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 method for treating an intracranial aneurysm comprising the steps of:
providing an occluding device having a lumen therein, the occluding device pre-set to a non-linear configuration to enhance packing of the aneurysm and composed of a non-expanding absorbent textile structure;
providing a delivery member;
inserting the delivery member with the occluding device into the aneurysm, the delivery member extending into the lumen of the occluding device and retaining the occluding device during delivery of the occluding device to the aneurysm and blood enters through a distal end of the lumen of the occluding device when the occluding device is inserted into the aneurysm; and
retracting the delivery member proximally within the lumen of the occluding device to provide space for blood flow in the lumen of the occluding device as blood displaces the delivery member.
2. The method of claim 1 , wherein the step of retracting the delivery member includes retracting the delivery member until it is aligned with a marker brand attached to the occluding device.
3. The method of claim 1 , wherein the occluding device is delivered in a more linear configuration positioned on the delivery member for delivery and moves to the non-linear configuration placed within the aneurysm.
4. The method of claim 1 , wherein the delivery member has an enlarged head lockingly engageable with a tab of the occluding device.
5. The method of claim 1 , wherein the step of inserting the delivery member includes the step of passing the delivery member through a stent positioned in the vasculature.
6. The method of claim 1 , wherein the non-linear configuration is helically shaped.
7. The method of claim 1 , wherein the step of providing an occluding device includes providing an occluding device having a non-absorbable textile structure.
8. The method of claim 1 , wherein the step of providing an occluding device includes providing an occluding device having a plurality of micro-porous yarns interlaced by weaving or electrospinning.
9. The method of claim 1 , wherein the step of providing an occluding device includes providing an occluding device wherein the textile structure comprises a braid of multifilament yarns of polymeric material having a porous outer wall.
10. The method of claim 9 , wherein blood permeates the outer wall and enters the lumen of the occluding device.
11. The method of claim 9 , wherein blood enters the lumen through intermediate regions as blood is absorbed through the outer wall.
12. The method of claim 9 , wherein contrast flows into the lumen.
13. The method of claim 1 , wherein the delivery member is a wire.
14. The method of claim 1 , wherein the occluding device includes a tube having retaining structure engageable with an engagement structure of the delivery member to retain the occluding device on the delivery member.
15. The method of claim 14 , wherein the tube is connected to an inner coil of the occluding device.
16. The method of claim 1 , wherein the delivery member extends through a catheter and the occluding device is coaxially positioned on the delivery member and its outer wall is fully contained within the catheter during delivery to the aneurysm so it is not in contact with tissue.
17. The method of claim 1 , wherein the step of providing an occluding device includes providing an occluding device with an inner metal coil and the textile structure extends proximally beyond a proximal end of the metal coil.
18. The method of claim 17 , further comprising a tube seated within coils of the inner metal coil and the textile structure includes a braid, and the braid is attached to a proximal portion of the tube extending proximally of the inner metal coil.
19. The method of claim 1 , wherein the textile structure includes a braided structure comprising a plurality of filaments and crimped to form a wavy pattern extending longitudinally along a length of the occluding device to increase a density of the braided structure.
20. The method of claim 1 , wherein the textile structure comprises multifilament yarns with spaces therebetween and the yarns include a plurality of filaments having spaces between the filaments.