The Janjua Aneurysm
Net
The patented Janjua Aneurysm
Net is an intra-aneurysm device that is intended primarily to embolize
narrow-neck cerebral aneurysms. It is not approved by the FDA or
available for patient use. Janjua
Aneurysm Net concept video.
The Janjua Aneurysm Net device
involves filling and expanding a flexible and expandable net with soft
embolic material in order to embolize the aneurysm. For example,
a flexible net can be inserted into the aneurysm and then filled with a
liquid flow carrying microsponges. The net allows fluid to escape,
but traps the microsponges inside. As the net fills with microsponges,
it expands into gentle, but engaging, contact with the aneurysm walls.
The net fills virtually the entire volume of the aneurysm, even an irregularly-shaped
one. The porous net frictionally engages the aneurysm walls, which
holds it within the aneurysm. This device is less invasive than clipping
and can fill a higher percentage of aneurysm volume than coiling.
It also preserves the option of subsequent clipping, if needed. Figures
1 through 3 illustrate one possible embodiment of the Janjua Aneurysm Net
device.
Figure 1 shows the aneurysm
after the catheter with the net has been inserted into the aneurysm, but
before the flow of microsponges into the net. The catheter has been
percutaneously introduced into a blood vessel and intravascularly guided
into an aneurysm.
Janjua Aneurysm Net: Figure
1
Figure 2 shows this device
as the net is being expanded by a liquid flow, such as a sterile saline
solution, carrying multiple microsponges. The openings in the net
allow the liquid flow to escape through the openings, but trap the multiple
microsponges inside the net. The accumulating microsponges
within the net gently expand the net into contour-conforming contact with
the aneurysm wall of the interior of the aneurysm.
Janjua Aneurysm Net: Figure
2
Figure 3 shows this device
after the net has been filled with multiple microsponges in order to fill
the volume of the aneurysm. The catheter has been removed from the
blood vessel and the body. This leaves the net fully expanded into
contour-conforming contact with the interior walls of the aneurysm.
Compared to coiling, this device has the potential to fill a high percentage
of aneurysm volume to promote rapid embolization and less recanalization.
The porous surface of the net enclosure, filled with soft compressible
fill members, can engage the walls of the aneurysm to hold the filled structure
in place and to inhibit or prevent it from prolapsing into the parent vessel.
There are no metal components poking or pinching the aneurysm walls which
could potentially lead to rupture. This approach can also preserve
the option of subsequent clipping, if needed later.
Janjua Aneurysm Net: Figure
3
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