Method of performing heart surgery using thermographic imaging

• US 5,375,603 A
• Filed: 08/30/1991
• Issued: 12/27/1994
• Est. Priority Date: 01/08/1990
• Status: Expired due to Term

• Current Assignee: Ernest M. Feiler
• Original Assignee: Ernest M. Feiler
• Inventors: Feiler, Ernest M.
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US07/754,279
• Time in Patent Office: 1,215 Days
• Field of Search: 128/633, 128/664, 128/666, 128/668, 128/691, 128/736, 128/897-898
• US Class Current: 600/474
• 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 5/028 by thermo-dilution
• CPC Class Codes: A61B 5/416 the spleen

Abstract

A method of performing heart surgery is disclosed. The method comprises preparing a patient for coronary bypass surgery, assessing blood flow characteristics in the heart region, making decisions on graft locations and the number of grafts based upon the blood flow characteristics and completing the surgery. The method is also useful for surgery on other bodily organs and regions.

Claims

1. A method of performing heart surgery comprising the steps of:

(a) preparing a patient for coronary bypass surgery, said patient having a heart including heart tissue;

(b) assessing blood flow characteristics in said heart tissue;

(c) making decisions on graft location and the number of grafts based substantially upon step (b) and placing or not placing a graft or grafts in accordance with said decisions; and

(d) completing said surgery.

2. The method of claim 1 wherein the step of assessing blood flow characteristics in said heart tissue comprises employing a means for estimating volumetric blood flow and distribution of blood flow.

3. The method for performing heart surgery of claim 1 wherein said blood flow assessment of step (b) is done dynamically.

4. The method of performing heart surgery of claim 1 wherein said blood flow assessment of step (b) is accomplished by assessing the temperature of at least a portion of said heart tissue.

5. The method of performing heart surgery of claim 4 wherein said temperature assessment is accomplished thermographically.

6. The method of performing heart surgery of claim 1 wherein said decisions on graft location and the number of grafts is based solely upon step (b).

7. (four times amended) A method of performing bypass surgery on a coronary artery of a patient wherein one or more bypass grafts are attached to said coronary artery at selected locations, said method comprising the steps of:

(a) preparing said patient for surgery, said patient having a heart, including heart tissue, said coronary artery attached to at least a portion of said heart tissue;

(b) assessing temperature characteristics of said heart tissue;

(c) making decisions on bypass graft location and number based substantially upon said temperature assessment of step (b) and placing or not placing a graft or grafts in accordance with said decisions, and

(d) completing said surgery.

8. The method for performing heart surgery of claim 7 wherein said temperature assessment of step (b) is done dynamically.

9. The method of performing heart surgery of claim 8 wherein said temperature assessment is accomplished thermographically.

10. The method of performing heart surgery of claim 7 wherein said decisions on graft location and number of grafts is based solely upon said temperature assessment of step (b).

11. A method for performing heart surgery on a patient having a heart, including heart tissue, and a coronary artery attached to said heart, said method comprising, in the following order, the steps of:

(a) preparing a patient for surgery;

(b) assessing blood flow characteristics in said heart tissue of said patient; and

(c) attaching a bypass graft at a selected position along said coronary artery, said selected position chosen based substantially on the blood flow assessment of step (b).

12. The method of performing heart surgery of claim 11 further comprising the following step:

(d) assessing blood flow characteristics in said heart tissue of said patient after attaching said bypass graft.

13. The method for performing heart surgery of claim 11 wherein said selected position is chosen based solely on the blood flow assessment of step (b).

14. A method of performing surgery to bypass one or more portions of an artery, said artery normally supplying blood to heart tissue, said method comprising the following steps:

(a) identifying one or more locations of stenosis within said artery;

(b) performing a first dynamic assessment of blood flow characteristics of said heart tissue to which blood is normally supplied by said artery, said dynamic assessment including use of thermographic imaging; and

(c) placing a first graft in said artery at a first point located downstream from one of said one or more locations of stenosis, based substantially on information obtained from step (b).

15. The method of claim 14 further comprising the following steps:

(d) performing a second dynamic assessment of blood flow characteristics of said heart tissue to which blood is normally supplied by said artery, said dynamic assessment including use of thermographic imaging; and

(e) placing a second graft into said artery at a second point selected based at least in apart upon information obtained from the assessment of step (d).

16. The method of claim 15 wherein a single blood-carrying vessel is used for said first graft and said second graft.

17. The method of claim 15 further comprising the following step:

(f) performing a third dynamic assessment of blood flow characteristics of that portion of said heart tissue to which blood is normally supplied by said artery, said dynamic assessment including use of thermographic imaging.

18. The method of claim 17 further comprising the following step:

(g) comparing the third dynamic assessment of step (f) with the second dynamic assessment of step (d).

19. The method of claim 15 wherein:

said artery includes a first branch and a second branch;

said first point is located in said first branch; and

said second point is located in said second branch.

20. The method of claim 17 wherein step (f) includes employing a means for estimating volumetric blood flow and distribution of blood flow to said heart tissue.

21. The method of claim 14 further comprising the following steps:

(d) performing a second dynamic assessment of blood flow characteristics of said heart tissue to which blood is normally supplied by said artery, said dynamic assessment including use of thermographic imaging; and

(e) placing a second graft into said artery at a second point upstream from said first point when said assessment of step (d) reveals an ischemic area of said heart tissue located upstream from said first point.

22. The method of claim 21 wherein a single blood-carrying vessel is used for said first graft and said second graft.

23. The method of claim 14 wherein step (b) includes the following steps:

determining a temperature for said heart;

perfusing said artery with a perfusing solution that is at least 5 degrees Centigrade lower than said heart tissue temperature;

sensing infra-red radiation emanating from said heart tissue.

24. The method of claim 14 wherein step (a) includes the following steps:

perfusing said artery with a perfusing solution having a temperature which creates a temperature differential between said perfusing solution and said heart tissue;

sensing infra-red radiation emanating from said heart tissue.

25. The method of claim 14 wherein step (b) includes employing a means for estimating volumetric blood flow and distribution of blood flow to said heart tissue.

26. The method of performing surgery of claim 14 wherein said first graft is placed at said first point based solely on information obtained from step (b).