Method and device for left atrial appendage occlusion
A device and method for obliterating or occluding a body cavity or passageway, in particular, the left atrial appendage of a patient's heart. The procedure can be carried out intraoperatively, but is preferably carried out percutaneously by use of a delivery catheter to position an occluding device adjacent a patient's left atrial appendage. The occluding device may prevent the passage of embolic or other material to or from the left atrial appendage by volumetrically filling the appendage, closing the opening of the appendage with an occluding member, or pulling the tissue around the opening of the appendage together and fixing it in a closed state.
1. A method of preventing passage of embolic material from a left atrial appendage, comprising:
advancing a catheter having a proximal end and a distal end through the patient until the distal end is disposed adjacent the opening of the patient's left atrial appendage; and
releasing a device from the distal end of the catheter to deploy the device within the left atrial appendage, the device configured to block an opening to the left atrial appendage to prevent passage of embolic material from the left atrial appendage.
2. The method of claim 1 , wherein the device is positioned within an inner lumen of the catheter, and releasing the device comprises applying axial force in a distal direction to the device to deploy it.
3. The method of claim 1 , wherein the device is biased to a radially expanded position, and wherein the device radially expands within the left atrial appendage during the releasing step.
4. The method of claim 1 , wherein the device is biased to press against an inner wall of the left atrial appendage subsequent to the releasing step.
5. The method of claim 1 , wherein releasing the device from the catheter comprises detaching the device from the distal end of the catheter.
6. The method of claim 1 , wherein the device comprises an expandable frame.
7. The method of claim 6 , wherein the device comprises a barrier membrane attached to the expandable frame.
8. The method of claim 7 , wherein the barrier membrane comprises a mesh material.
9. The method of claim 6 , wherein the expandable frame comprises a plurality of strut members.
10. The method of claim 9 , wherein the barrier membrane envelopes at least a proximal portion of the plurality of strut members.
11. The method of claim 9 , wherein the barrier membrane comprises a proximal portion and a distal portion and wherein the distal portion is cylindrical.
12. The method of claim 6 , wherein the expandable frame, when expanded, has a first portion that extends proximally and a second portion, attached to the first portion, that extends distally.
13. The method of claim 12 , wherein the first portion extends radially outwardly.
14. The method of claim 13 , wherein the second portion is substantially cylindrical.
15. The method of claim 12 , wherein the expandable frame comprises a central hub attached to the first portion.
16. The method of claim 15 , wherein the hub comprises a lumen.