Embolic protection device and method
A collapsible, transluminally deliverable embolic protection device ( 200 ) for temporarily positioning in the aortic arch is disclosed. The device is connectable to a transluminal delivery unit ( 130 ) extending proximally from a connection point ( 131 ). The device has a frame with a periphery, and a blood permeable unit within said periphery for preventing embolic particles from passing therethrough into side vessels of said aortic arch to the brain of a patient. Further, the device has at least one tissue apposition sustaining unit, not being a delivery shaft of said device, for application of a force offset to said connection point at said device, such as at said periphery, towards an inner wall of said aortic arch when said device is positioned in said aortic arch, such that tissue apposition of said periphery to an inner wall of said aortic arch is supported by said force. In addition related methods are disclosed.
1. A collapsible, transluminally deliverable embolic protection device for temporarily positioning in the aortic arch for deflection of embolic debris from the ascending aorta to the descending aorta, said embolic protection device having:
a frame with a periphery and a blood permeable unit within said periphery;
a connection point arranged at a proximal portion of said embolic protection device connecting said embolic protection device to a transluminal delivery unit; and
at least one tether arranged to extend substantially along a horizontal and longitudinal length of said blood permeable unit to apply a tractive force for lifting the embolic protection device in a coronal direction, said horizontal and longitudinal length being between a distal portion and said proximal portion of said blood permeable unit; and
wherein said tether is connected to said distal portion of said embolic protection device and extends to said transluminal delivery unit.
2. The device of claim 1 , wherein said tether is extending from said embolic protection device to a channel of a delivery catheter for providing a pulling force on said frame and/or blood permeable unit.
3. The device of claim 2 , wherein said tether is adapted to provide said pulling force for pressing said periphery to an inner wall of said aortic arch.
4. The device of claim 3 , wherein said embolic protection device is adapted to be placed across the apex of the aorta for preventing emboli from flowing into the carotid arteries.
5. The device of claim 1 , wherein said device has an attachment point where said tether is connected, and optionally a radiopaque fiducial marker at said attachment point.
6. The device of claim 1 , wherein said at least one tether includes multiple tethers.
7. The device of claim 1 , including at least one eyelet, wherein one or more of said tethers are threaded through at least one eyelet.
8. The device of claim 1 , wherein said tether is attached to said blood permeable unit, such that said traction force, when applied, raises said blood permeable unit out of a plane of said blood permeable unit.
9. The device of claim 8 , wherein said traction force, when applied, raises said blood permeable unit out of a plane of said blood permeable unit, such that a volcano shape of said blood permeable unit is provided, at said attachment location of said tether to said blood permeable unit.
10. The device of claim 1 , including a catheter with a first channel for said device and a second channel or said tether.
11. A collapsible, transluminally deliverable embolic protection device for temporarily positioning in the aortic arch for deflection of embolic debris from the ascending aorta to the descending aorta, said embolic protection device having:
a frame with a periphery and a blood permeable unit within said periphery, and having an upper area facing a coronal direction when arranged in the aortic arch, and an opposite area facing a direction opposite said coronal direction relative to said upper area,
at least one tether arranged along a horizontal and longitudinal length extending from a distal portion to a proximal portion of said blood permeable unit, to apply a pushing force from said opposite area for lifting the embolic protection device in said coronal direction; and
a connection point arranged at a proximal portion of said frame connecting the embolic protection device to a delivery unit.