Coronary intravascular ultrasound imaging method and apparatus

• US 5,193,546 A
• Filed: 05/15/1991
• Issued: 03/16/1993
• Est. Priority Date: 05/15/1991
• Status: Expired due to Term

• Current Assignee: Medtronic Vascular, Inc. (Medtronic Plc)
• Original Assignee: Alexander Shaknovich
• Inventors: Shaknovich, Alexander
• Primary Examiner(s): JAWORSKI, FRANCIS J
• Application Number:
  US07/700,625
• Time in Patent Office: 671 Days
• Field of Search: 128/661.07-661.10, 128/660.10, 128/662.06
• US Class Current: 600/463
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00

Abstract

An image catheter is introduced into the venous system and is maneuvered through the venous system to points adjacent to sections of arteries to be imaged. The arterial segments are then imaged from those adjacent points in the venous system. Ideally an ultrasound imaging catheter with a diameter of 7-10 French (2.3 mm-3.3. mm) operating at a frequency between 15 and 20 MHz is used.

Claims

1. A periarterial method of imaging a human artery comprising:

introducing means for imaging into a venous system of a human subject to be imaged;

guiding said means for imaging through said venous system to points in said venous system adjacent to an artery of said subject;

imaging said artery with said means for imaging from said adjacent points in said venous system.

2. The method of claim 1 wherein said means for imaging is introduced into said venous system by way of the femoral vein, the external jugular vein or the antecubital veins.

3. The method of claim 1 wherein fluoroscopy is used to guide said means for imaging.

4. The method of claim 1 wherein said means for imaging is swept along the tricuspid annulus of said venous system to image said subject'"'"'s right coronary artery.

5. The method of claim 1 wherein said means for imaging is maneuvered through the great cardiac vein of said venous system and its branches to image said subject'"'"'s left anterior descending coronary artery and its branches.

6. The method of claim 1 wherein said means for imaging is maneuvered through the coronary sinus of said venous system to image said subject'"'"'s circumflex coronary artery.

7. The method of claim 1 wherein said means for imaging comprises an ultrasound imaging catheter.

8. The method according to claim 7 wherein the step of imaging said artery with said means for imaging comprises:

transmitting ultrasonic energy from said ultrasonic imaging catheter in said venous system, through the walls of said venous system and through said artery, some of said ultrasonic energy being reflected by said artery;

said ultrasound imaging catheter receiving some of said reflected ultrasound energy; and

creating visual images of said artery from said received energy.

9. The method according to claim 8 wherein the transmitted ultrasonic energy has a frequency of 15-20 MHz.