Systems and methods for treating aneurysms
An apparatus for treating an aneurysm in a blood vessel includes an occlusion element including a first tubular mesh having a first end and a second end coupled together at a proximal end of the occlusion element such that an intermediate portion of the first tubular mesh between the first end and the second end includes a substantially 180 degree turn, the intermediate portion of the first tubular mesh extending distally from the proximal end of the occlusion element, wherein the intermediate portion of the first tubular mesh has a collapsed configuration and is configured to expand to an expanded. In some embodiments, the apparatus further includes a second tubular mesh having a first end and a second end coupled to the proximal end of the occlusion element such that an intermediate portion of the second tubular mesh between the first end and the second end includes a substantially 180 degree turn. In some embodiments, the apparatus further comprises a cover coupled to the proximal end of the occlusion element.
1. A method for treating an aneurysm, comprising:
providing an occlusion device releasably coupled to an elongate delivery shaft and comprising a cover and a looped mesh tube, the cover comprising a braided tube inverted into a two-layer structure, and the braided tube having first and second ends at a proximal end of the cover, the two-layer structure comprising a distal concavity, the looped mesh tube having first and second ends held within the cover;
advancing a distal end of a delivery catheter having a delivery lumen to a location adjacent the aneurysm;
advancing the occlusion device through the delivery lumen of the delivery catheter, with the cover and the looped mesh tube each compressed into a compressed state;
advancing the occlusion device out of the delivery lumen of the delivery catheter at the distal end of the delivery catheter, and into the aneurysm, such that the cover and the looped mesh tube each expand: and
detaching the occlusion device from the elongate delivery shaft.
2. The method of claim 1 , wherein the aneurysm is a previously ruptured aneurysm.
3. The method of claim 1 , wherein the looped mesh tube comprises a first leg, a second leg, and an apex of a curve connecting the first leg and the second leg.
4. The method of claim 3 , wherein advancing the occlusion device out of the delivery lumen comprises advancing the occlusion device such that the apex of the curve begins to exit the delivery lumen first.
5. The method of claim 3 , wherein the looped mesh tube is delivered such that the apex of the curve contacts an aneurysm wall.
6. The method of claim 1 , wherein the cover is expanded against an aneurysm wall at or adjacent a neck portion of the aneurysm.
7. The method of claim 6 , wherein the looped mesh tube comprises a first leg, a second leg, and an apex of a curve connecting the first leg and the second leg and wherein the apex of the curve contacts the aneurysm wall.
8. The method of claim 1 , wherein the first and second ends of the looped mesh tube are secured next to each other within the cover.
9. The method of claim 1 , wherein the first end of the looped mesh tube comprises a cut in a wall the looped mesh tube and wherein the second end, in a collapsed configuration, is held within the first end of the looped mesh tube.
10. The method of claim 1 , wherein the cover in a fully expanded state has a cover diameter and wherein the looped mesh tube in an expanded state has a maximum transverse dimension, the maximum transverse dimension greater than the cover diameter.
11. The method of claim 1 , wherein the cover is circular.
12. The method of claim 1 , wherein the cover comprises nickel-titanium alloy.
13. The method of claim 1 , wherein the occlusion device comprises a radiopaque material.
14. The method of claim 1 , further comprising:
inserting the delivery catheter through a sheath.
15. The method of claim 14 , wherein the sheath has been placed through puncture in a radial artery.
16. The method of claim 1 , wherein the aneurysm comprises a cerebral aneurysm.
17. The method of claim 1 , wherein the looped mesh tube in an expanded state comprises a first leg, a second leg, and an intermediate portion between the first leg and the second leg.
18. The method of claim 17 , wherein the first leg is configured to substantially contact the second leg at a central axis.
19. The method of claim 17 , wherein the first leg and the second leg together form a first transverse dimension and a second transverse dimension, wherein the first transverse dimension is greater than the second transverse dimension.
20. The method of claim 1 , wherein detaching the occlusion device comprises utilizing an energy comprising one of: hydraulic, electrolytic, mechanical, thermal, and chemical.