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 implant configured for placement in an intracranial aneurysm of a patient to aid thrombus formation in the aneurysm, the vascular implant comprising:
an inner helical coil composed of a metallic material and having a lumen formed therein extending from a proximal portion to a distal portion, the metallic material being radiopaque, the lumen being sized to induce blood flow through the lumen in a capillary effect; and
a non self-expanding polymeric braid extending over and attached to the helical coil, the braid having a distal opening, the braid extending to cover the proximal portion and the distal portion of the helical coil, the braid formed by a plurality of yarns, and the yarns formed by a series of polymeric filaments, the vascular implant configured for aiding thrombus formation in the intracranial aneurysm, the vascular implant receiving blood flow therein through the lumen to fill the lumen as it moves from a delivery catheter to placement within the aneurysm, the vascular implant further receiving blood through spaces between the yarns and spaces between the filaments.
2. The vascular implant of claim 1 , wherein the yarns form a permeable structure such that blood is transported between the yarns and through the device.
3. The vascular implant of claim 1 , wherein the implant is heat set to form a coil shape.
4. The vascular implant of claim 1 , wherein the braid has a range of between 80 and about 600 picks per inch.
5. The vascular implant of claim 1 , wherein the braid is composed of PET.
6. The vascular implant of claim 1 , wherein the vascular implant has an outer diameter less than about 0.027 inches.
7. The vascular implant of claim 1 , wherein the braid forms a fluid barrier which maintains a degree of permeability.
8. The vascular implant of claim 1 , wherein the braid has a wavy form having a series of undulations.
9. The vascular implant of claim 1 , wherein the braid has an uneven braid surface.
10. The vascular implant of claim 9 , wherein individual yarns of the braid bulge outwardly to create the uneven braid surface to create localize hemodynamic turbulence and flow stagnation to enhance thrombus formation.
11. The vascular implant of claim 1 , further comprising a tube having a first end and a second opposite end, the first end seated within coil windings of the helical coil.
12. The vascular implant of claim 11 , wherein the tube is composed of a metallic material different than a material of the helical coil.
13. The vascular implant of claim 12 , wherein the braid is melted onto the tube.
14. The vascular implant of claim 12 , wherein the tube has an engagement structure extending proximally and external of proximal coils of the helical coil.
15. A vascular implant for treating an intracranial aneurysm comprising:
an inner helical coil composed of a metallic material and having a lumen formed therein extending from a proximal portion to a distal portion, the metallic material being radiopaque;
a polymeric braid extending over and attached to the helical coil, the braid having a distal opening, the braid extending along its length to cover the proximal portion and the distal portion of the helical coil, the braid formed by a plurality yarns, and the yarns formed by a series of polymeric filaments, the braid configured for inducing blood stagnation in the intracranial aneurysm of a patient as blood enters the braid through the distal opening and through spaces between the yarns and spaces between the filaments; and
a first radiopaque structure at a distal region of the vascular implant to enhance radiopacity and extending into the braid and having an opening to enable blood flow through the distal opening.
16. The vascular implant of claim 15 , further comprising a second radiopaque structure spaced proximally from the polymeric braid and having an opening to enable blood flow.
17. The vascular implant of claim 15 , wherein the first radiopaque structure is spaced proximally of the inner helical coil.
18. A vascular implant for treating an intracranial aneurysm comprising:
an inner helical coil composed of a metallic material and having a lumen formed therein extending from a proximal portion to a distal portion, the metallic material being radiopaque;
a polymeric braid extending over and attached to the helical coil, the braid having a distal opening, the braid extending along its length to cover the proximal portion and the distal portion of the helical coil, the braid formed by a plurality yarns, and the yarns formed by a series of polymeric filaments, the braid configured for inducing blood stagnation in the intracranial aneurysm of a patient; and
a radiopaque structure at a proximal region of the vascular implant proximal of the polymeric braid and inner coil to enhance radiopacity and extending into the braid and having an opening to enable blood flow through the distal opening.