beam of holder Part is between holder net beam and sacculus, partly except holder, to realize that seal wire passes through intravascular stent in vitro.The present invention It can realize and pass through holder net beam under being looked at straight outside wire guides, enormously simplify originally complicated operation, reduce operating difficulty, carry High success rate of operation, shortens operating time.
By referring to the drawings to the detailed description of exemplary embodiment of the present invention, other feature of the invention and its Advantage will become apparent.
Description of the drawings
It is combined in the description and the attached drawing of a part for constitution instruction shows the embodiment of the present invention, and even With its explanation together principle for explaining the present invention.
Fig. 1 is the schematic side view of intravascular stent provided in an embodiment of the present invention;
Fig. 2 is the schematic cross-section of intravascular stent provided in an embodiment of the present invention;
Fig. 3 is a kind of optional embodiment schematic cross-section of intravascular stent provided in an embodiment of the present invention;
Fig. 4 is intravascular stent another kind optional embodiment schematic diagram provided in an embodiment of the present invention;
Fig. 5 is that seal wire passes through intravascular stent net beam into and out of periphery chamber status diagram;
Fig. 6 is seal wire and intravascular stent status diagram after slotted vane is extracted.
Specific implementation mode
Carry out the various exemplary embodiments of detailed description of the present invention now with reference to attached drawing.It should be noted that:Unless in addition having Body illustrates that the unlimited system of component and the positioned opposite of step, numerical expression and the numerical value otherwise illustrated in these embodiments is originally The range of invention.
It is illustrative to the description only actually of at least one exemplary embodiment below, is never used as to the present invention And its application or any restrictions that use.
Technology, method and apparatus known to person of ordinary skill in the relevant may be not discussed in detail, but suitable In the case of, the technology, method and apparatus should be considered as part of specification.
In shown here and discussion all examples, any occurrence should be construed as merely illustrative, without It is as limitation.Therefore, other examples of exemplary embodiment can have different values.
It should be noted that:Similar label and letter indicate similar terms in following attached drawing, therefore, once a certain Xiang Yi It is defined, then it need not be further discussed in subsequent attached drawing in a attached drawing.
Fig. 1 is the schematic side view of intravascular stent provided in an embodiment of the present invention, and Fig. 2 is blood provided in an embodiment of the present invention The schematic cross-section of pipe holder.
As shown in Figure 1, intravascular stent includes sacculus 101 and surrounds the holder net beam 102 of sacculus 101, holder net beam in Fig. 1 102 latticed only schematically shows;Central chamber 103 runs through sacculus 101;Slotted vane 104 runs through intravascular stent.Such as Fig. 2 institutes Show, slotted vane 104 has notch K, and notch K is opposite with holder net beam 102, is passed through for seal wire in slotted vane 104, forms intravascular stent Periphery chamber 105.Periphery chamber 105 is formed in the present invention between slotted vane 104 and holder net beam 102.Periphery chamber 105 and central chamber 103 is parallel.In intravascular stent provided by the invention, sacculus includes expanded state and contraction state, and Fig. 1 and Fig. 2 are at sacculus The schematic diagram of intravascular stent when expanded state.
Intravascular stent provided by the invention includes central chamber and periphery chamber is total to two chambers, and central chamber and periphery intracavitary all may be used To ensure that seal wire passes through, and seal wire pass through periphery intracavitary when, slotted vane can play a protective role to sacculus, and branch is passed through in seal wire Ensure that sacculus is not damaged when frame net beam.Notch is corresponding with holder net beam in the present invention, and holder is worn without special setting seal wire The opening crossed extracts seal wire after slotted vane out in use, seal wire can pass through the disengaging periphery chamber of the mesh on the arbitrary segment net beam of holder Part is between holder net beam and sacculus, partly except holder, to realize that seal wire passes through intravascular stent in vitro.The present invention It can realize and pass through holder net beam under being looked at straight outside wire guides, enormously simplify originally complicated operation, reduce operating difficulty, carry High success rate of operation, shortens operating time.
It should be noted that in the present invention, slotted vane is practical to have certain thickness, in embodiment attached drawing provided by the invention In the thickness of slotted vane is had ignored when being schematically shown to slotted vane.
Optionally, a slotted vane is only set in intravascular stent, ensure that holder passability and supporting structure it is close Property so that the stent diameter before sacculus is full minimizes.
Further, the making material of slotted vane is medical plastic in intravascular stent provided by the invention.Such as hard polyvinyl chloride (PVC), polypropylene (PP) etc., these materials are thin and tough and tensile, are not easy to be punctured by seal wire, are not easy by holder crimp, while can Hettocyrtosis is easy to store.
Optionally, the thickness of slotted vane is 0.1mm.While ensureing slotted vane shape support periphery cavity configuration, ensure that slotted vane accounts for According to space it is smaller, do not influence the overall radial width of intravascular stent.
Further, Fig. 3 is a kind of optional embodiment schematic cross-section of intravascular stent provided in an embodiment of the present invention.Such as Shown in Fig. 3, slotted vane includes slot bottom 1041 and two cell walls 1042 being connected with slot bottom 1041, perpendicular to the side that slotted vane extends Upwards, in the section of slotted vane:Slot bottom 1041 is semicircle.
Shown in Fig. 3, the diameter d of slot bottom 1041 is 0.36mm;The height h of cell wall 1042 is 0.18mm.The reality It applies in mode, the setting of the size of slotted vane, which ensure that in the periphery chamber of intravascular stent, can accommodate 0.014 inch of a diameter The coronary artery seal wire of (0.36mm) passes through.It can realize and pass through intravascular stent outside wire guides.
