Methods and devices for treatment of vascular defects
An expandable support structure and methods of use for treatment of a patient's cerebral aneurysm are described. The support structure includes a plurality of elongate support members each having first and second ends that are gathered at the first end of the support structure. Each elongate support member starts at the first end of the support structure, extends to an apex at the second end of the support structure, and extends back to the first end of the support structure. The support structure has a low profile, radially constrained state with an elongated tubular configuration having a low profile suitable for delivery from a microcatheter. The support structure also has an expanded relaxed state that defines a substantially globular shape.
1. A method of treating a cerebral aneurysm within a cerebral vasculature of a patient, comprising the steps of:
providing a microcatheter having a proximal end, a distal end, and a lumen therebetween;
providing an expandable support structure having first and second ends, comprising:
a plurality of elongate support members each having first and second ends, wherein the first and second ends of the elongate, support members are gathered at the first end of the support structure, wherein each elongate support member starts at the first end of the support structure, extends to an apex at the second end of the support structure, and extends back to the first end of the support structure, thereby forming a loop;
wherein the support structure has a low profile, radially constrained state with an elongated tubular configuration having a transverse dimension, the radially constrained state having a low profile suitable for delivery from the microcatheter, and
wherein the support structure also has an expanded state that defines a substantially globular shape;
advancing the distal end of the microcatheter to a region of interest within a cerebral artery;
advancing the expandable. Support structure through the lumen and out of the distal end of the microcatheter such that the expandable support structure deploys within the cerebral aneurysm, wherein the support structure expands to the expanded state within the cerebral aneurysm; and
withdrawing the microcatheter from the cerebral vasculature and from the patient, wherein the expandable support structure is the only implant delivered into the cerebral aneurysm through the microcatheter before the microcatheter is withdrawn from the cerebral vasculature.
2. The method of claim 1 , wherein the plurality of elongate support members are a plurality of wires.
3. The method of claim 1 , wherein the elongate support members comprise is shape memory metal.
4. The method of claim 1 , wherein the elongate support members have a transverse dimension of about 0.001 inches to about 0.015 inches.
5. The method of claim 1 , wherein the deployment of the expandable support structure within the cerebral aneurysm monitored using external imaging equipment.
6. The method of claim 1 , wherein the expandable support structure further comprises a hub disposed at the first end of the support structure, wherein the first and second ends of the elongate support members are gathered at the hub, and wherein the hub is not recessed within the substantially globular shape of the expanded state.
7. The method of claim 6 , wherein the hub is a ring.