To provide a method and a
system for placing am embolic filter in a good
aortic arch.SOLUTION: An embolic filter
positioning system includes a vascular delivery sheath, a filter
catheter, a self-expanding embolic filter attached to a distal end of the filter
catheter, and an elongate
dilator having a tapered
dilator tip. The elongate
dilator is slidably received in a central lumen of the filter
catheter, and the filter catheter is slidably received in the open lumen of the vascular delivery sheath. The tapered dilator tip is positioned distally of the distal end of the vascular delivery sheath, and the self-expanding embolic filter is radially constrained in a proximal portion of the open lumen of the vascular delivery sheath. The tapered dilator tip has an expanded configuration where it covers the open distal end of the vascular delivery sheath and facilitates entry though an
arteriotomy and a contracted configuration where it can be retracted through the central lumen of the filter catheter.SELECTED DRAWING: Figure 6