Injectable scaffold for treatment of intracranial aneurysms and related technology
A method for treating an aneurysm in accordance with a particular embodiment of the present technology includes intravascularly delivering a mixture including a biopolymer (e.g., chitosan) and a chemical crosslinking agent (e.g., genipin) to an aneurysm. The method further includes mixing the biopolymer and the chemical crosslinking agent to initiate chemical crosslinking of the biopolymer. The mixture is delivered to the aneurysm via a lumen and an exit port of a catheter while the chemical crosslinking is ongoing. The mixture exits the catheter as a single cohesive strand that at least partially agglomerates to form a mass occupying at least 75% of a total internal volume of the aneurysm. During delivery of the mixture, the method includes expanding a tubular flow diverter to reinforce a neck of the aneurysm.
1. A system for treating an aneurysm, the system comprising:
a first precursor material including a biopolymer, wherein the biopolymer has a non-zero degree of chemical cross-linking within the first precursor material;
a second precursor material including a chemical crosslinking agent; and
a catheter including an elongate lumen and an exit port at a distal end portion of the lumen, wherein the catheter is configured to convey a mixture of the first and second precursor materials toward and into an internal volume of an aneurysm at a portion of a blood vessel via the lumen and via the exit port.
2. The system of claim 1 wherein the biopolymer includes chitosan, a derivative of chitosan, an analog of chitosan, or a combination thereof.
3. The system of claim 2 wherein the chemical crosslinking agent includes genipin, a derivative of genipin, an analog of genipin, or a combination thereof.
4. The system of claim 1 , wherein the catheter is at most 3 French.
5. The system of claim 1 , wherein:
(a) the first precursor material includes a physical crosslinking agent;
(b) the second precursor material includes a physical crosslinking agent;
(c) the system further comprises a third precursor material including a physical crosslinking agent; or
(d) any combination of (a), (b) and (c).
6. The system of claim 1 , wherein:
(a) the first precursor material includes a contrast agent;
(b) the second precursor material includes a contrast agent;
(c) the system further comprises a third precursor material including a contrast agent; or
(d) any combination of (a), (b) and (c).
7. The system of claim 1 , further comprising:
a physical cross-linking agent comprising β-glycerophosphate, a derivative of β-glycerophosphate, an analog of β-glycerophosphate, or a combination thereof; and
a contrast agent comprising iohexol, a derivative of iohexol, an analog of iohexol, or a combination thereof.
8. The system of claim 7 , wherein the biopolymer includes chitosan, a derivative of chitosan, an analog of chitosan, or a combination thereof, and wherein the chemical crosslinking agent includes genipin, a derivative of genipin, an analog of genipin, or a combination thereof.
9. The system of claim 1 , wherein a weight ratio of the biopolymer:chemical crosslinking agent is within a range of from 10:1 to 100:1.
10. A system for treating an aneurysm, the system comprising:
a first precursor material including a biopolymer;
a second precursor material including a chemical crosslinking agent; and
a catheter including an elongate lumen and an exit port at a distal end portion of the lumen, wherein the catheter is configured to convey a mixture of the first and second precursor materials toward and into an internal volume of an aneurysm at a portion of a blood vessel via the lumen and via the exit port,
wherein:
(a) the first precursor material includes a physical crosslinking agent;
(b) the second precursor material includes a physical crosslinking agent;
(c) the system further comprises a third precursor material including a physical crosslinking agent; or
(d) any combination of (a), (b) and (c).
11. The system of claim 10 wherein:
the biopolymer includes chitosan, a derivative of chitosan, an analog of chitosan, or a combination thereof;
the chemical crosslinking agent includes genipin, a derivative of genipin, an analog of genipin, or a combination thereof; and
the physical crosslinking agent includes β-glycerophosphate, a derivative of β-glycerophosphate, an analog of β-glycerophosphate, or a combination thereof.
12. The system of claim 10 , wherein the biopolymer includes chitosan, a derivative of chitosan, an analog of chitosan, or a combination thereof.
13. The system of claim 10 , wherein a weight ratio of the biopolymer:chemical crosslinking agent is within a range of from 10:1 to 100:1.
14. The system of claim 10 , wherein the physical cross-linking agent comprising β-glycerophosphate, a derivative of β-glycerophosphate, an analog of β-glycerophosphate, or a combination thereof, the system further comprising:
a contrast agent comprising iohexol, a derivative of iohexol, an analog of iohexol, or a combination thereof.
15. A system for treating an aneurysm, the system comprising:
a first precursor material including a biopolymer;
a second precursor material including a chemical crosslinking agent; and
a catheter including an elongate lumen and an exit port at a distal end portion of the lumen, wherein the catheter is configured to convey a mixture of the first and second precursor materials toward and into an internal volume of an aneurysm at a portion of a blood vessel via the lumen and via the exit port,
wherein:
(a) the first precursor material includes a contrast agent;
(b) the second precursor material includes a contrast agent;
(c) the system further comprises a third precursor material including a contrast agent; or
(d) any combination of (a), (b) and (c).
16. The system of claim 15 wherein the contrast agent is selected to provide diminishing radiopacity.
17. The system of claim 15 wherein the contrast agent includes iohexol, a derivative of iohexol, an analog of iohexol, or a combination thereof.
18. The system of claim 15 , wherein the biopolymer includes chitosan, a derivative of chitosan, an analog of chitosan, or a combination thereof.
19. The system of claim 15 , wherein a weight ratio of the biopolymer:chemical crosslinking agent is within a range of from 10:1 to 100:1.
20. The system of claim 15 , wherein the catheter is at most 3 French.