Protuberant aneurysm bridging device deployment method
An aneurysm bridging device can be placed in the neurovasculature of a patient by advancing the aneurysm bridging device in a small-diameter configuration a delivery catheter to a target region within the neurovasculature and securing the distal region of the aneurysm bridging device to the neurovasculature. While the distal region of the aneurysm bridging device is secured to the neurovasculature, the proximal region of the aneurysm bridging device can be advanced to permit the aneurysm bridging device to expand from the small-diameter configuration and to deform and twist in a central region of the aneurysm bridging device. The proximal region of the aneurysm bridging device can be secured within the neurovasculature to maintain the central region of the aneurysm bridging device in a deformed state.
1. A medical device for use in neurovasculature of a patient at a bifurcation of a parent artery, the device comprising:
a frame structure having a distal region, a proximal region, and an intermediate region disposed between the distal and proximal regions, the proximal region comprising a proximal zig-zag segment, the intermediate region comprising a central zig-zag segment, and the distal region comprising a distal zig-zag segment, wherein a first plurality of spirally oriented struts extends between the central zig-zag segment and the proximal zig-zag segment, and wherein a second plurality of spirally oriented struts extends between the central zig-zag segment and the distal zig-zag segment,
wherein the device is self-expandable from a small diameter configuration to a large diameter, deformed configuration, such that (i) when the intermediate region is advanced from a delivery catheter within the patient's neurovasculature, the intermediate region self-expands and twists relative to the distal region to assume the large diameter configuration, and (ii) when the proximal region is advanced from the delivery catheter within the patient's neurovasculature, the proximal region twists relative to the distal region to permit the proximal region to expand into apposition with the parent artery,
wherein, in the large diameter configuration:
the distal region and proximal region each have a first outer cross-sectional dimension that is substantially equal to or larger than an inner cross-sectional dimension of a blood vessel in which the device is to be placed; and
the intermediate region has a bulbous outline with a second outer cross-sectional dimension that exceeds the first outer cross-sectional dimension.
2. The device of claim 1 , wherein, when in the large diameter configuration, the frame structure is substantially tubular.
3. The device of claim 1 , wherein the frame structure comprises a laser-cut metal structure.
4. The device of claim 1 , wherein the device is a bridging device, and wherein, when in the large diameter configuration, the bridging device is configured to span across a neck of an aneurysm.
5. The device of claim 1 , wherein, when the intermediate region is advanced from the delivery catheter within the patient's neurovasculature, the proximal region twists relative to the distal region without applying a compressive force on the distal region.
6. A medical device delivery system for use in neurovasculature of a patient at a bifurcation of a parent artery, the system comprising:
an elongate shaft including a lumen and a longitudinal axis; and
a bridging device received within the elongate shaft and moveable within the lumen along the longitudinal axis, the device including a substantially tubular structure having a distal region, an intermediate region extending from the distal region, and a proximal region extending from the intermediate region,
wherein the proximal region comprises a proximal zig-zag segment, the intermediate region comprises a central zig-zag segment, and the distal region comprises a distal zig-zag segment, wherein a first plurality of spirally oriented struts extends between the central zig-zag segment and the proximal zig-zag segment, and wherein a second plurality of spirally oriented struts extends between the central zig-zag segment and the distal zig-zag segment,
wherein the device is radially self-expandable from a small diameter configuration to a large diameter configuration, wherein in the large diameter configuration the distal region has a first outer diameter, the proximal region has a second outer diameter, and the intermediate region has a third outer diameter that exceeds the first outer diameter and is larger than the second outer diameter,
wherein, when the intermediate region is advanced from the elongate shaft, the intermediate region radially expands and moves in a first direction about the longitudinal axis relative to the distal region, and
wherein, when the proximal region is advanced from the elongate shaft, the proximal region radially expands and moves in a second direction about the longitudinal axis relative to the distal region.
7. The system of claim 6 , wherein the device is expandable along the longitudinal axis.
8. The system of claim 6 , further comprising a radiopaque marker disposed at the proximal region, the distal region, or the proximal and distal regions.
9. The system of claim 6 , wherein the structure is a laser-cut structure.
10. The system of claim 6 , wherein, when in the large diameter configuration, the bridging device is configured to span across a neck of an aneurysm.
11. The system of claim 6 , wherein, when the intermediate region is advanced from the elongate shaft within a patient's neurovasculature, the proximal region twists relative to the distal region without applying a compressive force on the distal region.