发明申请
- 专利标题: Apparatus and Methods for Recanalization of a Chronic Total Occlusion
- 专利标题(中): 慢性全部闭塞再通的装置和方法
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申请号: US13083764申请日: 2011-04-11
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公开(公告)号: US20120259314A1公开(公告)日: 2012-10-11
- 发明人: Ya Guo , Stefan Tunev , Joseph Traina
- 申请人: Ya Guo , Stefan Tunev , Joseph Traina
- 申请人地址: US CA Santa Rosa
- 专利权人: Medtronic Vascular, Inc.
- 当前专利权人: Medtronic Vascular, Inc.
- 当前专利权人地址: US CA Santa Rosa
- 主分类号: A61M25/09
- IPC分类号: A61M25/09 ; A61M25/10
摘要:
A method of recanalizing a chronic total occlusion (CTO) is disclosed. A catheter with a guidewire slidingly received therein is positioned proximally adjacent to the CTO. An occlusion weakening therapy effective to quickly soften and/or loosen the CTO is delivered to the CTO via the catheter. The occlusion weakening therapy includes at least one enzyme and a chelating agent which are selectively deliverable either together or separately depending on the type of material encountered by the guidewire. According to various methods, the enzyme(s) may be delivered if tissue is encountered, the chelating agent may be delivered if calcification is encountered, and both enzyme(s) and chelating agent(s) may be delivered if a fibrous cap is encountered. The distal end of the guidewire may be advanced into the CTO shortly after delivery of the occlusion weakening therapy and is manipulated through the CTO until the guidewire successfully crosses the CTO.
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