Method to remove a thrombus
Provided herein are methods and systems for the removal of anatomical occlusions, and an occlusion removal device comprising a first body adapted to be mounted to a delivery wire and releasably engaged to the delivery wire, wherein while engaged the first body remains fixed on the delivery wire and upon release moves axially along the delivery wire, and a second body adapted to be mounted to the delivery wire. A first proximal body may be oriented proximally to a second distal body. The proximal body and the distal body may be adapted to expand upon exiting a delivery catheter. The proximal body may be releasably engaged by a mechanically breakable connection or an electrolytically or heat disconnectable connection, the electrolytically disconnectable connection being broken upon an application of electric current to the electrolytically disconnectable connection.
1. A method to retrieve an occlusion in a lumen of a patient comprising:
inserting a delivery wire, sheathed by a delivery catheter, through the occlusion;
withdrawing the delivery catheter at least partially, wherein the withdrawal leaves the delivery wire protruding through the occlusion;
expanding a first body distal to the occlusion, wherein the first body is coupled to the delivery wire;
expanding a second body on a proximal side of the occlusion, wherein the second body is coupled to the delivery wire;
positioning the delivery wire such that the first body is in contact with a distal side of the occlusion;
advancing the second body distally by advancing a portion of the delivery catheter distally until the second body contacts the proximal side of the occlusion; and
removing at least a portion of the occlusion from the lumen by withdrawing the first body and the second body, the delivery wire and the delivery catheter from the lumen.
2. The method of claim 1 , wherein the first body is fixedly attached to a distal tip of the protruding delivery wire.
3. The method of claim 1 , wherein the second body is slidably attached to the delivery wire.
4. The method of claim 1 , wherein advancing the second body distally comprises moving the second body axially one or more times along the delivery wire to dislodge the occlusion.
5. The method of claim 1 , wherein removing at least a portion of the occlusion comprises trapping the occlusion between the first body and the second body.
6. The method of claim 1 , wherein the first body is a wire mesh structure.
7. The method of claim 6 , wherein the wire mesh is configured to expand out from the protruding delivery wire.
8. The method of claim 1 , wherein the second body is a wire mesh structure, wherein the wire mesh expands out from the delivery wire.
9. The method of claim 8 , wherein the wire mesh is configured to expand out from the delivery wire.
10. The method of claim 1 , wherein at least one of the first body or the second body comprises Nitinol.
11. The method of claim 1 , further comprising, prior to inserting the delivery wire through the occlusion, maneuvering the delivery catheter proximate the occlusion.
12. The method of claim 1 , further comprising at least partially withdrawing the delivery catheter to expose the delivery wire and cause at least one of the first body or the second body to expand out of the delivery wire.
13. The method of claim 1 , wherein the first body has a first contracted shape within the delivery catheter and a second expanded shape after exposing a portion of the delivery wire.
14. The method of claim 1 , wherein the second body has a first contracted shape within the delivery catheter and a second expanded shape after exposing a portion of the delivery wire.
15. The method of claim 1 , wherein a shape of the first body is defined by a first set of dimensions, a shape of the second body is defined by a second set of dimensions, and the first set of dimensions is the same as the second set of dimensions.
16. The method of claim 1 , wherein a shape of the first body is defined by a first set of dimensions, a shape of the second body is defined by a second set of dimensions, and the first set of dimensions is different from the second set of dimensions.
17. The method of claim 1 , wherein at least one of the first body or the second body is coated with one or more anti-platelet agents.
18. The method of claim 1 , wherein at least one of the first body or the second body is coated with one or more thrombolytic agents.
19. The method of claim 1 , wherein at least one of the first body or the second body has a rounded or cylindrical shape and is concentrically positioned around the delivery wire.
20. The method of claim 1 , further comprising advancing the second body by manipulating a tether, wherein the tether is physically coupled to the second body and extends proximally along the delivery wire.