Abstract: A method for percutaneous transluminal front-end delivery of a collapsible prosthetic occluder using a front-end loading portion, a control assembly and an introducer sheath. The prosthetic device is collapsed in a lumen of a front-end loading portion. A valve assembly seals the front-end loading portion lumen proximally of the collapsed occluder. Fluid is then infused through a port extending into the front-end loading portion in communication with the front-end loading portion lumen to remove air bubbles from the collapsed prosthetic device. The prosthetic device is advanced using a control assembly from the front-end loading portion into the introducer and ultimately into the defect site.

Abstract: A laser balloon catheter intended primarily for coronary angioplasty includes a flexible tube having an inflatable balloon secured to its distal end, a central shaft within the balloon for carrying a guide wire, an optical fiber for carrying laser radiation through the flexible tube into the balloon, and a tip assembly in the balloon for directing laser radiation outwardly through a major portion of the balloon surface while limiting shadowing by the central shaft. The tip assembly preferably includes a tip portion of the optical fiber contained within a transparent, heat-formable tube and formed into a spiral shape around the central shaft by the heat-formable tube. The optical fiber tip portion is tapered so that it directs laser radiation outwardly over its length. Deuterium oxide is preferably used for inflation of the balloon because of its very low attenuation of laser radiation in the wavelength range of interest.