Devices for therapeutic vascular procedures

A method for treating a cerebral aneurysm, comprising the steps of:

• advancing a resilient self-expanding implant coupled to a pusher within a microcatheter to the cerebral aneurysm within the patient's vasculature,
• wherein the implant comprises a permeable shell, a coil extending from a distal end of the permeable shell, and a bioactive agent, wherein the implant is in a radially constrained configuration in a lumen of the catheter, wherein the permeable shell comprises a plurality of elongate resilient filaments having a braided structure secured at least at one of a proximal end or the distal end of the permeable shell;
• wherein, in the radially constrained configuration, the permeable shell and the coil each have an elongated configuration;
• deploying the resilient self-expanding implant within the cerebral aneurysm, wherein the coil and the permeable shell each assume an expanded deployed configuration, wherein an expanded deployed configuration of the coil has at least one loop having a secondary diameter, and wherein an expanded deployed configuration of the permeable shell has an axially shortened configuration relative to the radially constrained elongated configuration;
• and
• withdrawing the microcatheter from the region near the cerebral aneurysm after deploying the resilient self-expanding implant.