Occlusive device
An aneurysm embolization device can include a body having a single, continuous piece of material that is shape set into a plurality of distinct structural components. For example, the device can have an expandable component and an atraumatic tip portion extending therefrom. Further, the tip portion can be configured to enable the device to be implanted within the aneurysm while tending to mitigate risk of puncturing the aneurysm dome or otherwise assist in framing the aneurysm in advance of placement of additional embolic material.
1. A method for treating a cerebral aneurysm, the method comprising:
advancing an aneurysm embolization device through a catheter to the aneurysm, the aneurysm embolization device having a first portion and a second portion positioned distal of the first portion while advancing the aneurysm embolization device through the catheter;
positioning the first portion of the aneurysm embolization device within the aneurysm, the first portion comprising an inverted tubular braid extending continuously in two layers between a first end and a folded second end opposite the first end, the first portion being configured to resist migration of the aneurysm embolization device from the aneurysm, wherein the first portion is self-expandable to an expanded configuration, and wherein the first portion has a cup shape in an expanded configuration;
positioning the second portion of the aneurysm embolization device within the aneurysm; and
advancing embolic material through an open end of the first portion to a space within a cavity of the aneurysm between the first portion and a dome of the aneurysm to fill a volume of the aneurysm.
2. The method of claim 1 , wherein the cup shape forms a hollow, hemispherical container.
3. The method of claim 1 , further comprising positioning the first portion within the aneurysm such that the first portion is positioned across a neck of the aneurysm.
4. The method of claim 1 , wherein the braid comprises stainless steel, nitinol, or cobalt chromium.
5. The method of claim 1 , wherein the embolic material is a coil.
6. The method of claim 1 , wherein the embolic material is a liquid embolic.
7. The method of claim 6 , wherein the liquid embolic is visible under fluoroscopy.
8. The method of claim 1 , wherein the aneurysm embolization device includes a hub at its first end.
9. The method of claim 8 , wherein the first portion converges to a substantially zero dimension at the hub.
10. A method for treating a cerebral aneurysm, the method comprising:
advancing a self-expanding aneurysm embolization device in a constrained configuration through a catheter to the aneurysm, the aneurysm embolization device having a proximal end portion and a distal end portion, and wherein the distal end portion is positioned distal of the proximal end portion while advancing the aneurysm embolization device through the catheter in the constrained state;
positioning the aneurysm embolization device within the aneurysm such that the aneurysm embolization device assumes an expanded state in which the proximal end portion of the aneurysm embolization device is positioned at the neck of the aneurysm and the distal end portion of the aneurysm embolization device is positioned between the proximal end portion and a dome of the aneurysm, wherein positioning the aneurysm embolization device within the aneurysm comprises—
positioning a first portion of the aneurysm embolization device within the aneurysm, the first portion comprising a tubular braid folded onto itself such that the braid extends continuously in two layers between a first end and a folded second end opposite the first end, wherein the first portion is configured to be positioned across a neck of the aneurysm to prevent migration of the aneurysm embolization device from the aneurysm;
positioning the first portion in a cup shape within the aneurysm; and
positioning a second portion of the aneurysm embolization device within the aneurysm; and
interposing a liquid embolic between the first portion and the dome of the aneurysm to fill a volume of the aneurysm.
11. The method of claim 10 , wherein the cup shape forms a hollow, hemispherical container.
12. The method of claim 10 , wherein the braid comprises stainless steel, nitinol, or cobalt chromium.
13. The method of claim 10 , further comprising visualizing the liquid embolic under fluoroscopy.
14. The method of claim 10 , wherein the first portion comprises multiple layers of braided filaments.
15. The method of claim 10 , wherein the aneurysm embolization device includes a hub at its proximal end portion.
16. The method of claim 15 , wherein the first portion converges to a substantially zero dimension at the hub.