Further, Fig. 4 is intravascular stent another kind optional embodiment schematic diagram provided in an embodiment of the present invention, is such as schemed Shown in 4, slotted vane 104 further includes slotted vane handle 1043, and slotted vane handle 1043 is tilted to 103 direction of central chamber.Slotted vane handle 1043 It is tilted a certain angle θ to 103 direction of central chamber, optionally, the size of angle, θ is 15 degree.Optionally, the length of slotted vane handle is 3mm.In the embodiment, slotted vane handle is tilted to central cavity direction, does not increase the radial width of holder, the setting of slotted vane handle It is easy to the extraction of slotted vane.(i.e. contraction state) general diameter only has 1mm or so to intravascular stent before inflation, and slotted vane handle angle is too Big or length is too long to be influenced to guide central chamber of the seal wire by holder, so the angle of slotted vane handle should not be too large in practice, The length of slotted vane handle is also unsuitable too long.
Shown in Fig. 4, when sacculus 101 is expanded state, sacculus 101 includes proximal shoulder 1011 and distal shoulder 1012, slotted vane 104 exceeds proximal shoulder 1011 through intravascular stent, and exceeds distal shoulder 1012.Slotted vane handle 1043 is located at 1012 side of distal shoulder.Ensure that will not touch sacculus when seal wire passes through intravascular stent from periphery chamber, and sacculus is avoided to be led Silk scratches and intravascular stent is made to scrap.In the embodiment, distal shoulder and proximal shoulder are located at the both ends of sacculus, distal end The definition of shoulder and proximal shoulder is merely to distinguish two ends, when sacculus expanded state, the end expansion of sacculus For bowed state, distal shoulder and proximal shoulder are respectively that sacculus exceeds the holder net beam portion point that separately beginning arc is expanded It sets.
Optionally, length d1 of the slotted vane 104 beyond proximal shoulder 1011 is 2mm, and exceeds the length of distal shoulder 1012 D2 is 6mm, and slotted vane needs the constant for having certain, and slotted vane can play sacculus protection and make when ensureing that seal wire passes through periphery chamber With the present invention does not limit the specific length of slotted vane, can be designed in practice according to the length of sacculus in intravascular stent.
In addition, intravascular stent provided by the invention is after producing, it, can be with the central chamber one of holder in packaging Sample, on periphery, intracavitary is inserted into one and keeps periphery chamber shape and unobstructed protection wire.Protection is first extracted when using holder It is reused after wire.
Further, the present invention also provides a kind of application method of intravascular stent, intravascular stent includes sacculus and encirclement ball The holder net beam of capsule;Central chamber runs through sacculus;Slotted vane, runs through intravascular stent, and slotted vane has notch, notch and holder net beam phase It is right, it is passed through for seal wire in slotted vane, forms the periphery chamber of intravascular stent;Application method includes:Holder net beam is passed through outside wire guides Into and out of periphery chamber, realizes to pass through after holder outside wire guides and extract slotted vane from intravascular stent out.
The application method being capable of the outer crossing technology treatment bifurcation coronary artery of combination.Fig. 5 is that seal wire passes through blood vessel Holder net beam is into and out of periphery chamber status diagram.Fig. 6 is seal wire and intravascular stent status diagram after slotted vane is extracted.Such as Fig. 6 institutes Show, after extracting slotted vane 104,106 part of seal wire is between holder net beam 102 and sacculus 101, real partly except intravascular stent Existing seal wire 106 passes through holder in vitro.It should be noted that Fig. 5 and Fig. 6, which are sacculus, is in expanded state schematic diagram, in practice The periphery chamber of intravascular stent is passed through outside wire guides and after extracting slotted vane out in intravascular stent, sacculus is all in contraction state.
The application method of intravascular stent provided by the invention can be suitable for divided skirt stenting, extrusion rack art, T holder skills Art, TAP technologies, reversal extrusion technique, also can be used in being accurately positioned for coronary ostium position.In traditional processing bifurcated And/or in the common technology of opening lesion, holder is discharged in coronary artery bifurcation, under the perspective of x-ray, in body first Holder mesh struggle with inside is passed through with seal wire, to complete the treatment of bifurcated lesions.And use intravascular stent provided by the invention Application method, then can complete seal wire in vitro and pass through holder mesh, greatly simplify the operation of operation, improve procedure efficiency and Success rate of operation.The outer crossing technology of combination of the present invention expands out the new technology of a series of cardio-vascular interventional therapeutic, new art formula, It can also apply to the intracavitary interventional treatment at other vascular bifurcation positions.
By above-described embodiment it is found that the intravascular stent and its application method of the present invention, have reached following
Advantageous effect:
Intravascular stent provided by the invention includes central chamber and periphery chamber is total to two chambers, and central chamber and periphery intracavitary all may be used To ensure that seal wire passes through, and seal wire pass through periphery intracavitary when, slotted vane can play a protective role to sacculus, and branch is passed through in seal wire Ensure that sacculus is not damaged when frame net beam.Notch is corresponding with holder net beam in the present invention, and holder is worn without special setting seal wire The opening crossed extracts seal wire after slotted vane out in use, seal wire can pass through the disengaging periphery chamber of the mesh on the arbitrary segment net beam of holder Part is between holder net beam and sacculus, partly except holder, to realize that seal wire passes through intravascular stent in vitro.The present invention It can realize and pass through holder net beam under being looked at straight outside wire guides, enormously simplify originally complicated operation, reduce operating difficulty, carry High success rate of operation, shortens operating time.
Although some specific embodiments of the present invention are described in detail by example, the skill of this field Art personnel it should be understood that example above merely to illustrating, the range being not intended to be limiting of the invention.The skill of this field Art personnel are it should be understood that can without departing from the scope and spirit of the present invention modify to above example.This hair Bright range is defined by the following claims.

