Protuberant aneurysm bridging device deployment method
An aneurysm bridging device can be placed in the neurovasculature of a patient by advancing the aneurysm bridging device in a small-diameter configuration a delivery catheter to a target region within the neurovasculature and securing the distal region of the aneurysm bridging device to the neurovasculature. While the distal region of the aneurysm bridging device is secured to the neurovasculature, the proximal region of the aneurysm bridging device can be advanced to permit the aneurysm bridging device to expand from the small-diameter configuration and to deform and twist in a central region of the aneurysm bridging device. The proximal region of the aneurysm bridging device can be secured within the neurovasculature to maintain the central region of the aneurysm bridging device in a deformed state.
1. A method of placing an aneurysm bridging device in neurovasculature of a patient, the method comprising the steps of:
advancing the aneurysm bridging device in a small-diameter configuration through a delivery catheter to a target region within the neurovasculature;
securing a distal region of the aneurysm bridging device to the neurovasculature;
while the distal region of the aneurysm bridging device is secured to the neurovasculature, advancing a proximal region of the aneurysm bridging device to permit the aneurysm bridging device to expand from the small-diameter configuration and to deform and twist in a central region of the aneurysm bridging device; and
securing the proximal region of the aneurysm bridging device within the neurovasculature to maintain the central region of the aneurysm bridging device in a deformed state.
2. A method of claim 1 , wherein the advancing is accomplished without applying proximally compressive force on the distal region of the bridging device.
3. A method of claim 1 , wherein the advancing comprises pushing, pulling, and twisting the proximal region of the aneurysm bridging device.
4. The method of claim 1 , wherein the aneurysm bridging device comprises a self-expanding material, wherein the advancing comprises releasing the aneurysm bridging device from the delivery catheter to permit the aneurysm bridging device to self-expand toward a larger diameter configuration.
5. The method of claim 4 , wherein the advancing comprises manipulating the proximal region of the aneurysm bridging device to deform the central region.
6. The method of claim 4 , wherein the aneurysm bridging device comprises a self-expanding pseudoelastic or elastic material.
7. The method of claim 1 , wherein the aneurysm bridging device comprises an inlet anchoring portion and an outlet anchoring portion, the method further comprising positioning the inlet anchoring portion within an inlet vessel and the outlet anchoring portion within a first outlet vessel.
8. The method of claim 7 , wherein the aneurysm bridging device comprises struts extending from the inlet anchoring portion to the outlet anchoring portion, and wherein the positioning comprises orienting the struts to protrude toward a second outlet vessel.
9. The method of claim 1 , wherein the aneurysm bridging device extends adjacent to an aneurysm, the method further comprising implanting an embolizing mass into the aneurysm such that struts of the bridging device retain the embolizing mass within the aneurysm.