摘要:
Devices, systems, and methods facilitate modification of renal sympathetic nerve activity using a force generating arrangement. A device for mechanically modifying renal sympathetic nerve activity includes a contact arrangement having a shape that generally conforms to a portion of a renal artery wall and is configured for placement at the renal artery wall portion. A compression arrangement is configured to cooperate with the contact arrangement to place the wall portion of the renal artery in compression sufficient to achieve a desired reduction in renal sympathetic nerve activity. The compression arrangement and the contact arrangement are preferably configured to cooperatively place the wall portion of the renal artery in compression sufficient to irreversibly terminate renal sympathetic nerve activity.
摘要:
An ablation catheter includes a flexible shaft having length sufficient to access a patient's renal artery. An electrode arrangement is provided at the distal end of the shaft. A handle unit includes a housing configured for hand-held manipulation and is coupled to the catheter. A battery and one or both of a high frequency AC generator and ultrasound generator are provided in the housing. The battery serves as the sole source of power for the generator. The generator is configured to generate energy sufficient to ablate perivascular renal nerve tissue using energy stored in the battery. The catheter may be disposable and the housing re-usable. Both the catheter and the housing may be disposable.
摘要:
A cryotherapy balloon catheter includes a compliant cryotherapy balloon comprising a distal balloon section dimensioned for placement within a renal artery and a proximal balloon section dimensioned to abut against an ostium of the renal artery and extend into at least a portion of the abdominal aorta. The compliant balloon has a diameter that varies non-uniformly along a length of the compliant balloon, such that a diameter at the proximal balloon section is larger than a diameter of the distal balloon section. The cryotherapy balloon catheter may be configured to deliver cryogenic therapy to at least the ostium of the renal artery sufficient to irreversibly terminate renal sympathetic nerve activity, such as by causing neurotmesis of renal nerve fibers and ganglia at the ostium of the renal artery.
摘要:
Devices, systems, and methods provide for intravascular or extravascular delivery of renal denervation therapy and/or renal control stimulation therapy. Wireless vascular thermal transfer apparatuses and methods provide for one or both of production of current densities sufficient to ablate renal nerves and terminate renal sympathetic nerve activity, and production of current densities sufficient to induce endothelium dependent vasodilation of the renal artery bed. A common apparatus may be used for both renal ablation and control of renal function locally after renal denervation.
摘要:
Devices, systems, and methods provide for intravascular or extravascular delivery of renal denervation therapy and/or renal control stimulation therapy. Wireless vascular thermal transfer apparatuses and methods provide for one or both of production of current densities sufficient to ablate renal nerves and terminate renal sympathetic nerve activity, and production of current densities sufficient to induce endothelium dependent vasodilation of the renal artery bed. A common apparatus may be used for both renal ablation and control of renal function locally after renal denervation.
摘要:
Cardioprotective pacing is applied to prevent and/or reduce cardiac injury associated with myocardial infarction (MI) and revascularization procedure. Pacing pulses are generated from a flexible pacemaker circuit integrated with a percutaneous transluminal vascular intervention (PTVI) device and delivered through pacing electrodes incorporated onto the PTVI device during the revascularization procedure.
摘要:
An imaging assembly comprises a catheter having a distal end and a proximal end, an ablation tip at the distal end of the catheter, and an imaging device disposed within the ablation tip. The catheter defines a catheter lumen that extends from the proximal end to the distal end. The catheter is configured and arranged for insertion into a body lumen such as a blood vessel or heart chamber. The ablation tip has a wall that defines a lumen in communication with the lumen of the catheter. The imaging device is disposed within the lumen of the ablation tip, and is configured to transmit pulsed acoustic waves for generating images of body tissue at a target ablation site within the body.
摘要:
The disclosure pertains to magnetically retrievable vena cava filters having a low torque associated therewith when subjected to a strong external magnetic field and retrieval devices therefor. The vena cava filter may include a magnetically permeable sphere or a spherical dipole magnet located within the spherical cavity of the apical hub wherein the spherical dipole magnet is free to rotate about any of three mutually orthogonal axes. The retrieval device is capable of substantially containing the vena cava filter in a collapsed state and includes a magnetically active member capable of interacting with the vena cava filter. The retrieval device may optionally include a supplemental mechanical latch.
摘要:
A catheter includes a multiplicity of leads having exposed distal elements defining an anode and a cathode positionable relative to an outer wall of a renal artery. A power supply is configured to couple to the multiplicity of leads. The power supply generates a DC current that flows between the anode and cathode to create an acidic region at the anode sufficient to cause necrosis of perivascular renal nerve tissue in the vicinity of the anode, and to create a basic region at the cathode sufficient to cause necrosis of perivascular renal nerve tissue in the vicinity of the cathode. The catheter may be configured to deliver a biocompatible electrolytic fluid to each of the cathode and anode, thereby increasing an extent of perivascular renal nerve tissue ablation in the vicinity of the cathode and anode.
摘要:
The disclosure pertains to magnetically retrievable vena cava filters having a low torque associated therewith when subjected to a strong external magnetic field and retrieval devices therefor. The vena cava filter may include a magnetically permeable sphere or a spherical dipole magnet located within the spherical cavity of the apical hub wherein the spherical dipole magnet is free to rotate about any of three mutually orthogonal axes. The retrieval device is capable of substantially containing the vena cava filter in a collapsed state and includes a magnetically active member capable of interacting with the vena cava filter. The retrieval device may optionally include a supplemental mechanical latch.