Methods for bilateral renal neuromodulation
First Claim
1. A method for catheter-based renal neuromodulation of a human patient, the method comprising:
- positioning a first catheter within a first renal blood vessel of the patient and proximate to neural fibers innervating a first kidney of the patient;
delivering a first neuromodulatory agent via the first catheter to the neural fibers innervating the first kidney, wherein the first neuromodulatory agent inhibits neural traffic along the neural fibers innervating the first kidney;
positioning a second catheter within a second renal blood vessel of the patient and proximate to neural fibers innervating a second kidney of the patient; and
delivering a second neuromodulatory agent via the second catheter to the neural fibers innervating the second kidney, wherein the second neuromodulatory agent inhibits neural traffic along the neural fibers innervating the second kidney.
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Abstract
Methods and apparatus are provided for bilateral renal neuromodulation, e.g., via a pulsed electric field, via a stimulation electric field, via localized drug delivery, via high frequency ultrasound, via thermal techniques, etc. Such neuromodulation may effectuate irreversible electroporation or electrofusion, necrosis and/or inducement of apoptosis, alteration of gene expression, action potential attenuation or blockade, changes in cytokine up-regulation and other conditions in target neural fibers. In some embodiments, neuromodulation is applied to neural fibers that contribute to renal function. In some embodiments, such neuromodulation is performed in a bilateral fashion. Bilateral renal neuromodulation may provide enhanced therapeutic effect in some patients as compared to renal neuromodulation performed unilaterally, i.e., as compared to renal neuromodulation performed on neural tissue innervating a single kidney.
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Citations
23 Claims
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1. A method for catheter-based renal neuromodulation of a human patient, the method comprising:
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positioning a first catheter within a first renal blood vessel of the patient and proximate to neural fibers innervating a first kidney of the patient; delivering a first neuromodulatory agent via the first catheter to the neural fibers innervating the first kidney, wherein the first neuromodulatory agent inhibits neural traffic along the neural fibers innervating the first kidney; positioning a second catheter within a second renal blood vessel of the patient and proximate to neural fibers innervating a second kidney of the patient; and delivering a second neuromodulatory agent via the second catheter to the neural fibers innervating the second kidney, wherein the second neuromodulatory agent inhibits neural traffic along the neural fibers innervating the second kidney. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. A method for catheter-based renal denervation of a human patient, the method comprising:
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intravascularly positioning a catheter having a drug delivery element within a first renal artery associated with a first kidney of the patient; at least partially ablating nerves along the first renal artery via a first neuromodulatory agent from the drug delivery element; intravascularly positioning the catheter within a second renal artery associated with a second kidney of the patient; and at least partially ablating nerves along the second renal artery via a second neuromodulatory agent from the drug delivery element. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23)
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Specification