CPC A61B 17/00234 (2013.01) [A61M 25/0147 (2013.01); A61M 25/10 (2013.01); A61B 2017/00243 (2013.01); A61B 2017/00323 (2013.01); A61M 2025/0057 (2013.01); A61M 2025/1079 (2013.01)] | 13 Claims |
1. A method of delivering a therapeutic device to a target treatment site at a valve annulus in a heart of a patient, comprising the steps of:
(a) percutaneously introducing a cable into a vasculature of a patient and positioning the cable to run from a femoral vein, through the heart via a transseptal puncture, and to a femoral artery, such that a first end of the cable is exposed from the femoral vein and a second end, opposite the first end, of the cable is exposed from the femoral artery;
(b) at the femoral artery, securing the therapeutic device to the cable, the therapeutic device comprising a heart valve delivery device carrying a replacement valve;
(c) providing a left ventricle redirector (LVR) having a tubular lumen, advancing a distal end of the lumen over the cable at the femoral vein and advancing the LVR to the left ventricle;
(d) pulling the cable at the femoral vein while pushing the therapeutic device at the femoral artery to advance the therapeutic device to the target treatment site;
(e) during step (d), actively steering the distal end of the LVR, said steering modifying an orientation of a distal nose of the therapeutic device; and
(f) deploying the replacement valve at the valve annulus.
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