Stroke prevention devices, systems, and methods
The disclosure of the present application provides devices, systems, and methods for the prevention of stroke. In at least one embodiment of a device of the present application, the device comprises an extension portion sized and shaped to fit within an artery extending from an aortic arch, and a flange portion sized and shaped to prevent the device from advancing into the artery extending from the aortic arch in which the device may be positioned. In at least one embodiment of a system for preventing stroke of the present application, the system comprises a hypotube, a folder coupled to a distal end of the hypotube, a sleeve positioned circumferentially around the hypotube proximal to the folder, and a stent, wherein a first part of the stent may be positioned within the folder, and wherein a second part of the stent may be positioned within the sleeve.
1. A method for preventing stroke, the method comprising the steps of:
introducing a wire into a body via a body puncture, the wire having a distal end;
navigating the wire within the body until the distal end of the wire reaches a desired location within an aorta;
mounting at least a portion of a system for preventing stroke over the wire, the system comprising:
a hypotube having a distal end and a proximal end,
a folder coupled to the distal end of the hypotube, the folder sized and shaped to receive at least a portion of a stent,
a sleeve positioned circumferentially around the hypotube proximal to the folder, the sleeve sized and shaped to receive at least a portion of the stent, and
a stent, wherein a first part of the stent is positioned within the folder, and wherein a second part of the stent is positioned within the sleeve;
advancing at least a portion of the system for preventing stroke within the body until the distal end of the hypotube is positioned within an artery branching from the aorta; and
deploying the stent wherein at least a portion of the stent is positioned within the artery and wherein at least a portion of the stent is positioned within the aorta.
2. The method of claim 1 , wherein the step of deploying the stent comprises the step of pulling the sleeve away from the stent to deploy the first portion of the stent.
3. The method of claim 1 , wherein the step of deploying the stent further comprises the step of advancing the hypotube into the artery to deploy the second portion of the stent.
4. The method of claim 3 , wherein the step of deploying the stent further comprises the step advancing a conical dilator comprising a tapered distal end along the hypotube so that the tapered distal end of the conical dilator engages the folder.
5. The method of claim 4 , further comprising the step of:
withdrawing the portion of the system within the body from the body.
6. The method of claim 1 , wherein the stent comprises:
an extension portion sized and shaped to fit within the vessel extending from an aortic arch, and
a flange portion sized and shaped to prevent the stent from advancing into the artery extending from the aortic arch in which the stent may be positioned, the flange portion coupled to the extension portion and comprising two or more parallel convex struts positioned across an opening defined within the flange portion, the struts capable of diverting an embolus from entering the artery when the stent is positioned within the artery.
7. The method of claim 1 , wherein the step of deploying is performed by deploying the stent, wherein the stent has
two or more parallel convex struts, and wherein
the two or more parallel convex struts are positioned approximately perpendicular to a direction of blood flow within the aorta at an aortic arch.
8. The method of claim 7 , wherein the stent comprises:
an extension portion sized and shaped to fit within the artery extending from the aortic arch, and
a flange portion sized and shaped to prevent the stent from advancing into the artery extending from the aortic arch in which the stent may be positioned, the flange portion coupled to the extension portion and comprising the two or more parallel convex struts positioned across an opening defined within the flange portion, the struts capable of diverting an embolus from entering the artery when the stent is positioned within the artery; and
wherein the step of deploying is performed so that the flange portion is positioned within the aorta.
9. The method of claim 1 , wherein the step of deploying further comprises aligning the stent within the artery by detecting one or more radiopaque markers positioned upon the stent.
10. The method of claim 1 , wherein the step of deploying the stent comprises the stent within an innominate artery.
11. The method of claim 1 , further comprising the steps of:
introducing a second stent having two or more parallel convex struts into the body;
navigating the second stent within the body until the second stent reaches the aortic arch; and
positioning the second stent within a second artery branching from the aortic arch so that the two or more parallel convex struts of the second stent are positioned approximately perpendicular to a direction of the blood flow within the aortic arch.
12. The method of claim 11 , wherein the step of positioning the second stent comprises positioning the second stent within a common carotid artery.
13. The method of claim 12 , wherein the step of deploying the stent comprises deploying the stent within an innominate artery, wherein the stent is capable of diverting an embolus from entering the innominate artery, and wherein the second stent is capable of diverting the embolus from entering the common carotid artery.
14. The method of claim 1 , wherein the step of deploying is performed by deploying the stent, wherein the stent has
two or more parallel convex struts, and wherein
the two or more parallel convex struts are positioned in a direction of blood flow within the aorta at an aortic arch.
15. The method of claim 14 , wherein the stent comprises:
an extension portion sized and shaped to fit within the artery extending from the aortic arch, and
a flange portion sized and shaped to prevent the stent from advancing into the artery extending from the aortic arch in which the stent may be positioned, the flange portion coupled to the extension portion and comprising the two or more parallel convex struts positioned across an opening defined within the flange portion, the struts capable of diverting an embolus from entering the artery when the stent is positioned within the artery; and
wherein the step of deploying is performed so that the flange portion is positioned within the aorta.
16. The method of claim 14 , wherein the step of deploying further comprises aligning the stent within the artery by detecting one or more radiopaque markers positioned upon the stent.
17. The method of claim 14 , wherein the step of deploying the stent comprises the stent within an innominate artery.
18. The method of claim 14 , further comprising the steps of:
introducing a second stent having two or more parallel convex struts into the body;
navigating the second stent within the body until the second stent reaches the aortic arch; and
positioning the second stent within a second artery branching from the aortic arch so that the two or more parallel convex struts of the second stent are positioned in a direction of the blood flow within the aortic arch.
19. The method of claim 18 , wherein the step of positioning the second stent comprises positioning the second stent within a common carotid artery.
20. The method of claim 19 , wherein the step of deploying the stent comprises deploying the stent within an innominate artery, wherein the stent is capable of diverting an embolus from entering the innominate artery, and wherein the second stent is capable of diverting the embolus from entering the common carotid artery.