| 摘要 |
The present invention provides a delivery mechanism for percutaneously routing a stent or graft through the vascular system and procedures for addressing an aneurysm or an otherwise damaged vessel. The delivery system includes an outer tubular guide catheter (20), an inner tubular delivery (pusher) catheter (14) coaxially disposed and slidable relative to the outer guide catheter and an elongated flexible wire or cable (26) that is coaxially insertable through the lumen of the inner tubular catheter and that has a frusto-conical bead affixed at the distal end thereof which is sized to at least partially fit within the lumen of the inner pusher catheter when a proximally directed tension force is applied between the elongated flexible wire or cable (26) with respect to the pusher catheter (14). By inserting a compressed coil spring between a proximal end portion of the pusher catheter (14) and the proximal end portion of the cable (26), the requisite clamping force is maintained to secure the stent or graft to the distal end of the pusher catheter until the compression spring force is removed. With the stent or graft clamped to the distal end of the inner pusher catheter, it can be drawn within the lumen of the outer guide catheter for delivery therewith to the target site.
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