Abstract: An improved balloon catheter structure includes a beveled distal tip, a reinforced distal portion, and an elastic or split sleeve over at least a portion of the balloon. The balloon may have a short length and a marker at its midline. The catheters are particularly useful for crossing through stent walls at vessel bifurcations.

Abstract: The present invention provides methods and devices for placement of a stent in a bifurcation or ostial lesion. The stent comprises a main body and a flaring portion. The main body is designed to expand and support a main vessel while the flaring portion deploys at least partially in response to expansion of the main body and is designed to open into and support a side branch or bifurcation ostium area. The stent may also comprise a therapeutic agent which can be delivered to a blood vessel.

Abstract: The present invention provides methods and devices for placement of a stent in a bifurcation or ostial lesion. The stent comprises a main body and a flaring portion. The main body is designed to expand and support a main vessel of the bifurcation and defines a main body axis. The flaring portion is disposed on a side of the main body and is adapted to flare radially and offset the main body axis in response to expansion of the main body. The flaring portion comprises at least one distal wing and at least one proximal wing. Each wing is aligned along the main body axis. The at least one proximal wing is longer than the at least one distal wing, providing greater coverage of the proximal side of the side vessel than on the distal surface of the side vessel.

Abstract: A catheter for delivering luminal prostheses comprises a catheter body having an expandable member near a distal end. The prosthesis has a side hole, and a guidewire extends beneath a proximal portion of the prosthesis and over the exterior of the expandable member. A distal end of the guidewire is retracted proximally from the closest point on the side opening to reduce possible interference with catheter advancement.

Abstract: Systems for aligning and deploying side branch stents comprise a catheter having a side branch sensor at or near a distal end thereof. Methods comprises rotating and axially transitioning the catheter until the sensor is brought into alignment with an opening to the side branch vessel.

Abstract: A catheter for delivering luminal prostheses comprises a catheter body having an expandable member near a distal end. The prosthesis has a side hole, and a guidewire extends beneath a proximal portion of the prosthesis and over the exterior of the expandable member. A distal end of the guidewire is retracted proximally from the closest point on the side opening to reduce possible interference with catheter advancement.

Abstract: Systems for aligning and deploying side branch stents comprise a catheter having a side branch sensor at or near a distal end thereof. Methods comprises rotating and axially transitioning the catheter until the sensor is brought into alignment with an opening to the side branch vessel.

Abstract: A balloon catheter capable of delivering torque and pushing through obstructions includes a relatively weak balloon segment of a catheter and rotatable asymmetric tip. A reinforcement sleeve increases column strength and torque transmission to push the balloon and rotate the tip to facilitate passage through said obstructions. The tip is preferably asymmetric around its axis, usually being beveled, and the reinforcement slide includes a slide lock mechanism which increases shaft flexibility after balloon deployment.

Abstract: The present invention provides methods and systems for placing stent systems at vascular bifurcations. The systems include a main branch stent having a side opening, optionally including a side structure, with radiopaque fluoroscopic markers about the periphery of the opening. The stent system further includes a side branch stent having radiopaque markers near at least end thereof. The main branch stent is positioned in the main blood vessel lumen using the markers for proper positioning. After deploying the main branch stent, the side branch stent is positioned through an opening within the side branch. Using the markers on both the main branch stent and the side branch stent, proper alignment and positioning of the two stents relative to each other may be achieved.

Abstract: The present invention provides methods and devices for placement of a stent in a bifurcation or ostial lesion. The stent comprises a main body and a flaring portion. The main body is designed to expand and support a main vessel of the bifurcation and defines a main body axis. The flaring portion is disposed on a side of the main body and is adapted to flare radially and offset the main body axis in response to expansion of the main body. The flaring portion comprises at least one distal wing and at least one proximal wing. Each wing is aligned along the main body axis. The at least one proximal wing is longer than the at least one distal wing, providing greater coverage of the proximal side of the side vessel than on the distal surface of the side vessel.

Abstract: A catheter for delivering luminal prostheses comprises a catheter body having an expandable member near a distal end. The prosthesis has a side hole, and a guidewire extends beneath a proximal portion of the prosthesis and over the exterior of the expandable member. A distal end of the guidewire is retracted proximally from the closest point on the side opening to reduce possible interference with catheter advancement.

Abstract: An improved balloon catheter structure includes a beveled distal tip, a reinforced distal portion, and an elastic or split sleeve over at least a portion of the balloon. The balloon may have a short length and a marker at its midline. The catheters are particularly useful for crossing through stent walls at vessel bifurcations.

Abstract: A catheter for delivering luminal prostheses comprises a catheter body having an expandable member near a distal end. The prosthesis has a side hole, and a guidewire extends beneath a proximal portion of the prosthesis and over the exterior of the expandable member. A distal end of the guidewire is retracted proximally from the closest point on the side opening to reduce possible interference with catheter advancement.

Abstract: The present invention provides methods and devices for placement of a stent in a bifurcation or ostial lesion. The stent comprises a main body and a flaring portion. The main body is designed to expand and support a main vessel of the bifurcation and defines a main body axis. The flaring portion is disposed on a side of the main body and is adapted to flare radially and offset the main body axis in response to expansion of the main body. The flaring portion comprises at least one distal wing and at least one proximal wing. Each wing is aligned along the main body axis. The at least one proximal wing is longer than the at least one distal wing, providing greater coverage of the proximal side of the side vessel than on the distal surface of the side vessel.

Abstract: The present invention provides methods and systems for placing stent systems at vascular bifurcations. The systems include a main branch stent having a side opening, optionally including a side structure, with radiopaque fluoroscopic markers about the periphery of the opening. The stent system further includes a side branch stent having radiopaque markers near at least end thereof. The main branch stent is positioned in the main blood vessel lumen using the markers for proper positioning. After deploying the main branch stent, the side branch stent is positioned through an opening within the side branch. Using the markers on both the main branch stent and the side branch stent, proper alignment and positioning of the two stents relative to each other may be achieved.

Abstract: Bifurcated stent includes a main stent body and a crown adapted to deploy it laterally into a branch vessel from the main stent body. A therapeutic agent or other material is coated on at least a portion of the crown of the stent, usually over the base of the crown adjacent to the main stent body. The main stent body is either free from coating or is coated in a different manner than is the crown portion of the stent.

Abstract: Systems for aligning and deploying side branch stents comprise a catheter having a side branch sensor at or near a distal end thereof. Methods comprises rotating and axially transitioning the catheter until the sensor is brought into alignment with an opening to the side branch vessel.

Abstract: A catheter for delivering luminal prostheses comprises a catheter body having an expandable member near a distal end. The prosthesis has a side hole, and a guidewire extends beneath a proximal portion of the prosthesis and over the exterior of the expandable member. A distal end of the guidewire is retracted proximally from the closest point on the side opening to reduce possible interference with catheter advancement.

Abstract: The present invention provides methods and devices for placement of a stent in a bifurcation or ostial lesion. The stent comprises a main body and a flaring portion. The main body is designed to expand and support a main vessel while the flaring portion deploys at least partially in response to expansion of the main body and is designed to open into and support a side branch or bifurcation ostium area. The stent may also comprise a therapeutic agent which can be delivered to a blood vessel.