Device and method for treating vascular occlusion
A system and method for managing an occlusion, such as a blood clot, within a lumen or passageway of a patient. More particularly, a system and method for rapidly restoring blood flow through an occlusion including a self-expanding, tubular member through which blood may flow when in an expanded state. The tubular member has a structure configured to engage the occlusive material, thereby allowing for extraction of at least a portion of the occlusive material. The system may further employ a material extraction member that is deployed distally of the tubular member.
1. A method for removal of thrombus from a peripheral blood vessel in a body of a patient, the method comprising:
providing a thrombus extraction device comprising a scaffold member formed of a tubular fenestrated structure with an open proximal end having a perimeter and an open distal end, a capture member formed of a mesh structure which is fixedly attached to the proximal end of the scaffold member, and a pusher connected to a proximal end of the mesh structure;
advancing a catheter constraining the thrombus extraction device through the thrombus located in the peripheral vasculature of a patient's body;
deploying the thrombus extraction device, wherein the deployed thrombus extraction device comprises an everted distal portion of the capture member, wherein deploying the thrombus extraction device comprises expanding the scaffold member and expanding the everted distal portion of the capture member, and wherein deploying the thrombus extraction device comprises advancing a portion of the capture member through the scaffold member to create the everted distal portion of the capture member;
retracting the thrombus extraction device to capture thrombus within the everted distal portion of the capture member; and
withdrawing the thrombus extraction device from the body of the patient.
2. The method of claim 1 , wherein the distal end of the capture member is biased to evert in a relaxed state.
3. The method of claim 1 , wherein retracting the thrombus extraction device into the catheter constrains the thrombus extraction device and the captured thrombus within the catheter.
4. The method of claim 1 , further comprising inserting the catheter constraining the thrombus extraction device into a peripheral vein in a leg of the patient.
5. The method of claim 4 , wherein the peripheral vein comprises a deep vein.
6. The method of claim 5 , wherein the peripheral vein comprises the femoral vein.
7. The method of claim 1 , wherein retracting the thrombus extraction device to capture thrombus within an everted distal portion of the capture member comprises capturing at least a portion of the thrombus between the everted distal portion of the capture member and a non-everted portion of the capture member.
8. The method of claim 1 , wherein the scaffold member and the capture member form a continuous structure.
9. The method of claim 1 , wherein deploying the thrombus extraction device further comprises everting the scaffold member.
10. The method of claim 1 , wherein deploying the thrombus extraction device comprises relatively retracting an elongate retraction member coupled to the distal end of the scaffold member with respect to the pusher.
11. The method of claim 1 , wherein deploying the thrombus extraction device comprises manipulating at least one tether coupled to the distal end of the scaffold member with respect to the pusher.
12. The method of claim 1 , wherein the distal portion of the capture member is everted in the patient's body.
13. The method of claim 1 , wherein the thrombus extraction device is deployed distal of the thrombus.
14. A method for removal of thrombus from a peripheral blood vessel in a body of a patient, the method comprising:
providing a thrombus extraction device comprising a scaffold member formed of a tubular fenestrated structure with an open proximal end having a perimeter and an open distal end, a tapered capture member formed of a mesh structure which is attached at a proximal end of the tapered capture member to the distal end of the scaffold member so as to form a continuous structure, and a retraction member connected to a proximal end of the scaffold member;
advancing a catheter constraining the thrombus extraction device through the thrombus located in the peripheral vasculature of a patient's body;
deploying the thrombus extraction device, wherein the deploying the thrombus extraction device comprises expanding the scaffold member, and wherein the deploying the thrombus extraction device comprises expanding the tapered capture member subsequent to expanding the scaffold member;
retracting the thrombus extraction device through the thrombus;
separating the thrombus from the peripheral blood vessel with the scaffold member; and
capturing the thrombus within the tapered capture member.
15. The method of claim 14 , further comprising withdrawing the thrombus extraction device from the body of the patient.
16. The method of claim 14 , wherein the deploying the thrombus extraction device comprises retracting the catheter relative to the retraction member until the scaffold member is exposed.
17. The method of claim 14 , wherein retracting the thrombus extraction device through the thrombus comprises retracting the retraction member relative to the catheter through a lumen of the catheter.
18. The method of claim 14 , wherein the thrombus extraction device further comprises a pusher connected to a second end of the tapered capture member.
19. The method of claim 18 , further comprising controlling a length of the tapered capture member beyond the scaffold member via a relative position of the pusher with respect to the retraction member.
20. A method for removal of thrombus from a peripheral blood vessel in a body of a patient, the method comprising:
providing a thrombus extraction device comprising a scaffold member formed of a tubular fenestrated structure with an open proximal end having a perimeter and an open distal end, and a capture member formed of a mesh structure which is attached to the proximal end of the scaffold member at a distal end of the capture member so as to form a continuous structure;
advancing a catheter constraining the thrombus extraction device through the thrombus located in the peripheral vasculature of a patient's body;
deploying the thrombus extraction device, wherein the deployed thrombus extraction device comprises an everted distal portion of the capture member, wherein deploying the thrombus extraction device comprises expanding the scaffold member and expanding the everted distal portion of the capture member, and wherein deploying the thrombus extraction device comprises advancing a portion of the capture member through the scaffold member to create the everted distal portion of the capture member;
retracting the thrombus extraction device to capture thrombus within an everted distal portion of the capture member; and
withdrawing the thrombus extraction device from the body of the patient.
21. The method of claim 20 , further comprising inserting the catheter constraining the thrombus extraction device into a peripheral vein in a leg of the patient.
22. The method of claim 21 , wherein the peripheral vein comprises a deep vein, and wherein the deep vein comprises the femoral vein.
23. The method of claim 20 , wherein retracting the thrombus extraction device to capture thrombus within an everted distal portion of the capture member comprises capturing at least a portion of the thrombus between the everted distal portion of the capture member and a non-everted portion of the capture member.
24. The method of claim 20 , wherein deploying the thrombus extraction device comprises relatively retracting an elongate retraction member coupled to the distal end of the scaffold member.
25. The method of claim 20 , wherein the thrombus extraction device is deployed distal of the thrombus.