Micrograft for the treatment of intracranial aneurysms and method for use
A device for occluding a vasculature of a patient including a micrograft having an absorbent polymeric structure with a lumen of transporting blood. The micrograft has a series of peaks and valleys formed by crimping. The occluding device is sufficiently small and flexible to be tracked on a guidewire and/or pushed through a microcatheter to a site within the vasculature of the patient. Delivery systems for delivering the micrografts are also disclosed.
1. A vascular graft configured for occluding a vasculature of a patient, the vascular graft comprising:
an absorbent biocompatible textile structure forming a tubular structure; and
a core element having a proximal end, a distal end and a lumen within the core element, the core element positioned inside the biocompatible structure and attached to the biocompatible structure,
wherein the tubular structure has a proximal opening at a proximal end and a distal opening at a distal end for blood flow into the distal end, the proximal and distal openings aligned with a longitudinal axis of the vascular graft and a capillary effect is created within the vascular graft when the tubular structure is exposed to blood such that blood is transported in a proximal direction through the distal opening in the tubular structure and through the vascular graft wherein blood clots, wherein the tubular structure has a plurality of yarns, the tubular structure crimped to alter the orientation of the yarns from a longitudinally organized arrangement and provide a first series of peaks defined by the yarns and a first series of valleys formed between the yarns and a second series of peaks and a second series of valleys formed in the tubular structure in a longitudinal direction to create a wavy longitudinally directed shape along a length of the tubular structure to increase the flexibility of the tubular structure.
2. The vascular graft of claim 1 , wherein the tubular structure is non-self-expanding along its length from the proximal end to the distal end.
3. The vascular graft of claim 1 , wherein the core element has a coiled structure and the vascular graft further comprises a tube secured to and positioned within coils of the coiled structure, wherein a distal portion of the tube is within the tubular structure.
4. The vascular graft of claim 3 , wherein the tube includes a lumen dimensioned to receive a delivery member therein.
5. The vascular graft of claim 4 , wherein the tube is twisted into the coils of the coiled structure.
6. The vascular graft of claim 1 , wherein the tubular structure has an outer diameter less than 0.027 inches.
7. The vascular graft of claim 1 , wherein the vascular graft further comprises a separate radiopaque marker band, a portion of the radiopaque marker band positioned within the tubular structure and attached to the core element and secured to the tubular structure by melting the tubular structure over the marker band.
8. The vascular graft of claim 1 , wherein the vascular graft is movable to a substantially linear configuration for delivery and returns to a non-linear configuration for placement within the vasculature.
9. The vascular graft of claim 1 , wherein the core element is made of a radiopaque material and wound into an open pitch helical coil.
10. The vascular graft of claim 1 , wherein each of the plurality of yarns is formed by a plurality of polymer filaments, the plurality of filaments having a first set of pores therebetween for absorption of blood and the plurality of yarns having a second set of pores therebetween for absorption of blood to create a second capillary effect, the first set of pores between the filaments configured for absorption of blood creating a third capillary effect.
11. The vascular graft of claim 1 , wherein the yarns have a first set of pores therebetween.
12. The vascular graft of claim 1 , wherein the vascular graft is shaped in a pre-biased secondary helical shape.
13. The vascular graft of claim 12 , wherein each of the plurality of yarns is formed by a plurality of polymer filaments, the plurality of filaments having a first set of pores therebetween for absorption of blood to create a third capillary effect, the plurality of yarns having a second set of pores therebetween for absorption of blood to create a second capillary effect.
14. The vascular graft of claim 13 , wherein each of the filaments of each of the yarns are composed of material that is non-absorbable by a human body.
15. The vascular graft of claim 1 , wherein the tubular structure forms a braid forming a continuous circumferential wall along a length.
16. A vascular graft configured for occluding a vasculature of a patient, the vascular graft comprising:
an absorbent biocompatible textile structure forming a tubular structure; and
a core element having a proximal end, a distal end and a lumen within the core element, the core element positioned inside the biocompatible structure and attached to the biocompatible structure,
wherein the tubular structure has a proximal opening at a proximal end and a distal opening at a distal end for blood flow into the distal end, the proximal and distal openings aligned with a longitudinal axis of the vascular graft and a capillary effect is created within the vascular graft when the tubular structure is exposed to blood such that blood is transported in a proximal direction through the distal opening in the tubular structure and through the vascular graft wherein blood clots, the tubular structure includes a braid formed of a plurality of wettable yarns spaced to wick blood when placed in contact with blood creating a second capillary effect, the plurality of yarns are each formed by a plurality of wettable fibers, the fibers spaced to wick blood when placed in contact with blood creating a third capillary effect to promote blood clotting, wherein the tubular structure is crimped to a) reduce an axial orientation of the fibers to increase a braid angle with respect to a longitudinal axis; b) increase a linear density and wall thickness by axially compressing the tubular structure; and c) form a series of alternating peaks and valleys along a length of a surface of a wall to form a longitudinally extending wavy sinusoidal shape to increase flexibility.
17. The vascular graft of claim 16 , wherein a drug is added to an inner diameter of the tubular structure, the drug infused into a wall of one or more fibers.