Catheter for use in revascularization procedures and method of using same
A method of removing vascular blockage includes providing a catheter system comprising an outer catheter with a serrated cutting element at its distal end, a bypass catheter, and a guidewire. In the catheter system, the bypass catheter is slidably disposed within the outer catheter. The method includes positioning a distal portion of the catheter system at a proximal end of an occlusion located within a vessel and moving the bypass catheter through the occlusion so that a medicated treatment solution may be delivered through the bypass catheter to an area of the brain or other tissue served by the vessel blocked by the occlusion. Both during and after the delivery of medicated treatment solution to the blocked part of the vessel with the bypass catheter, the physician may engage the occlusion with the cutting element by moving the outer catheter in a clockwise/counterclockwise or forward/backward direction within the outer catheter, cutting and then removing at least a portion of the occlusion from the vessel.
1. A catheter system for alleviating cerebral vascular blockage comprising:
an outer catheter;
a bypass catheter comprising a distal end portion, a proximal end portion, an inner lumen, and a continuous outer surface that is substantially free of apertures and is configured to deliver fluid from an opening the proximal end to an opening in the distal end;
wherein the bypass catheter is slidably disposed within the outer catheter, and
wherein the outer catheter comprises a cutting element with serrated teeth at its distal end portion and plurality of perforations through a side-wall of the distal end portion to provide fluid communication from the lumen of outer catheter to the vessel wall.
2. The catheter system of claim 1 , wherein the serrated distal end comprises a plurality of teeth having a length of between about 1.0 mm and about 4.0 mm.
3. The catheter system of claim 1 , wherein the bypass catheter has a length that is greater than a length of the outer catheter, and wherein the bypass catheter is a microcatheter.
4. The catheter system of claim 1 , wherein the distal end portion of the outer catheter is tapered from a first diameter to a second diameter.
5. The catheter system of claim 4 , wherein the distal end portion of the outer catheter is gradually tapered from a first diameter to a second diameter.
6. The catheter system of claim 4 , wherein the distal portion of the outer catheter is gradually tapered.
7. The catheter system of claim 1 , wherein the serrated teeth of the cutting element extend beyond the distal end of the outer catheter.
8. The catheter system of claim 1 , wherein the distal end of the outer catheter extends beyond the serrated teeth of the cutting element.
9. The catheter system of claim 1 , wherein the catheter system is configured to attach a negative pressure pump to a proximal portion of the outer catheter.
10. A method of removing cerebral vascular blockage comprising:
providing a catheter system comprising an outer catheter comprising a cutting element with serrated teeth and a bypass catheter comprising a distal end, a proximal end, an inner lumen, and a continuous outer surface that is substantially free of apertures and is configured to deliver fluid from an opening in the proximal end of the bypass catheter to an opening in the distal end,
wherein the bypass catheter is slidably disposed within the outer catheter;
positioning a distal portion of the catheter system at a proximal end of an occlusion located within a cerebral vessel;
moving the bypass catheter through the occlusion and delivering a medicated treatment solution through the bypass catheter;
moving the cutting element in a forward and backward motion, along a horizontal axis, to engage the occlusion and to create a removable portion of the occlusion; and
removing the removable portion of the occlusion from the vessel,
wherein the outer catheter comprises a distal portion and wherein the distal portion of the outer catheter comprises at least one perforation through a sidewall of the distal portion.
11. The method of claim 10 , and wherein the method further comprises delivering a medicated treatment solution to the occlusion through the at least one perforation.
12. The method of claim 11 , wherein the medicated treatment solution is selected from a solution of arterialized blood, cooled saline, thrombolytic agents, vasodilators, or a combination thereof.
13. The method of claim 10 , wherein the method further comprises removing the removable portion of the occlusion by applying negative pressure.
14. The method of claim 13 , wherein the method further comprises applying negative pressure to the catheter system manually with a flow-limiting syringe aspirator.
15. The method of claim 13 , wherein the method further comprises applying negative pressure to the catheter system with a negative pressure pump.