Claims (10)

1. a kind of intravascular stent, which is characterized in that including:
Sacculus and the holder net beam for surrounding the sacculus;
Central chamber runs through the sacculus;
Slotted vane runs through the intravascular stent, wherein the slotted vane has notch, and the notch is opposite with the holder net beam, institute It states and is passed through for seal wire in slotted vane, form the periphery chamber of the intravascular stent.
2. intravascular stent according to claim 1, which is characterized in that
The making material of the slotted vane is medical plastic.
3. intravascular stent according to claim 2, which is characterized in that
The making material of the slotted vane is polyvinyl chloride or polypropylene.
4. intravascular stent according to claim 1, which is characterized in that
The slotted vane includes slot bottom and two cell walls being connected with the slot bottom,
In the section of the slotted vane on the direction that the slotted vane extends:The slot bottom is semicircle.
5. intravascular stent according to claim 4, which is characterized in that
A diameter of 0.36mm of the slot bottom;The height of the cell wall is 0.18mm.
6. intravascular stent according to claim 1, which is characterized in that
The thickness of the slotted vane is 0.1mm.
7. intravascular stent according to claim 1, which is characterized in that
The slotted vane further includes slotted vane handle, and the slotted vane handle is tilted to the central cavity direction.
8. intravascular stent according to claim 7, which is characterized in that
When the sacculus is expanded state, the sacculus includes proximal shoulder and distal shoulder, and the slotted vane runs through the blood vessel Holder exceeds the proximal shoulder, and exceeds the distal shoulder, wherein the slotted vane handle is located at the distal shoulder one Side.
9. intravascular stent according to claim 7, which is characterized in that
The length of the slotted vane handle is 3mm.
10. a kind of application method of intravascular stent, which is characterized in that the intravascular stent includes sacculus and the encirclement sacculus Holder net beam;Central chamber runs through the sacculus;Slotted vane, runs through the intravascular stent, and the slotted vane has notch, the notch It is opposite with the holder net beam, it is passed through for seal wire in the slotted vane, forms the periphery chamber of the intravascular stent;The user Method includes:
The holder net beam is passed through into and out of the periphery chamber outside wire guides;
The slotted vane is extracted out from the intravascular stent.
CN201810189791.5A 2018-03-08 2018-03-08 Intravascular stent and its application method Pending CN108542552A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111700659A (en) * 2020-05-06 2020-09-25 中国人民解放军陆军军医大学第一附属医院 Intracavitary blood vessel flow guiding device

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CN206424184U (en) * 2016-08-17 2017-08-22 苗立夫 A kind of branch vessel protective cradle system
CN107440822A (en) * 2017-09-14 2017-12-08 唐利龙 A kind of intravascular stent system and application method
CN208552126U (en) * 2018-03-08 2019-03-01 广西中医药大学第一附属医院 Intravascular stent

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Publication number Priority date Publication date Assignee Title
US7771462B1 (en) * 1999-06-04 2010-08-10 Boston Scientific Scimed, Inc. Catheter with side sheath and methods
CN1972728A (en) * 2004-03-04 2007-05-30 Y医疗有限公司 Stent delivery devices
US20090171430A1 (en) * 2007-12-31 2009-07-02 Boston Scientific Scimed, Inc. Bifurcation stent delivery system and methods
US20150182363A1 (en) * 2013-10-09 2015-07-02 Lilong Tang Prewire channel stent
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CN106236340A (en) * 2016-08-17 2016-12-21 苗立夫 A kind of loading can withdraw branch's protection intravascular stent system of conduit
CN206424184U (en) * 2016-08-17 2017-08-22 苗立夫 A kind of branch vessel protective cradle system
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CN208552126U (en) * 2018-03-08 2019-03-01 广西中医药大学第一附属医院 Intravascular stent

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111700659A (en) * 2020-05-06 2020-09-25 中国人民解放军陆军军医大学第一附属医院 Intracavitary blood vessel flow guiding device

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