Aspiration catheter systems and methods of use
Described are methods, systems, devices for facilitation of intraluminal medical procedures within the neurovasculature. A catheter advancement device includes a flexible elongate body having a proximal end, a distal end, and a single lumen extending therebetween. The flexible elongate body has a proximal segment, an intermediate segment, and a tip segment. The proximal segment includes a hypotube coated with a polymer. The intermediate segment includes an unreinforced polymer having a durometer of no more than 72 D. The tip segment is formed of a polymer different from the intermediate segment and has a durometer of no more than about 35 D and a length of at least 5 cm. The tip segment has a tapered portion that tapers distally from a first outer diameter to a second outer diameter over a length of between 1 and 3 cm.
1. An intravascular catheter advancement device for advancing a catheter within the neurovasculature, the catheter advancement device comprising:
a flexible elongate body having a proximal end, a distal end, and a single lumen extending therebetween, the flexible elongate body comprising:
a proximal segment, wherein the proximal segment comprises a hypotube coated with a polymer;
an intermediate segment comprising an unreinforced polymer having a durometer of no more than 72 D; and
a tip segment, wherein the tip segment is formed of a polymer different from the intermediate segment and has a durometer of no more than about 35 D and a length of at least 5 cm, wherein the tip segment has a tapered portion that tapers distally from a first outer diameter to a second outer diameter over a length of between 1 and 3 cm,
wherein the catheter advancement device has a length configured to extend from outside a patient's body, through a femoral artery, and to a petrous portion of an internal carotid artery and an inner diameter less than 0.024 inches to accommodate a guidewire.
2. The device of claim 1 , wherein flexible elongate body is formed without a tubular inner liner.
3. The device of claim 2 , wherein the unreinforced polymer of the flexible elongate body incorporates a lubricious additive.
4. The device of claim 1 , wherein a taper angle of the wall of the tapered portion relative to a center line of the tapered portion is between 0.9 to 1.6 degrees or 2 to 3 degrees.
5. The device of claim 1 , wherein the second outer diameter is about ½ of the first outer diameter.
6. The device of claim 1 , wherein the second outer diameter is about 40% of the first outer diameter.
7. The device of claim 1 , wherein the second outer diameter is about 65% of the first outer diameter.
8. The device of claim 1 , wherein the intermediate segment includes a first segment having a material hardness of no more than 55 D and a second segment located proximal to the first segment having a material hardness of no more than 72 D.
9. A system including the device of claim 1 , further comprising a catheter having a lumen and a distal end, wherein an outer diameter of the flexible elongate body is sized to be positioned coaxially within the catheter lumen such that the tapered portion of the tip segment extends distally beyond the distal end of the catheter to aid in delivery of the catheter to an intracranial vessel.
10. The device of claim 1 , wherein the flexible elongate body has an insert length that is at least about 49 cm.
11. The device of claim 10 , wherein the location allows for positioning the material transition proximal to the brachiocephalic take-off in the aortic arch when the distal end is positioned within the petrous portion of the internal carotid artery.
12. The device of claim 1 , wherein a location of a material transition between the unreinforced polymer and the hypotube is at least about 49 cm from the distal end of the flexible elongate body.
13. The device of claim 1 , wherein the hypotube has an inner diameter of about 0.021″ and an outer diameter of about 0.027″.
14. The device of claim 1 , wherein the first outer diameter is about 0.062″ up to about 0.080″.
15. The device of claim 14 , wherein the second outer diameter is about 0.031″.
16. The device of claim 1 , wherein the tip segment comprises a first radiopaque marker and a second radiopaque marker.
17. The device of claim 16 , wherein the first radiopaque marker is positioned on the first outer diameter and identifies a border between the first outer diameter and the tapered portion.
18. The device of claim 17 , wherein the second radiopaque marker is positioned on the second outer diameter.
19. The device of claim 16 , wherein the first and second radiopaque markers have different widths.
20. The device of claim 16 , wherein the first and second radiopaque markers are extruded polymer loaded with a radiopaque material, the radiopaque material comprising platinum/iridium, tungsten, or tantalum.
21. The device of claim 1 , wherein the device is configured for insertion over the guidewire such that the guidewire extends through the single lumen from the proximal end to the distal end.
22. The device of claim 1 , wherein the proximal end has a proximal opening and the distal end has a distal opening, the proximal and distal openings sized to receive the guidewire.
23. The device of claim 1 , further comprising a rapid exchange opening through a wall of the catheter advancement device.
24. The device of claim 1 , wherein the hypotube is coated with a lubricious polymer.
25. The device of claim 24 , wherein the lubricious polymer is PTFE.
26. The device of claim 1 , wherein the hypotube comprises a circular, oval, or trapezoidal D shape in cross-section.
27. The device of claim 1 , wherein the hypotube comprises a skived hypotube of stainless steel.
28. The device of claim 27 , wherein the skived hypotube is coupled to a proximal hub.
29. The device of claim 28 , wherein the proximal hub comprises a luer thread and a luer taper inside of the hub.
30. The device of claim 28 , wherein the proximal hub prevents insertion of the proximal hub through a proximal RHV.