Trans-jugular carotid artery access methods
Methods and devices for trans-jugular carotid access are disclosed. Methods within the scope of this disclosure include methods of trans-jugular carotid access originating in the leg of a patient or other location remote to the jugular vein and carotid artery and methods originating at the neck of a patient. Devices used in connection with the disclosed methods may comprise access catheters, lumens, and stylets.
1. A method of accessing the carotid artery of a patient comprising:
advancing a catheter along a jugular vein;
abutting a tip of a curved distal end region of a cover tube against a vessel wall of the jugular vein adjacent a defined access location of a carotid artery, the cover tube extending from the catheter;
displacing a stylet through a lumen of the cover tube; and
piercing the vessel wall of the jugular vein and a vessel wall of the carotid artery with the stylet after abutting the tip of the curved distal end region of the cover tube thereby establishing access to the carotid artery.
2. The method of claim 1 , further comprising introducing a bioabsorable mesh into the jugular vein to close the opening between the jugular vein and the carotid artery.
3. The method of claim 2 , wherein the bioabsorable mesh is disposed adjacent a first opening and a second opening in the jugular vein.
4. The method of claim 2 , wherein the bioabsorable mesh is introduced through a third opening in the jugular vein.
5. The method of claim 2 , wherein the bioabsorable mesh is introduced through a femoral vein.
6. The method of claim 1 , wherein the catheter is coupled to a handle and the stylet is coupled to a spring disposed within the handle, and
wherein piercing the wall of the jugular vein and the wall of the carotid artery corresponds to a release of spring energy.
7. The method of claim 1 , wherein the catheter is a first catheter, and
wherein the method further comprises advancing a second catheter along the jugular vein.
8. The method of claim 7 , wherein the second catheter is advanced over a guidewire extending along a vasculature from an entry location to at least a location within the jugular vein adjacent the defined access location of the carotid artery.
9. The method of claim 7 , wherein the first catheter is disposed within a lumen of the second catheter.
10. The method of claim 7 , further comprising advancing a third catheter along the stylet into the carotid artery to introduce a treatment tool to the carotid artery.