Abstract: A vascular prosthesis for implantation at an aortic arch of a human patient includes major tubular component defining a longitudinal axis and an island graft that has a length parallel to the longitudinal axis that is greater than a width transverse to the longitudinal axis. The vascular prosthesis delivery system includes a vascular prosthesis of the invention. The vascular prosthesis can also be a hybrid vascular prosthesis, including a proximal surgical segment that can be corrugated, an endovascular stent graft segment extending distally from the surgical segment, and a collar interposed between the surgical segment and the endovascular stent graft segment. The island graft can be pleated or corrugated and can be radially raised from a surface of the major tubular component.

Abstract: Apparatus for progressively dilating the lumen of a narrow natural vessel such as an iliac artery and implanting a tubular device enabling access through the dilated lumen to conduct subsequent procedures via the dilated lumen, includes an inflatable integrated balloon locatable at least partially within the tubular device, the tubular device having a length L1 providing a self-expanding tubular body having at least a portion including stents, so that when the integrated balloon is removed the dilated lumen of the natural vessel remains dilated and supported by the tubular device.

Abstract: A hybrid endoprosthetic device comprises a stented tubular part and a branched tubular body connected such that a main lumen of the stented tubular part communicates with a main lumen of the branched tubular body. The branched tubular body has multiple branch lumens for connection with natural vessels of the vasculature, and includes at least one branch lumen for access to facilitate delivery and implantation of the hybrid endoprosthetic device by an endovascular step in a hybrid surgical procedure. The hybrid endoprosthetic device is configured to replace a part of the aorta and common iliac artery. A delivery system for use with the device is also disclosed.

Abstract: Apparatus for progressively dilating the lumen of a narrow natural vessel such as an iliac artery and implanting a tubular device enabling access through the dilated lumen to conduct subsequent procedures via the dilated lumen, includes an inflatable integrated balloon locatable at least partially within the tubular device, the tubular device having a length L1 providing a self-expanding tubular body having at least a portion including stents, so that when the integrated balloon is removed the dilated lumen of the natural vessel remains dilated and supported by the tubular device.

Abstract: A hybrid endoprosthetic device comprises a stented tubular part and a branched tubular body connected such that a main lumen of the stented tubular part communicates with a main lumen of the branched tubular body. The branched tubular body has multiple branch lumens for connection with natural vessels of the vasculature, and includes at least one branch lumen for access to facilitate delivery and implantation of the hybrid endoprosthetic device by an endovascular step in a hybrid surgical procedure. The hybrid endoprosthetic device is configured to replace a part of the aorta and common iliac artery. A delivery system for use with the device is also disclosed.

Abstract: Apparatus for progressively dilating the lumen of a narrow natural vessel such as an iliac artery and implanting a tubular device enabling access through the dilated lumen to conduct subsequent procedures via the dilated lumen, includes an inflatable integrated balloon locatable at least partially within the tubular device, the tubular device having a length L1 providing a self-expanding tubular body having at least a portion including stents, so that when the integrated balloon is removed the dilated lumen of the natural vessel remains dilated and supported by the tubular device.

Abstract: A stent graft prosthesis includes a fabric sleeve supported by a series of ring stents, including ring stents having a saddle shape with peaks and valleys, the axial alignment of equivalently shaped ring stents in the series of ring stents being such that with respect to at least one shaped ring stent other shaped ring stents are angularly offset. Multiple series of ring stents may be interposed such that at least one ring stent in a first series of ring stents S1-Sn is located between two ring stents in at least one other series of ring stents So1-Son, the angular offset of ring stents in the first series S1-Sn being different from the angular offset of ring stents in at least one other series of ring stents (So1-Son). The offset changes the amount of fabric surface between peripheral contact points of successive shaped ring stents.

Abstract: A hybrid endoprosthetic device comprises a stented tubular part and a branched tubular body connected such that a main lumen of the stented tubular part communicates with a main lumen of the branched tubular body. The branched tubular body has multiple branch lumens for connection with natural vessels of the vasculature, and includes at least one branch lumen for access to facilitate delivery and implantation of the hybrid endoprosthetic device by an endovascular step in a hybrid surgical procedure. The hybrid endoprosthetic device is configured to replace a part of the aorta and common iliac artery. A delivery system for use with the device is also disclosed.

Abstract: A stent graft prosthesis includes spaced stent elements for location on a tubular graft. First and second stent elements are located in first and second locations on the graft. The second stent element includes a saddle shaped stent. The first stent element includes a ring shaped stent. Optionally a third stent element is also present. The tubular graft includes a graft sleeve. The prosthesis can be used for treatment of vascular disorders such as aortic aneurysm.

Abstract: There is provided a stent member a plurality of spaced stent elements for location on a tubular graft, wherein a first stent element is located in a first location on said graft, and wherein a second stent element is located in a second location or said graft, and wherein the second stent element comprises a saddle shaped stent. The first stent element includes a ring shaped (circular) stent. The second stent element includes at least one, preferably 2 to 5, saddle shaped stents. Optionally a third stent element comprising from 1 to 10 saddle shaped stents is also present. The stents are typically form a continuous loop of an elongate member of resilient material such as nitinol or PEEK. A stent graft comprising a tubular sleeve to which the stent member is attached is also described, as is the use of the prosthesis for treatment of vascular disorders such as aortic aneurysm.