Vascular remodeling device
Described herein are flexible implantable devices or stents that can conform to the shape of vessels of the neurovasculature. In some embodiments, the devices can direct blood flow within a vessel away from an aneurysm or limit blood flow to the aneurysm. In some embodiments, a vascular remodeling device includes a first section and a protruding section. During deployment, the device expands from a compressed configuration to an expanded configuration. The first section anchors the device in an afferent vessel and/or in an efferent vessel of a bifurcation and the protruding section is positioned in the junction of the bifurcation having an aneurysm and across the neck of the aneurysm or at least partially within the aneurysm.
1. A method, comprising:
providing a stent in a compressed configuration within a catheter, the stent comprising (i) a proximal section, (ii) a distal section; and (iii) a protruding section, between the proximal and distal sections, wherein, while in the compressed configuration, first cells of the proximal section and/or the distal section have a first compressed cell size greater than a second compressed cell size of second cells of the protruding section;
expanding the stent from the compressed configuration to an expanded configuration out of the catheter, wherein, while in the expanded configuration, the first cells have a first expanded cell size substantially equal to a second expanded cell size of the second cells.
2. The method of claim 1 , wherein, while in the expanded configuration, a third expanded cross-sectional dimension of the protruding section is greater than a first expanded cross-sectional dimension of the proximal section and/or a second expanded cross-sectional dimension of the distal section.
3. The method of claim 1 , wherein the protruding section has a strut pattern that is substantially the same as a strut pattern of the proximal and/or distal sections.
4. The method of claim 1 , wherein the proximal section defines a proximal lumen, the distal section defines a distal lumen, and the protruding section defines an intermediate lumen.
5. The method of claim 4 , wherein, after the expanding step, the proximal, intermediate, and distal lumens provide a substantially unobstructed path for fluid flow from the afferent vessel to the first efferent vessel and a strut pattern of the protruding section permits fluid flow to the second efferent vessel.
6. The method of claim 1 , wherein at least one of the proximal, distal, and protruding sections self-expands.
7. The method of claim 1 , further comprising withdrawing the stent at least partially back into the catheter after a portion of the stent has been advanced out of the catheter.
8. The method of claim 1 , further comprising inserting embolic material into the aneurysm.
9. A method of treating an aneurysm at a junction of a bifurcation having an afferent vessel and first and second efferent vessels, comprising:
providing a stent in a compressed configuration within a catheter, the stent comprising (i) a proximal section having a first compressed cross-sectional dimension, (ii) a distal section having a second compressed cross-sectional dimension; and (iii) a protruding section, between the proximal and distal sections, having a third compressed cross-sectional dimension, wherein, while in the compressed configuration, first cells of the proximal section and/or the distal section have a first compressed cell size greater than a second compressed cell size of second cells of the protruding section;
expanding the stent from the compressed configuration to an expanded configuration out of the catheter, comprising:
anchoring, in the first efferent vessel, the distal section;
anchoring, in the afferent vessel, the proximal section; and
positioning the protruding section to abut an ostium of the aneurysm;
wherein, while in the expanded configuration, the first cells have a first expanded cell size substantially equal to a second expanded cell size of the second cells.
10. The method of claim 9 , wherein the protruding section has a strut pattern that is substantially the same as a strut pattern of the proximal and/or distal sections.
11. The method of claim 9 , wherein the proximal section defines a proximal lumen, the distal section defines a distal lumen, and the protruding section defines an intermediate lumen.
12. The method of claim 11 , wherein, after the expanding steps, the proximal, intermediate, and distal lumens provide a substantially unobstructed path for fluid flow from the afferent vessel to the first efferent vessel and a strut pattern of the protruding section permits fluid flow to the second efferent vessel.
13. The method of claim 9 , wherein at least one of the proximal, distal, and protruding sections self-expands.
14. The method of claim 9 , further comprising withdrawing the stent at least partially back into the catheter after a portion of the stent has been advanced out of the catheter.
15. The method of claim 9 , further comprising inserting embolic material into the aneurysm.
16. A method of treating an aneurysm at a junction of a bifurcation having an afferent vessel and first and second efferent vessels, comprising:
providing a stent in a compressed configuration within a catheter, the stent comprising (i) a proximal section having a first compressed cross-sectional dimension, (ii) a distal section having a second compressed cross-sectional dimension; and (iii) a protruding section, between the proximal and distal sections, having a third compressed cross-sectional dimension, wherein, while in the compressed configuration, first cells of the proximal section and/or the distal section have a first compressed cell size greater than a second compressed cell size of second cells of the protruding section;
expanding the stent from the compressed configuration to an expanded configuration out of the catheter, comprising:
anchoring, in the first efferent vessel, the distal section;
anchoring, in the afferent vessel, the proximal section; and
positioning the protruding section to abut an ostium of the aneurysm;
wherein, while in the expanded configuration, a third expanded cross-sectional dimension of the protruding section is greater than a first expanded cross-sectional dimension of the proximal section and a second expanded cross-sectional dimension of the distal section, and the first cells have a first expanded cell size substantially equal to a second expanded cell size of the second cells.
17. The method of claim 16 , wherein the protruding section has a strut pattern that is substantially the same as a strut pattern of the proximal and/or distal sections.
18. The method of claim 16 , wherein the proximal section defines a proximal lumen, the distal section defines a distal lumen, and the protruding section defines an intermediate lumen.
19. The method of claim 18 , wherein, after the expanding steps, the proximal, intermediate, and distal lumens provide a substantially unobstructed path for fluid flow from the afferent vessel to the first efferent vessel and a strut pattern of the protruding section permits fluid flow to the second efferent vessel.