Methods and apparatus for the identification and stabilization of vulnerable plaque

• US 20030199767A1
• Filed: 08/28/2002
• Published: 10/23/2003
• Est. Priority Date: 04/19/2002
• Status: Abandoned Application

• Current Assignee: JOMED NV
• Original Assignee: JOMED NV
• Inventors: Michlitsch, Kenneth J., Cespedes, Eduardo Ignacio
• Application Number:
  US10/232,428
• Publication Number:
  US 20030199767A1
• Time in Patent Office: Days
• US Class Current: 600/473
• CPC Class Codes: A61B 1/00082 Balloons
• CPC Class Codes: A61B 1/24 for the mouth, i.e. stomatoscopes, e.g. with tongue depressors tongue depressors per se A61B13/00; Instruments for opening or keeping open the mouth combined with saliva removers A61C17/00; mouth openers for animals A61D15/00
• CPC Class Codes: A61B 5/0088 for oral or dental tissue
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/6859 with multiple distal splines
• CPC Class Codes: A61B 5/7425 Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00

Abstract

The present invention provides methods and apparatus for identifying and stabilizing vulnerable plaque via multi-functional catheters having both thermography and imaging capabilities. It is expected that correlating imaging and thermography data will facilitate improved identification of vulnerable plaque. Apparatus of the present invention may also be provided with optional stabilization elements for stabilizing vulnerable plaque, as well as optional embolic protection. Methods of using apparatus of the present invention are provided.

Claims

1. A method for identifying vulnerable plaque within a body lumen of a patient, the method comprising:

providing apparatus comprising a catheter having a longitudinal axis, a phased-array IVUS imaging system, and a thermographer;

percutaneously advancing the catheter to a target region within the patient'"'"'s body lumen;

disposing the thermographer within or immediately adjacent a field of view of the phased-array IVUS imaging system;

obtaining an image of the target region with the phased-array IVUS imaging system;

obtaining temperature data at the target region with the thermographer; and

assessing whether the target region includes vulnerable plaque by correlating the image and the temperature data obtained at the target region.

2. The method of claim 1, wherein disposing the thermographer further comprises removably advancing the thermographer through the catheter.

3. The method of claim 1, wherein providing apparatus comprising a thermographer further comprises providing a thermographer having a delivery configuration and a deployed configuration, the method further comprising deploying the thermographer from the delivery configuration to the deployed configuration.

4. The method of claim 1, wherein providing apparatus comprising a catheter further comprises providing a catheter having a lumen, the method further comprising advancing the thermographer through the lumen in a non-parallel direction to the longitudinal axis of the catheter.

5. The method of claim 1, further comprising reversibly disposing the thermographer in an everted configuration.

6. The method of claim 1, wherein assessing whether the target region includes vulnerable plaque further comprises simultaneously displaying the image and the temperature data.

7. The method of claim 1, wherein assessing whether the target region includes vulnerable plaque further comprises displaying the image and the temperature data in real-time.

8. The method of claim 1, wherein providing apparatus further comprises providing a stabilization element, the method further comprising stabilizing the vulnerable plaque with the stabilization element.

9. The method of claim 8, wherein stabilizing the vulnerable plaque further comprises removing the thermographer and advancing the stabilization element through the catheter.

10. A method for identifying vulnerable plaque within a body lumen of a patient, the method comprising:

providing apparatus comprising a catheter having a longitudinal axis, a lumen and an imaging element;

percutaneously advancing the catheter to a target region within the patient'"'"'s body lumen;

obtaining an image of the target region with the imaging element;

removably advancing a thermographer through the lumen;

obtaining temperature data at the target region with the thermographer; and

assessing whether the target region includes vulnerable plaque by correlating the image and the temperature data obtained at the target region.

11. The method of claim 10, wherein removably advancing a thermographer further comprises removably advancing a thermographer within or immediately adjacent to a field of view of the imaging element.

12. The method of claim 10, wherein removably advancing a thermographer further comprises advancing the thermographer through the lumen in a non-parallel direction to the longitudinal axis of the catheter.

13. The method of claim 10, further comprising reversibly disposing the thermographer in an everted configuration.

14. The method of claim 10, wherein assessing whether the target region includes vulnerable plaque further comprises simultaneously displaying the image and the temperature data.

15. The method of claim 10, wherein assessing whether the target region includes vulnerable plaque further comprises displaying the image and the temperature data in real-time.

16. The method of claim 10, wherein providing apparatus further comprises providing a stabilization element, the method further comprising stabilizing the vulnerable plaque with the stabilization element.

17. The method of claim 16, wherein stabilizing the vulnerable plaque further comprises removing the thermographer and advancing the stabilization element through the lumen.

18. A method for identifying vulnerable plaque within a body lumen of a patient, the method comprising:

providing apparatus comprising a catheter having a longitudinal axis, an imaging element and a thermographer having a delivery configuration and a deployed configuration;

percutaneously advancing the catheter to a target region within the patient'"'"'s body lumen;

obtaining an image of the target region with the imaging element;

disposing the thermographer in overlapping relationship with the imaging element along the longitudinal axis of the catheter when the thermographer is in the deployed configuration;

obtaining temperature data at the target region with the thermographer; and

assessing whether the target region includes vulnerable plaque by correlating the image and the temperature data obtained at the target region.

19. The method of claim 18, further comprising removably advancing the thermographer through the catheter.

20. The method of claim 18, wherein providing apparatus comprising a catheter further comprises providing a catheter having a lumen, the method further comprising advancing the thermographer through the lumen in a non-parallel direction to the longitudinal axis of the catheter.

21. The method of claim 18, further comprising reversibly disposing the thermographer in an everted configuration.

22. The method of claim 18, wherein assessing whether the target region includes vulnerable plaque further comprises simultaneously displaying the image and the temperature data.

23. The method of claim 18, wherein assessing whether the target region includes vulnerable plaque further comprises displaying the image and the temperature data in real-time.

24. The method of claim 18, wherein providing apparatus further comprises providing a stabilization element, the method further comprising stabilizing the vulnerable plaque with the stabilization element.

25. The method of claim 24, wherein stabilizing the vulnerable plaque comprises removing the thermographer and advancing the stabilization element through the catheter.